In Reply.—Dr Carey assumes that our article reports no failures. We refer him again to Tables 2 through 4 in our article. Half of all respondents reported no breast secretions before the infant's first suckling, suggesting that many mothers observe no obvious physical sign that their bodies are responsive to their preparation techniques. A third of the infants were unwilling to nurse at the first attempt, and after ten days, 25% of the infants still were unwilling. Because breast-feeding is a two-person cooperative effort, if the infant refuses to nurse, the experience will be unsuccessful.
More than half of our subjects reported an inability to eliminate supplements, regardless of nursing duration, and 25% of the subjects viewed their experience with ambivalence or negatively. However, most respondents thought that adequacy of supply was secondary to enhancement of the mother-infant relationship. Women who had breast-fed biologic infants (most of whom reported