Barbara -- you are so right!! You said: "Feeding choice honestly may never have been closely examined before, and there may be hidden issues influencing their choices that we cannot know." I had a young mom just this week whom I visited 3 times in the hospital. Her plan was to pump and give EBM via bottle, just like she had done with her first, and supplement as needed with formula. When I casually mentioned that if she decided she wanted to put her baby to breast we could help her, she made such a face. Her signif other was there, so I could not even gently probe to get some insight into her decision. I told her how to pump, where to get a pump, how to increase her supply as the baby grew, and how to store her milk properly. I also left my voicemail number in case she had any questions later on. What more can you do??? Be supportive, give good info and step back. Kathy Rubin in NJ IBCLC, RN, BC (Maternal/Infant), APN, C (Family Nurse Practitioner) PhD student hopng to study lactation issues someday *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html