Introduction: Breastfeeding is essential for rapid brain growth & developmenmt.Early initiation of breastfeeding within an hour is a preventable cause associated with reduced neonatal morbidity and mortality .(WHO,2024) Objectives: To evaluate the demographic characteristics and complications associated with lactation failure among neonates re-admitted to the lactation unit at DGH Ampara. Methodology: A retrospective clinical audit was conducted on all 72 neonates re-admitted tothe Lactation Management Unit at DGH Ampara from October 2025 to January 2026 with ethical approval. Data were collected using a structured audit tool for a descriptive study . Results: No mothers were below 18 years; 11% were above 35 years. 44% were primiparous.20% had Pregnancy-related complications, 8% had chronic medical illnesses. 61% neonates presented within the first week of life. Neonates;53.5% female and 46.5% male. 79% Term births; 43% Normal vaginal deliveries, while 54% were caesarean sections. Low birth weight (10% seen in 26%. 85% were exclusively breastfed, 15% mixed orformula fed. 68% were icteric,where 44% required phototherapy . Poor sucking (72%), irritability(19%), reduced urine output (11%), fever (10%), drowsiness (4%), sodium imbalance (17%), and infections requiring treatment (33%) were observed.88% recovered, while 13% required NICU admission. At discharge, 90% were exclusively breastfed.On discharge,weight gain 10% in 8% were observed. Conclusion: Gaps identified in early breastfeeding assessment, evaluation on discharge, parental education, and early postnatal follow-up. A structured breastfeeding support and early community follow-up is recommended,followed by a re-audit to complete the audit cycle.