If I may add just one more thought to bottlefeeding EBM versus feeding at the breast:
I am surprised that no one has mentioned yet the advantage of correct oral and facial 
muscle development and correct dentition, which one cannot get from bottlefeeding.
My son Peter was born at 25 weeks, and was on a vent for 5-6 weeks.  When he came 
home, he had a funnel-shaped palate.  He was evaluated for braces at about the age of 13, 
and the orthodontist (bless him) told us that if Peter were his son, he wouldn't touch him.  
His mouth (and palate) were fine.  He was never (to my knowledge) bottlefed, and 
breastfed for at least three years.
That being said, I fully support women who make the choice to pump and bottlefeed 
expressed breastmilk, whatever the reason.  They are doing the best the can, just like most 
other mothers.  We all try to point out the additional work involved, but it is their choice, 
not the lactation consultants'.  

Ellen Kadden, MA, IBCLC
The Stamford Hospital
Stamford, CT

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