An update on the 11 lb baby who was 10 oz below birthweight at 4 weeks. At the time I wrote I had not seen them, only contact on the phone. This mother lives in a rural area and had a predominantly midwife assisted delivery in a small birth centre not far from her home (I was on a committee that allocated the funding for this resource). Labour was 3 1/2 hours, no medication, no complications, no equipment, local doctor arrived for last 15 minutes. The baby sounds from her description as if he was very puffy, although otherwise well. She said his eyes were like slits. They only weighed him at delivery and not again even though she stayed in for eight days just resting and breastfeeding (eat your hearts out). I don't know whether to be cross that they didn't keep weighing him, or pleased that we have finally moved away from weight being the ruling factor. Anyway, his other signs were monitored and everyone was happy with him, with no cause for concern. This large little guy breastfeeds like he was born to do nothing else. She has perfectly shaped nipples, positioning and latch are excellent. His tongue is a little short, but over the lower gum. He copes well with a rather forceful letdown. He looks well (alertness, skin turgor, hydration etc), sleeps quite a lot during the day and feeds all night (co-sleeping). Mother is determined to breastfeed *until he goes to Uni* as she finished up bottlefeeding her previous two after many problems. She is really enjoying him and does not want to revisit pumps, SNS, syringes, etc. The consult was a real pleasure. I have noted all your suggestions, but I am more and more convinced he was a bloated baby who lost 10% or more of his body weight and is taking a while to regain it. Mother is monitoring his hydration and his stool/urine output, waking him to increase daytime feeds, and otherwisejust enjoying him. She lives a long way from a pair of scales and wants to keep it that way. The Child Health Nurse visits the area weekly so we have another week to wait for a weight check. I'll keep you posted. Thanks for all the ideas. Ros Escott Tasmania, Australia