Inconsolable Crying and Other Red Flags: When to Seek Help from a Lactation Consultant
- Cleo Marchese, BS, IBCLC, RLC
- Mar 13
- 4 min read
Breastfeeding can be one of the most rewarding experiences of motherhood, but it is not without its challenges. New mothers often encounter various obstacles that can lead to frustrations, confusion, and emotional strain. At times, you might notice certain behaviors in your baby indicating it’s time to seek support. This blog post highlights key "red flags" in breastfeeding and when to contact a lactation consultant for assistance.
Understanding Normal Breastfeeding Behavior
Recognizing normal breastfeeding behavior is essential for identifying potential issues. Typical feeding sessions last anywhere from 20 to 40 minutes, occurring every 2 to 3 hours. In the first week, it is not usually for newborns to eat every hour for short periods during the day. This is called cluster feeding. During this time, your baby should show signs of satisfaction, exhibit steady weight gain, and display an overall healthy demeanor.
For example, infants in their early months should ideally gain about 5 to 7 ounces weekly. Understanding these baseline patterns helps you notice any deviations that may signal underlying issues requiring professional help. Babies should be given a full two weeks to regain their birth weight.
Inconsolable Crying
Inconsolable crying can be one of the most distressing experiences for new parents. While some crying is normal, prolonged inconsolable crying may indicate your baby is not getting enough nutrition or is experiencing discomfort during breastfeeding.
If your baby cries for more than three hours a day, which can be typical for infants, but seems unusually fussy or continues crying after nursing, consult a lactation consultant. They can help determine if your baby’s feeding is inadequate or identify other sources of discomfort.
Poor Weight Gain
Monitoring your infant’s growth is vital. Weight gain should be consistent, particularly within the first few months. The World Health Organization suggests that infants should double their birth weight by around five months. If your baby experiences a sudden drop in weight percentiles or does not gain weight as expected, and your pediatrician suggest supplementing with formula. A lactation consultant can provide guidance on improving feeding techniques or exploring potential health issues that might contribute to poor weight gain.
Nipple Pain or Trauma
Experiencing discomfort during breastfeeding is a sign that something is wrong. If you experience pain, cracks, or bleeding on your nipple's, seeking help is crucial.
These symptoms often arise from incorrect latching. Studies suggest that nearly 60% of breastfeeding mothers experience nipple pain. A lactation consultant can help diagnose the cause and suggest techniques for achieving a more comfortable feeding experience.
Frequent Feeding and Inevitable Hunger Signs
While it is normal for newborns to feed frequently, baby’s extreme hunger cues may indicate they are not getting enough milk.
If your baby seems to want to feed every hour or appears unsatisfied after nursing after they are more than 7 days old, it could be a sign of inadequate milk intake. Frequent nursing is normal, but if combined with signs of irritability or excessive crying, consulting a lactation consultant can provide critical insights.
Cues of Dehydration
Dehydration in infants needs immediate attention. Key indicators include fewer than six wet diapers per day, a dry mouth, and a lack of alertness. A well-hydrated baby typically has 6 to 8 wet diapers daily and at least 2-3 bowel movements in the early weeks.
Change in Stool Patterns
The appearance and frequency of your baby's stools are significant indicators of breastfeeding success. For breastfed infants, healthy stool patterns include several soft, golden-yellow stools each day, transitioning as they grow.
If you notice drastic changes, like hard stools or less frequent bowel movements, it may indicate a problem with milk intake.
Baby’s Latch Is Off
An improperly latched baby can cause severe nipple damage, and poor milk transfer. Most babies who are latched poorly do not have a painful latch.
If you consistently feel pain or discomfort when latching or pain that lasts the entire feeding, an expert lactation consultant can assess your technique, provide necessary adjustments, and ensure both you and your baby feed comfortably.
Unexplained Fussiness After Feeding
While it is normal for babies to occasionally fuss post-feeding, excessive fussiness after feedings and continuously trying to root at the breast may indicate an issue. If your baby consistently cries or seems uncomfortable after nursing, it may be a sign to seek professional help.
This fussiness could result from various factors, including poor intake, reflux, or possible dietary intolerances. Consulting a lactation expert can help identify the root cause and provide strategies to improve the situation.

Emotional Woes of Breastfeeding
Breastfeeding can also take an emotional toll on mothers. If stress, anxiety, or feelings of self-doubt overwhelm you, it is crucial to seek help. Don't try to go on alone.
Lactation consultants do not only address physical challenges; they can also offer emotional support to help make your breastfeeding journey more manageable and enjoyable.
When to Make the Call
If your baby displays any mentioned red flags, it is time to reach out to a lactation consultant. These trained specialists provide tailored assessments and guidance to enhance your breastfeeding experience. They can assist with positioning, milk supply, latch issues, and emotional support.
Embracing the Breastfeeding Journey
Breastfeeding can be incredibly rewarding and occasionally challenging. Recognizing red flags can empower parents to seek help when needed, easing the journey for both mother and baby. Remember, asking for support is a sign of strength. A lactation consultant can offer valuable insights and resources to help navigate breastfeeding hurdles, ensuring a positive experience for both you and your little one.
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