>Hi Nikki:
>
>Good point about efficiency versus effectiveness.  You're correct.
>They do have different meanings.  I have an unfortunate association
>of the term effectiveness with economists.  They almost never look
>at cost-efficiency, they look at cost-effectiveness.


It was me, not Nikki, Susan :)

I do think we can compare the *effectiveness* of the *removal of
milk*  (the phrase I used) of i) the pump and ii) the baby.

When we do that, though, of course we have to remember that 'removal
of milk' is only a small part of breastfeeding, and that it is in
some ways artificial to separate this aspect of it...and it's one of
the reasons why I heartily dislike the presentation of expressing as
being equal to (or heaven help us, even better than) breastfeeding.

Expressing/pumping is not as effective *or* as efficient in terms of
the breastfeeding experience for mother and baby - but if all we're
talking about is 'what quantity of milk is removed?' I don't object
to the question :)

Heather Welford Neil
NCT bfc, tutor, UK

--
http://www.heatherwelford.co.uk

http://heatherwelford.posterous.com

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