"Can we not acknowledge that there may well be some differences - perhaps
important ones, perhaps only minor ones - between breastfeeding at the
breast, and feeding the baby with expressed milk using a bottle or some
other feeding device? If we treat the two as identical, in our language and
in our research, we may not learn about any differences and or be able to
devise strategies that might help us minimize them."

True- my point is not to stigmatize "them" but to point out the difference
There is an ISM from LLL that I read as prepub. called "Iron Metabolism in Human
Milk Fed Infants" I felt that there were a lot of problems with their
conclusions that all infants should be suppl. with iron despite the studies
that they themselves sited showing evidence to the contrary- part of what
bothered me about the article was how they repeatedly referenced to "human milk
feeding" and did not differentiate whether the infants were fed that human milk
from a bottle or breast-  they had stated earlier in the article that the Iron
content of human milk changes throughout a feed and some may be lost to tubing
etc... when expressed- just like insulin which "sticks" to tubing- so case in
point- feeding EBM is NOT the same as direct breastfeeding

further more what about oromotor development, dental caries and ear infections
related to bottle use?

on the other hand there is a nice study out that had RANDOMIZED preterm babies
to formula or DONOR milk! and then looked at them as adolescent - the "human
milk fed" adolescents had lower serum lipid levels!

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