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In Reply.—The purpose of the marginal comment "Successful Breast-feeding" (Journal 1981;135:595-596) was to applaud and amplify what Dr Roddey and colleagues point out in the abstract of their article (p 597): "These cases emphasize the necessity of close follow-up for breast-fed babies, especially those of primiparous mothers and those in whom there has been excessive weight loss while in the hospital." Attention to the hospital record in which daily weights, the number of wet diapers, the amount and nature of stools, and observations of the perinatal nurse caring for the mother-infant dyad are all recorded, is well within the purview of the busiest clinician and is not an ivory tower obfuscation.
LAWRENCE RA. Breast-feeding Infants-Reply. Am J Dis Child. 1982;136(2):178. doi:10.1001/archpedi.1982.03970380089034