Yes, Sue, and that is why it is so important to use the right language, the 
right semantics. That is, calling it "breastmilk feeding" (not 
"breastfeeding") or "bottle-feeding EBM"

Mothers need to be informed that it is not the same as breastfeeding, and 
that it may lessen the protection against childhood obesity and remove one 
of the three mechanisms for protection against otitis media that 
breastfeeding provides, i.e. the mechanical aspect. It also introduces the 
risk of infection, from carrying or transporting milk and from use of 
implements (pumps, bottles, artificial nipples) that may not always be 
adequately cleansed in the real world.  It introduces non-physiological 
suck, too, despite what the marketing claims, and this may have a bearing on 
the child's oral development.

While there are good reasons for breastmilk feeding in certain circumstances 
(prematurity, serious infant oral anomaly, use of donor banked milk), doing 
it willy-nilly as a lifestyle choice is a different matter. Mothers may not 
be making a truly informed choice, especially when they think it is "the 
same".

Virginia
in Brisbane, QLD, Australia

---------- 
Sue Jacoby, IBCLC, wrote:

I think we can expect lots more of this- pumping is the new breastfeeding.

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