There are also the oral motor benefits of breastfeeding that are lost 
when moms exclusively pump, and perhaps some of the synchronization 
between baby's needs and mom's milk composition that is postulated to 
happen through saliva transfer.  When moms in my practice exclusively 
pump, I encourage them to let the baby lick their nipple at least once a 
day.  Sometimes this has led to the baby self attaching, and mom 
deciding that breastfeeding is better than EPing for her. 

For moms who have been sexually abused, direct breastfeeding can be 
healing, as a way of taking back her body and reaffirming it's 
biological purpose.

Most of all, EPing is double the work!  I have had some brave moms who 
did it for a year or two when their babies were unable to latch, but 
most find it hard to sustain.
Catherine Watson Genna, IBCLC NYC

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