Debbie: I strongly recommend that you make a written report. Use the March issue (1995) suggestions by Beth Williams re: how to do so. Such a report has the benefit of being able to be read and reread and each time an MD sees a report from you, it increases his awareness that you are out there. I have found, with my reports, that MDs often are surprised at the detail they learn and they often askt he mothers at the next visit what they think of me. The mothers give positive replies and 1) less unwillingness to talk positively about breastfeeding results; followed by 2) greater willingness to refer when problems are mentioned. It is a slow process, but very worthwhile. I agree that the report should go directly to the MD. Put "Personal and Confidential" on the evenlope if you do not intend to deliver it personally. That will prevent staff members from opening and tossing the information. THE MD will probably put the report in the baby's chart. Re: the Academy for Breastfeeding Medicine. I agree that it will be hlelpful for MDS IF the focus is on imporving medical education. However, I have philosophical problems with the notion that MDs can only learn from their own. Clearly those of you on LACTNET who are MDs do not completely subscribe to that notion, and I for one am very pleased that you are part of the network. Learning can occur from many people with different backgrounds, something I very much appreciate. PS Thank you for mentioning the Auerbach-Gartner article on jaundice. (I bow with a pink face.) As for references relating to frequency of breastfeeding, there are several out there. Check the last 2-3 years of JHL for recent ones. Pay particular attention to the Daly and Hartmann pieces in March 1995 which relate infant frequency of feeding to maternal milk prdocution. If you need others, call me (personally) and I will check my file. (But not this week; I am getting ready for a conference). %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %% Kathleen G. Auerbach, PhD, IBCLC %% %% Lactation Services %% %% Homewood, Illinois %% %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%