Since I have 4, I have different experiences. My 1st was very hard - immature suck, flat nipples, plus I hemmoraged after birth (very fast!) and was very anemic postpartum (still sent home though, no special istructions other than to rest! GRRRR). But my doctor, bless her, sent an LC (billed it to insurance as a home visit!) and we worked it out with a nipple shield for 4 weeks while we both got stronger, then she helped me wean off the shield. The 2nd was in the NICU for 3 days, but nursed well except for tucking in his bottom lip for a month. My DD was a champ - no problems at all!! And she had a bit of formula after birth (low blood sugar - I know, there are ?s as to whether this was necessary). My 4th,a boy, great birth, 9lbs 7oz., was fine except for the 3rd day when my milk came in, we had one rough night then all was well. My babes all gained a pound/week in the beginning! I think what brought me through the 1st was determination and my doctor. After that, I knew I could handle any nursing issue. Plus I became a breastfeeding counselor after my 2nd. But I still think we should have lactation mentors who can be there (at least on the phone) for that night after you get home, your milk comes in, you're engorged and baby won't latch! I mean, if I had trouble, with my 4th baby, and training in bf, think of the trouble a new mama might have - even just feeling alone and tired/vulnerable! We need night mentors! Let's start a service!