Pam This is a very frustrating situation and potentially a dangerous one. You cannot help this lady over the phone. You have already realized that. You also cannot force her to come in for an assessment. She very well may have primary lactation problems (doesn't make enough milk) or this could be a result of "mismanagement" or not bf optimally from the start. It could also be a baby problem like short frenulum, also known as tongue-tie. I have had this happen before, where a mom will not come in, and I give her the scenario that if she were describing headaches, or chest pains, the dr. would have to SEE her not just talk to her over the phone. Emphasize to her the need to feed the baby generously and to come in immediately for an eval or to her pedi if she chooses to do that. I would not call her back and tell her so, but would call the pediatrician or other primary provider and give a report of your concerns and tell her so. On this last contact you could try to talk to another family member, maybe whoever is the head of household, like mil or husband. If she is enrolled in a wic program she could go there for a checkup at least make sure the baby is doing well. you could even call social services if you feel the baby is in danger. the language barrier makes things much more difficult. Where I work there are Vietnamese translators who are very helpful. You might try to access someone like this via your volunteer network or local hospital or social services. good luck. Laurie Wheeler RN MN IBCLC Violet Louisiana USA _________________________________________________________________ Chat with friends online, try MSN Messenger: http://messenger.msn.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html