Ridicule !!! My smallest baby was exactly 4 kilos (8 pounds, 13 on). My biggest, 4,730 gr.(I don't remember in pounds, but it is around 11). These huge babies, if healthy, take the breast like champs, are often hungry, and get what they need. If we can nurse twins, I cannot see why we can't nurse whoopers. BUT, the mother needs to forget about North American way of life, an turn to African/ South American / Chinese / etc... and REST, TAKE EXCLUSIVE CARE OF SELF AND BABY (not shouting, just talking with passion). Why is it that all belief systems (but ours, and even then) and all traditional lifestyle has a 40ish days of confinement for new mothers? The Innus of Northern Quebec had a "maternal igloo" of which the new mother was not to leave because it would get the attention of the bad spirit and the village would starve. I heard that, in some part of Africa, they have the "maternal hut" and some myth accordingly. I was told that the Talmud says 42 days, and a Muslim patient told me that it was 40 days in her tradition. The only breastfeednig failure I saw was with a huge baby, and a mother moving between houses (convenient time: pregnancy leave...) Louise Denhez, M.D., M.P.H Chargee d'enseignement clinique Departement de medecine sociale et preventive Montreal, Quebec