Slow weight gain and low milk supply in the breastfeeding dyad

Maternal perception of insufficient milk is a widespread phenomenon in mode m breastfeeding. This article addresses underlying physiology, feeding patt erns, growth patterns, and medical complications as they impact milk supply and infant growth. The complexity of mother-infant factors leads to a broa d differential diagnosis. Problem-oriented management is discussed with the goal of preventing low milk supply, intervening promptly for feeding probl ems, promoting infant growth, and preserving the breastfeeding relationship .