In reply to Janet and Arly, LCs at Logan Regional Hospital,
          Logan, UT, I have the following information.
          Lang S et al. Cup feeding: an alternative method of infant
          feeding. Archives of Disease in Childhood 1994; 71:365-369
          recounts the experiences with cup-feeding at Royal Devon and
          Exeter Hospital (correspondence to Dr Clive J. Lawrence,
          University of Exeter, Exeter EX4 4QE, England) where more
          than 500 infants had received cup feeds on one or more
          occasions since 1989.  <Cup feeding was introduced gradually
          over the first year.  This was because of experience in the
          Kenyatta National Hospital in Nairobi, where inadequate
          preparation had resulted in staff opposition.  It was
          equally important to proceed slowly because at that time no
          precedent existed for its use in neonatal units in the UK.>
          <Armstrong HC. Breastfeeding low birthweight babies:
          advances in Kenya. J Hum Lac 1987; 3:34-37> tells the
          timeless story of necessity mothering invention.  I have the
          former, but not the latter, article, together with a few
          non-journal tidbits, which I would be pleased to share.
          Sandra Lang spoke on cup-feeding at the ILCA conference in
          July (Senior Lecturer, Department of Midwifery Studies,
          University of Central Lancashire, Preston PR1 2HE, FAX
          (1772) 89.29.14).

          Jim Akre
          Technical Officer, Nutrition
          World Health Organization
          Geneva, Switzerland
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