Well I never heard of it, but at first look I think it is very ingenious
and seems to work well for what it was intended to do. I think it would be
great for mom doing kangaroo care or STS in Nicu. Moms who want to do desk
work, read emails, or actually eat during lunch break, for example. Or moms
who by necessity have to long term pump for a special baby.

I hope it does not promote more breastmilk feeding, to the detriment of
direct bf (when direct is possible). I expressed (no pun intended) to my
colleague today that this was "the week of the pump," as I was setting up
pumps all week for moms who wanted to pump only. I think this phenomenon
might go along with the "less interaction and eye contact with baby"
thread. However, I have to not try to second guess why a mother, who has a
quite capable baby and body, would choose this, but it could be a hx of
abuse or something like that.

One mom recently told me in outpatient clinic that she had a 2 yr old and
it was easier to pump, altho she was getting up every 3 hrs to pump then
bottlefeed the baby. She also wanted to have a large stash of milk for her
return to work, as her  previous lactation ended too early due to loss of
supply. One can try to reason that a healthy robust infant would protect
the supply better than pumping, and explore other reasons too. This mom
could not be deterred. She had totally abandoned quite successful bf for
pumping at 1 wk postpartum. She had lots of questions about how much the
baby should be drinking from the bottle, which was hard for me to pinpoint
for her, for sure.

While I've seen this next trend all along, it seems to be increasing: to bf
"just the colostrum" for a day or so, thinking this will be the only thing
needed for great infant health, or to give *any* colostrum while also mixed
feeding, thinking the same result will occur (great health). It is quite a
touchy counseling experience to talk about what is really needed by the
baby (exclusive bf for MONTHS).

In my experience, when a mother has made her mind up to feed her infant in
these ways, there is no turning her around.
Laurie Wheeler RN MN IBCLC
Mississippi USA

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