Like many of the rest of us, I feel that the choice of pumping and bottle 
feeding (the choice to never put the baby to breast)is twice the work, but 
I personally am seeing an increase of mothers who choose this as their way 
to feed their baby. I have learned to take a step back and accept that as 
a feeding choice.

I am also seeing more and more moms who are completely successful 
breastfeeding but are pumping (in addition) and alternately using a bottle 
much earlier than I would suggest (or think is a good idea). These mothers 
are doing fine breastfeeding (at home) but can't think of sitting down to 
actually nurse when they are out of their home. Again, I feel this is so 
much extra work on the mother's part, but that is not my judgement call to 
make.

I guess our role is expanding to help mothes maintain a good suppley while 
bottle feeding as well as getting others to a good start at breast.  I 
have larned not to let this approach frustrate me. At least the baby is 
getting human milk.

Betsy Riedel RNC, IBCLC
Connecticut

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