This is really insidious! If Medela is really going to distribute pumps without advice, they'll have moms pumping and bottlefeeding EBM before either is established on BF. The babies will be nipple-trained and the moms will have no choice but to pump and bottlefeed, and many won't be able to maintain it for long without nursing, resulting in transition to ABM! This should be posted to Lactivist to see if they can help with it. Please send a copy of your post there, also. I can't because it would mean forwarding Lactnet info outside. PLEASE ! ! ! Everyone who addresses this question, please send a copy to Lactivist also. Just cc: [log in to unmask] Thanks. Jonathan