Sir.—The article "Induced Lactation: A Study of Adoptive Nursing by 240 Women" by Auerbach and Avery in the Journal (1981;135:340-343) was a valuable addition to the literature in that it reported how adoptive parents who breast-fed their infants achieved their success. However, the article should have been accompanied by a cautionary reminder that no information was obtained from adoptive mothers who tried to nurse and failed. Speaking from the point of view of an adoptive parent and pediatrician, I should like to call attention to some other aspects of this phenomenon.1
Breast milk is, without question, the natural and best food for young infants. However, the fact that some women have succeeded in nursing their adopted infants does not mean that all adoptive mothers can nurse or should attempt to do so.
Adoptive parents usually decide to adopt a child after a long period of reproductive failure. If