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Ruth A. Lawrence, MD, Discussant

JAMA. 2001;285:73-80.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR DELBANCO: Mrs C, a 35-year-old communications professional, has a 3-week-old child and has been experiencing difficulty with breastfeeding. Married and living in Boston, she receives care from an obstetrician-gynecologist, Dr T, at the Beth Israel Deaconess Medical Center and has commercial health insurance in a managed care plan.

Mrs C experienced menarche at age 12 years, had a miscarriage 2 years ago, and gave birth after an uncomplicated pregnancy to her first child. She ruptured membranes on her due date and had a vaginal delivery aided by oxytocin and epidural anesthesia. During pregnancy, she noted mild breast enlargement without nipple discharge. She attended prenatal classes at the hospital, including 1 focusing on breastfeeding, something she felt important for both her and her child.

Weighing 7 lb 4 oz at birth, the infant took to the breast eagerly immediately following delivery. However, within 24 hours, . . . [Full Text of this Article]

MRS C: HER VIEWS

DR T: HER VIEWS

AT THE CROSSROADS: QUESTIONS TO DR LAWRENCE

Benefits of Breastfeeding

Disadvantages and Contraindications

Learning to Breastfeed

Educating Health Care Professionals

During Pregnancy Care

Difficulties with Breastfeeding

Mastitis

Duration of Breastfeeding

QUESTIONS AND DISCUSSION

Author Affiliation: Dr Lawrence is Professor of Pediatrics and Professor of Obstetrics and Gynecology, University of Rochester School of Medicine and Dentistry, Rochester, NY.

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