I am a hospital-based RN/LC. Today I had to set up a pump for a new mom who will pump & bottle feed EBM from day 1! She has 2 other children that were fed the same way. She pumped & they each received EBM for 10 months. They (patient & her husband) wouldn't even let me get in a word about putting baby to breast-they know what they want. She is a pharmacist & he is a stay at home dad & is very supportive. This is probably a rare situation, but it worked for them. We certainly do have contact with a variety of people in a variety of situations. It makes life very interesting. Laura Hart, RN, BSN, IBCLC Winter Park, FL