Poor Latch: This can lead to inadequate milk intake and sore nipples. Low Milk Supply: Various factors, including hormonal imbalances and infrequent breastfeeding, can lead to low milk supply. Overactive Let-Down: This can cause the infant to struggle with the rapid flow of milk, leading to coughing or choking. Engorgement: This occurs when breasts are overly full, making it difficult for the infant to latch properly.