Ann:  Thank you for your non-inflammatory view on this article.  I had the 
same reaction after reading it myself.  I would rather that mothers do some 
breastfeeding than none at all.  Returning to work as we all know is a HUGE 
obstacle to breastfeeding duration.  My advice?  If mom cannot pump at work 
for whatever reason, she can still nurse when home with the baby and do 
formula during her work day.  If she is not interested in this option, she 
should still be encouraged to breastfeed during her maternity leave, then 
wean the baby to formula thru the rest of that 1st year.  I'm a little 
concerned about the numbers of women out there who may be using "homemade" 
formulas in order to avoid being "made to feel guilty" about using the 
commercial ones.
I strongly encourage all moms to nurse as exclusively as they can within 
the constraints of their lifestyles.  If she cannot (or will not) 
exclusively nurse, then it is our duty to support her in her partial 
breastfeeding efforts.  Some is better than none for as long as she can.

Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shpeherd Hospital
Barrington, IL   USA

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