Seven key challenges were identified that contributed to the decision
to use second-line strategies, including: nipple pain (40%); unsettled infant (40%); insufficient milk supply (37%);
fatigue (37%); night nursery care (25%); infant weight loss > 10% (24%); and maternal birth associated pain (20%).
Skin-to-skin contact at birth was commonly reported (93%). At seven days postpartum 124 women (97%) were
continuing to breastfeed.