TY - JOUR T1 - BReast-feeding and malnutrition-reply AU - ROWLAND TW, GILMORE HE Y1 - 1979/07/01 N1 - 10.1001/archpedi.1979.02130070092028 JO - American Journal of Diseases of Children SP - 757 EP - 757 VL - 133 IS - 7 N2 - In Reply.—The diversity of verbal and written responses (and abuse) we have received concerning our case reports of critically malnourished breast-fed babies (Am J Dis Child 132:885-887, 1978) is well illustrated by the letters from Jacobs, Waletzky and Martin, Kutnik, and Labbock. The comments of many pediatricians appear to support the contention that inadequate weight gain by breast-feeding babies is more common than is generally recognized. At the same time—and this we also wished to emphasize—successful breast-feeding requires careful instruction and support by medical and paramedical personnel, and early follow-up for primiparous mothers is particularly important. The point of our article was that parents, nurses, and physicians should not be lulled into assuming that simply because a baby is breast-feeding, he or she is receiving sufficient nourishment.We are not sure why the babies reported in our series failed to receive enough breast milk. We doubt that the small SN - 0002-922X M3 - doi: 10.1001/archpedi.1979.02130070092028 UR - http://dx.doi.org/10.1001/archpedi.1979.02130070092028 ER -