Thanks Rachel for your thoughtful comments. As I think about it, of course weight gain in pregnancy itself is a completely different issue than obesity, gross obesity and morbid obesity prepregnancy. I think my comments were directed to the second set of issues. In thinking further, the progesterone storage in fat is almost a bogus issue. So what if release from storage takes perhaps 12-24+ hours more? Did the hospitals of birth have policies for breastfeeding initiation within the first hour, non-separation of mother and baby, and encourage skin to skin and feeding on cue? These are the more important questions. The sad part about this is that all of us, but especially physicians, are inundated with so much printed material that headlines are the attention grabbers, and perhaps nearly all of what gets read and remembered! That's what is said to have happened with the breastmilk and jaundice issue when Gartner's work was published 3+ decades ago. Let us hope that this doesn't presage a new ritual for sacrificing breastfeeding on the altar of ignorance by discouraging mothers whose weight patterns don't suit the standards of their particular physicians! One more missionary impetus for the rest of us! Jean ******************* K. Jean Cotterman RNC, IBCLC who fits into one of the afore-mentioned categories of obesity, and finds it very discouraging and difficult to change! *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html