I find this discussion of pumps, pumping necessity, and ethics in  
advertising of strong interest to me.  I especially liked Rachel's post  about 
advertising and agree with her reactions to the photos used; sometimes  they make my 
skin crawl.  We all know many a mother who pumps out of  necessity and would 
give anything to be able to nurse her baby (my daughter  being one of these; she 
pumped for almost two years).  Marsha's post  addressed this fact.  
 
Out of my frustration about the misinformation that abounds regarding  
purchasing a pump prenatally, the need for others to just *have* to give a  bottle 
to otherwise normal breastfeeding babies, and also the struggles of moms  whose 
pumping yields would improve with the right pump, correctly fitting  flanges, 
solid information on the *how to* of pumping, I recently completed an  
article on pumping.  I hoped to dispel the myth that all moms need to have  a pump 
by addressing when a pump may be needed, mentioned manual expression as a  
viable means of milk expression, and included the how-to's and circumstances  that 
call for milk expression.  Writing with a specific publication in  mind, I 
referenced my material.  It was not accepted.
 
My article sits waiting on my computer because I feel  ethically in  the 
dilemma of where to submit it so it doesn't end up next to a formula ad or a  
come-on pump ad.  How does one reach the mothers, mothers-to-be who could  benefit 
from information without compromising ones ethics as an LC by submitting  to 
a mainstream publication?  I'm frustrated and would appreciate  input.  I'd 
like to think what I've written could reach a wider audience  than the few moms 
who attend my prenatal breastfeeding classes.
 
Barbara Latterner, BSN, RN, IBCLC
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