< When I talk about a mom returning to work outside the home
who pumps and leaves that milk for baby the next day, I say that baby
continues to be breastfed-directly when mom is home and indirectly when
she's away.  I hadn't thought about using the same definition for moms
exclusively feeding with EBM.  I think it carries less emotional
distinction especially for the mom who is in this situation NOT OF HER
OWN CHOSING - the baby with a cleft, oroboobular disproportion, etc.

I agree that in talking with the moms in this position, we probably
don't need to break down the definitions, but there are times in
communicating with each other (that includes all those who work with the
mom) when it is important to differentiate.  I think the terms "direct"
and "indirect" breastfeeding do it best.>

Thanks for the vote of confidence, Winnie.

I like your idea of actually using the term "indirect"  when we are
talking to working (or returning-to-school moms). If more of us began to
use it in the hospital in regard to mothers of premies, and other
situations like "oroboobular disproportion", it might be a
"non-threatening" way of helping move the word into general
maternal-child health usage.

That's the beauty of "a living language". I remember way back when there
was no such term as SGA, AGA or LGA etc. to help us sort out which
approach was best for which situation.

Jean
****************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA

             ***********************************************
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html