Dear all:

The babies that I see that have THE MOST DIFFICULTY transitioning between different 
feeding modes are those that have digestion issues.  These are the babies that I try to keep 
from having to take bottles because they can have a much harder time transitioning back 
and forth.  So, with a baby that is fussy and has green stools, I would actually try to stay 
away from bottles if at all possible.  Sometimes these babies are put on a pump and bottle 
feed routine by pediatricians who want to know what the baby is taking.  This is always a 
nightmare scenario for me because it is much harder to get them back feeding comfortably 
at the breast.  Unless  you have an ultracentrifuge (and I most vehemently do not 
recommend this approach) how would you even know the fat content anyway?  And if you 
did know the fat content you would have to expend a lot of energy because every single 
pumping would have a different fat content.  Feed to feed, breast to breast, there is HUGE 
variation in fat content. 

Best, Susan BUrger

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