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Thomas M. Ball, MD
Thomas-Davis Medical Centers Tucson, Ariz

JAMA. 1993;270(7):830.

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

To the Editor.

—I thank Freed¹ for his review of our dismal support of breast-feeding. Although I agree with his call for improved education of physicians to solve problems with breast-feeding, I do not feel that physicians will ever "provide effective counseling and support to increase the incidence and duration of breast-feeding." Our involvement in this area should be limited to supporting lactation consultants, lay groups such as the La Leche League, and other community-based programs, especially prenatally, and decreasing interventions that lead to iatrogenic decrease in breast-feeding. Primary care physicians cannot be all things to all people— this is one area we'd be better off leaving to others.

The study by Kistin et al² that Freed refers to demonstrated the effect of a 15-minute to 30-minute prenatal visit, concerning breast-feeding issues only, by one of the authors with women prior to the 30th week of gestation. There . . . [Full Text PDF of this Article]

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