I think this is indicative of a problem that exists with ANY artificial
feeding method.  Infants can become 'confused' with any of the alternate
supplement processes.  As the 'technology' of breastfeeding gets more widely
known there is an increasing problem with people not recognizing that
anything other than the breast has inherent risks.  It is a matter of
choosing the least risky option.  In some cases that is gavage feeding, in
other cases cup feeding.  Sometimes it is a periodontal syringe/finger
feeding etc.  Sometimes it is even (gasp) bottle feeding.  The point is to
chose a method that is effective, do-able by the parents or facility, and
get the baby to the breast as soon as possible.
        I have been increasingly concerned as I hear partially informed and
well meaning advocates who end up promoting one method as though it is the
be all and end all. "THIS is the way to avoid confusion". No magic wand exists.
          I personally often suggest cup feeding, but with the clear
understanding that 'cup confusion' is real and possible.  I also recommend
supplementer systems (of a variety of brands) but how many of us have seen
those smart little tiny people turn towards a tube fully aware of where the
milk is actually coming from.  It is something that can be and is dealt with.
         We must recognize that the only thing the same as feeding from the
breast is 'breastfeeding'. We need to accurately inform parents of the
risks/benefits of the alternative methods of supplementing and why we are
recommending one method over another.  Then let them decide what they wish
to do.
----"Without interest and passion, nothing great has ever happened in
history"  G.W.Hegel
      Rhoda Taylor, B.A., IBCLC          ph. 604 748 4945

      3346 Glacier St.                   fax. 604 748 2743
      Duncan, B.C. Canada                e-mail. [log in to unmask]