Susan;
I read your post and although we all know that BF is the more "natural/physiologic" choice, I have a hard time making mothers who choose to exclusively pump feel guilty. Or should we think about the NICU baby in an isolette whose mother is not allowed to nurse and the only thing she can do is pump to provide optimal nutrition...is that frowned upon because it is not physically skin to skin with his mother?
I agree the the term efficient is not ideal, but I was posting to lactation professionals trying to get evidence based research, not a mother.
On a side note, you mention quite a bit of studies...can you please give me links to them? I could not locate any studies and women who emailed me off list could not either.
Thanks,
Julia
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