Jack suggests that it should be possible to wait until the 6 week appointment before giving a progesterone shot to a mother who would seem to be in danger of conceiving again too soon. I can see how we would want to be extremely careful about making such judgements. Unbelievably, I bet there are mothers who don't make it back for their 6 week check up. Hopefully these would be the exceptions. How do we know which they are? Maybe we should ere on the side of making insulting suggestions if we get a feeling that we might not see them again. I don't know. I guess I wish that we always had such a good relationship with every postpartum patient and that each had such good insurance and education that they would all come back religiously for their check ups. Again I say, I just don't know. Bonny Nothern, IBCLC