I highly recommend that those of you who have not, carefully read Dee Kassing’s article in the Journal of Human Lactation: Bottle-Feeding as a Tool to Reinforce Breastfeeding J Hum Lact. 18(1):56-60.  I just did...and realized I needed a "refresher"...

Abstract
Babies may need supplementation due to difficulty breastfeeding. Others must be fed by alternative feeding methods because they are separated from mothers who have returned to employment
or school. Recognizing that mothers and caregivers are often not comfortable using other alternative feeding devices, the author endeavored to develop a method of bottle-feeding
that would meet the needs of these mothers and their babies without causing suck confusion. The resulting bottle-feeding method requires babies to expend effort and use their oral anatomy
in ways very similar to breastfeeding. 

There are many important points in her “Insights in Practice” that are being lost by “just” considering this a “paced bottle feeding” method

-	Type of bottle 
-	Type of nipple (not only flow, but base, shape, firmness, size, etc.
-	Position of the baby during the feeding

…and by the way, she NEVER uses the term “paced bottle feeding.”

Jeanette Panchula, BSW, RN, PHN, IBCLC
California, USA

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