Kris, There are several options. First, you are very right to realize that you are getting only what the mom is telling you that the dr. said. Believe me mothers will interpret things incorrectly, tell you only what they want you to know, or seek other opinions until someone tells them what they want. This may sound cynical but it does happen. Since the mom did not call you back as she said she would, that may mean that she did not want to go the route you suggested, or couldn't for some reason. You could just let it go. You could call mom back and talk to her about milk supply issues and latch problems re the formula/bottles. You could offer another consult. Then it is up to mom to f/u or not. You could call the ped up and ask him about his recommendation, saying something like "Hi Dr. X. I am Ms. Y the Lc working w/ Mrs. Z. Before I f/u with her again I wondered if you could share a little about your discussion w/ her. Mrs. Z had indicated a strong commitment to bf exclusively for at least 4 mos, so I was surprised that she had changed her mind. And I also wondered if you discussed with her how this would lead to a fall in her milk supply, usually very quickly. I can recommend a very good latching technique and some top quality pumps. What is your impression of how receptive she would be to this?" Well, something like that. In my reports, I always try to include mom's bf goals. So the doctor can see that the client wants to bf x 1 yr or whatever. I'll also say that the husband accompanied her and is supportive of her. I provide education to the docs whenever I can, especially in my reports and when I have a chance to call or talk to them, but mostly I feel my advice/info is for the mom. She has to make the decision about what to do and how far to take it. She knows how to find me. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ Join the world’s largest e-mail service with MSN Hotmail. http://www.hotmail.com *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] 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