I've refined
my thinking to the extent that I no longer believe that the problem is nipple
confusion per se.  I do think that many baies become rapidly accustomed to
the fast and steady flow of the bottle and become very impatient with the way
milk flows from the breast--i.e. in a pattern of ebb and flow.  We have NICU
graduates return to our outpatient clinic after basically bottle feeding. Mom
may still have a good supply and yes the baby will latch, but darn it all,
that breast doesn't work like the bottle and the hungry baby has very little
patience with it.

Ahhhhh.  Glad you said "per se".  I think this is part of the varied opinions
on nipple confusion, because I have always clearly considered the above one
of the possible presentations/results of nipple confusion.  It is likely
there may be other "influences" from a nipple that many vary on what category
they assign the "problem" to.

Cheryl Taylor White
www.drjaygordon.com

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