I would like to thank Darillyn Starr for her useful and informative posts on adoptive nursing. I work with 10-12 adoptive mothers per year, many of whom share feedback similar to what Darillyn has generously been providing to our list. I have learned so much from this type of feedback, and appreciate it greatly, as there are few citations in the literature. I, too, have had concerns over the depression often triggered by metaclopromide, and have not seen the dramatic (ie full lactation capacity) results reported in the J Trop Peds article. The most successful induced lactation I have recently seen was with a mother with a hx of hyperprolactinemia. She is producing about 16-18 oz of her own milk per day. Her adopted daughter is 4 mo old at present, still receiving partial formula feeds, but looking wonderful with such a nice percentage of her diet coming from mom. Barbara Barbara Wilson-Clay, BS, IBCLC Private Practice, Austin, Texas Owner, Lactnews On-Line Conference Page http://moontower.com/bwc/lactnews.html Barbara Wilson-Clay, BS, IBCLC Private Practice, Austin, Texas Owner, Lactnews On-Line Conference Page http://moontower.com/bwc/lactnews.html