I agree wholeheartedly with Lynette's response to my original post about 
pumping and bottle-feeding.   More often than not, we need to work on 
"de-polarizing" the experience of all breastmilk or all formula.   In cases of 
pathological low supply, typically we end up doing it through encouraging breastfeeding, 
supplementing and whatever pumping the mom can handle.   

My original post, though, addresses a sub-set of women for whom 
breastfeeding, supplementing and not really pumping is not going to be acceptable, and the 
point at which we need switch the model to more of a "yield-focussed" one.   
Again, in cases where there is little milk that the baby can access, it becomes 
very demoralizing to "breastfeed," and then follow up with 4 ounces of 
formula.   For some of these mothers, pumping 12 ounces to 15 ounces a day is much 
more rewarding (and is better for the baby, as well, since he gets more 
breastmilk), and keeps them going with the whole process.   The point of my post was 
that this sub-set of women needs to be focussed on so that we can get some 
more babies out there some more breastmilk, and possibly make the "nursing" 
experience a positive one for the mothers as well.

Heather Kelly

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