Diane, A related article to the ones you listed on the effects of discharge packs on breastfeeding is this one: Hill PD, Humenick SS, Brennan ML, Woolley D. Does early supplementation affect long'term breastfeeding? Clinical Pediatrics 1997;36(6):345-350. "Early introduction of supplemental bottles of artificial milks is associated with a decrease in the amount of human milk the infant receives as well as with early weaning." Anne Altshuler, RN, MS, IBCLC and LLL leader in Madison, WI [log in to unmask]