Magda brings up a good point. I find being scientific in my approach to 
helping mothers with difficult breastfeeding problems helpful, while 
valuing both the process and product aspects of breastfeeding. I don't 
think there needs to be a dichotomy, these two important aspects of 
breastfeeding do coexist. Lactation consultants are the modern 
manifestation of woman to woman help with childbearing and rearing that 
has existed in most communities throughout time. I agree that we need to 
avoid adopting a strictly product, paternalistic model, and I think that 
most of us are successful in that. We face the challenge of bringing a 
more holistic model of breastfeeding to the wider culture and to health 
systems. Perhaps we can dialogue on ways to do this.

My own work on sensory integration is evolving to honor the process of 
breastfeeding and sensitive, responsive parenting. As I delve more into 
the current neuroscience research, I find more and more evidence that 
the process is important neurologically and developmentally (something 
we all here already know). Perhaps we can use this knowledge as one 
entry piont to restoring value to the process as well as the product.

Catherine Watson Genna, IBCLC  NYC

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