In response to Deborah Boehle's questions about handling other health professionals with outdated ideas, I have a few suggestions. In regard to the nurse who likes to limit feeding time, here's a good review article that she might find helpful: L'Esperance C and Frantz K. Time limitation for early breastfeeding. JOGNN March/April 1985;14:114-18. As for the doctor, I think I can respond, being of that persuasion myself. I always learned a lot from nurses and lactation consultants as well as other health care providers. Not all physicians are open to input, especially if it is threatening, but I would advise you to directly give your report to the MD if he/she is available. For a good reference about jaundice, I highly recommend the superb review article by Kathleen Auerbach and Lawrence Gartner. Here is the citation: Auerbach K and Gartner LM. Breastfeeding and human milk: their asociation with jaundice in the neonate. Clinics in Perinatology, March 1987;14(1):89-107. Since it is in a respected medical publication, he/she may take it more seriously (that is unfortunate, but probably true in many cases). It is sad to see how few physicians are up to date on this important information. If a major review on some heart disease or other medical condition had appeared in 1987, we would be unlikely to see the widespread continuation of previous practices. However, as demonstrated in Gary Freed's recent survey (JAMA 2/8/95), physicians are overall just about as ignorant about lactation as ever. Good luck, Alicia Dermer, M.D.