In a message dated 8/9/98 2:29:53 AM, you wrote: <<Can anyone think of anything I missed? I don't think she has retained placenta, or low thyroid. She feels ok, just is concerned that baby is not gaining, and that her breasts don't feel as full as they should ( she does feel let down, she says), and is really sick of pumping, etc. suppl. via SNS. >> One thing I have learned lately when working with moms is to find out what they are thinking. One educated mom thought she didn't have enough milk for her baby because her breasts weren't rock hard and sore like all her friends said they would be. I've had another mom who honestly was oblivious to the fact that her baby was starving to death. Only a year later when she looked back at the pictures did she realize what had happened. She had thought her baby cried because he was spoiled or jealous of the other children or just because he wanted attention(not need related). Another mom was so worried about her rest and ms reoccurring that she allowed her baby to keep sleeping thinking the child was being a good baby and she almost starved to death. What I am getting at is that we can have all the technical info down and present it to the mom but what we may need to do is get to the root of what is going on inside mom's mind. Newborn extremely jaundice, not gaining, mom putting all energy into work. Fear? Distancing self from bf failure by having success at work? Distancing self from ill baby to avoid guilt? Relying on old wives tales? Any number of things can be going on here. Try to feel mom out and see what the underlying problem is with her. Hope that helps. Kathy Ford LLLL Harveys Lake, PA