Hi, everyone: In reply to the question regarding slides for presentations on breastfeeding, I have some beautiful slides as part of an instructional program from Georgetown University. I don't know if slides available separately, but you might try them: Georgetown University Hospital, National Capital Lactation Center, 3800 Reservoir Rd NW, Washington, DC 20007. One of my LC colleagues said it sometimes works to just ask some of your patients if they would consent to be photographed. As for zoloft, I have no personal experience, and the UCSan Diego drug information line had no really good data on this, but no contraindication. Still, at least with prozac the level in breast milk has been measured at 10% of the maternal dose; with zoloft, we don't even know whether it gets into breast milk. The problem with drugs such as the SSRI's and other antidepressants is that we don't know the long term effects, and that's why the AAP committee in Jan. 1994 Pediatrics put such meds on its "use with caution" list. With a premature baby, there is a potential concern due to its vulnerable nervous system. This unknown risk of course has to be weighed against the known benefits of breastfeeding to premature infants and long term maternal and child health benefits. Since we have no way to compare the two, there is no easy answer here. As in all difficult situations, the parents may need to be provided with as much information as possible and make their own decision. If this mother has been on zoloft throughout her pregnancy, she must be aware that the baby has had seven months of exposure, probably at higher levels than would be in her breast milk. Good luck, Alicia.