<And finally, why do we need to distinguish between those who pump and feed out of "necessity" and those who do so for "convenience?" We can never really know what goes on inside the woman who decides to indirectly feed her milk. Rates of sexual abuse in this culture are high and often involve the breast. Sometimes when a mom is adamant that she won't put babe to breast for, what seems to me a flimsy reason, I step back and ask "what has happened in her past?"> Thank you for putting it so well Susan. My final 20 years of employment was devoted exclusively to prenatal care of low income women. Somewhere along the line, we upgraded our history taking to include a thorough assessment for past and present abuse. After 3 decades of OB nursing prior to that, what I learned from these assessments boggled my mind. I had never imagined the extent of the forces impacting the lives of so many mothers who continue devotedly to cope the best way(s) they know how. And experience tells us that this phenomenon occurs across all educational and socio-economic barriers. Jean ************ K. Jean Cotterman RNC, IBCLC Dayton, Ohio USA *********************************************** 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