Regarding reporting suspected child neglect/abuse: be VERY SURE that the situation is one of true neglect, and that resources involved in the case aren't meeting her needs. Hotlining someone, depending on the state located, and the worker who gets involved, can be very helpful, but can also create a bigger nightmare. Many times, mom and baby are separated, pending results of the investigation. This would pretty much preclude any potential for this mom to continue bf. I agree with a previous writer who mentioned postpartum depression (PPD) as a possible cause for the situation. PPD is an insidious disorder, may not be manifested by weepiness, lethargy in mom, and other classic signs of depression. The inconsistent behaviors, denial that there is a problem, and avoidance of medical help are all seen in PPD, however. Check for local support groups or psychiatrists/psychologist specializing in PPD. If you can establish trust with this woman and her husband (who may also be unaware of just how dysfunctional his wife is), as other writers have suggested, and coordinate efforts with other professionals involved in her case, she might have a better chance at recovery than if you turn her over to welfare authorities, whose primary concern is to get baby out of the potential danger. Of course, if it's not possible to provide the support needed, and the baby's health is deteriorating, a hot line call will mobilize forces rapidly, to save baby's life. Carol (speaking as social worker, as well as nurse, LC, and mother--and married to a child abuse family therapist!!)