< When I talk about a mom returning to work outside the home who pumps and leaves that milk for baby the next day, I say that baby continues to be breastfed-directly when mom is home and indirectly when she's away. I hadn't thought about using the same definition for moms exclusively feeding with EBM. I think it carries less emotional distinction especially for the mom who is in this situation NOT OF HER OWN CHOSING - the baby with a cleft, oroboobular disproportion, etc. I agree that in talking with the moms in this position, we probably don't need to break down the definitions, but there are times in communicating with each other (that includes all those who work with the mom) when it is important to differentiate. I think the terms "direct" and "indirect" breastfeeding do it best.> Thanks for the vote of confidence, Winnie. I like your idea of actually using the term "indirect" when we are talking to working (or returning-to-school moms). If more of us began to use it in the hospital in regard to mothers of premies, and other situations like "oroboobular disproportion", it might be a "non-threatening" way of helping move the word into general maternal-child health usage. That's the beauty of "a living language". I remember way back when there was no such term as SGA, AGA or LGA etc. to help us sort out which approach was best for which situation. 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