One can continue to support the WHO Code, while recognizing that "today's" world is different from the one we had in 1981 when it was written. The Code is designed to curb the marketing of four product-types to the general population. Formula, bottles, teats, and foods to be "pushed" on infants are NOT to be aggressively marketed directly to mothers. Pumps are not now, and never were, one of the four product-types covered by the WHO Code. Which begs the question: why in the world would a pump manufacturer risk the good will it enjoyed with mothers and the lactation community, *just* to be able to push bottles-and-teats in its marketing campaigns? It was the marketing of those dang bottles that got them in Code-hot-water .... not their pumps. They had happily *sold* those bottles-and-teats in a Code-compliant fashion for years. Why did they feel compelled to change? But it doesn't really matter. We can still, as IBCLCs, continue to assist mothers who must use pumps (and -- gasp! -- bottles and teats) as they care for their individual newborns. Because we work one-on-one with dyads ... just as the Code envisioned. There are many other "tensions" of which we IBCLCs must be cognizant. Our IBLCE Code of Ethics discusses avoiding real or imagined conflicts of interest when we must discuss the use of equipment with mothers. So discussing the use of pumps -- even by companies that market in a Code-compliant fashion -- is still territory to tread carefully. Our professional associations are also thinking about this: IBLCE will soon *not* approve CERPs provided by *any* manufacturer of durable medical equipment -- and that means by any pump manufacturer, ven those who have always been Code-compliant. The JAMA editorial of April 1 2009 discusses a "zero dollar tolerance" for professional associations of health care workers, in their collaborations with pharmaceutical and durable medical equipment manufacturers. Liz Brooks JD IBCLC FILCA Wyndmoor, PA, USA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome