I am reminded of two quotes; you can lead a horse to water but you  
can't make him drink and if you give a man a fish he can eat for a  
day but if you teach him to fish he can eat for a lifetime.  It seems  
there are babies that are characterized by the first quote and  
mothers/babies that are served best by the second quote.  A little  
simplistic I know :-)
I do find the majority of women that get pumps to exclusively  
breastpump feed don't stick with it all that long.  It's ALOT of  
work.  Certainly a labor of love but it's essentially double  
feedings: one feeding is to pump and one is to actually feed it to  
the baby.  The moms think they can do it but get overwhelmed.  Most  
only need SUPPORT SUPPORT SUPPORT those first few weeks to help them  
understand they may be able to do this without a pump, and then there  
are others (though very few I think) that actually need a pump.
I'm sure there is no easy or right answer here.  As the professional  
helping the mother we are charged with helping her find the best  
solution, whatever our expertise at that moment suggests, and  
supporting her as best we can.  Let's be caring/respectful to each  
other we all have different professional styles.


Ilene Fabisch, IBCLC, LLLL, WIC BF Co
Listmom wicbfnet and MLCANET
Brockton, MA



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