Hi to all, My wonderful friend and colleague, Desiree Nelson, of the now defunct Baby friendly designated Cottage Grove hospital, used to say that even formula feeding moms benefited from The Ten Steps, because it is a standard of care that promotes bonding and a high level of education about parenting behaviors for all parents, not just those who choose to breastfeed. I think we need to remember always that parents who choose to bottle feed are very much influenced by what we do and say, and that if their experience with us is a positive one, they may come back to us and want to breastfeed their next child. Just my .02. Martha Johnson RN IBCLC, Eugene, OR