I would be asking myself:  "OK, where's the 3rd one?"  Anyone in health 
care knows that things tend to occur in 3s.  Everytime I see something I 
haven't seen in awhile or do not see that often, I almost always end up 
having a couple more cases of the same type come along in a short period of 
time.  Seems to particularly be true of clefts - I will see one and two 
more are guaranteed to show up within the next few weeks or months!
I think I tend to agree with the literature in regards to hypoplasia - it 
is rare.  I think you got (un)lucky to have two cases come to you in the 
space of a month.
Good luck to these mothers.

Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL  USA

P.S.  Thanks to Nancy Mohrbacher and Kathy Kendall-Tackett for the 
excellent one-day conference they did on Saturday.  Well worth giving up a 
Saturday for.

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