I agree that we may think something is a really bad idea, yet we would give the mother info on how to succeed (e.g. the MBA class); HOWEVER isn't it our job to counsel her re all the negative possibilities like compromised supply, nipple confusion/preference, etc the consequences of early separation, use of pump vs baby at breast, possibility of not pumping frequently, plugged ducts, mastitis etc? To illustrate this, I Recently had a mom w/ breast implants, wide spaced breasts (primary insufficiency?) and baby born at 37 wks. Working w/ low supply. She had a good pump and a pretty good nursing baby, and a husband very strongly pro-bf. But she said that since she had been on bedrest since 29 wks, she wanted to go out everyday now. So she did not get to bf much and missed pumping often too. I had seen her several times in office and had a good rapport w/ her. I had to tell her that doing all this w/i the first 3 wks of birth was not conducive to her baby learning to bf well, nor her milk supply to increase. I debated whether or not to tell her this, or should I just keep saying bf often, deep latch, pump etc. I decided I had to tell her - gently - what I felt a big part of the problem was - I felt she needed to bed-in w/ the baby. The next day she changed to formula feeding. Was I wrong? Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, s.e. USA ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com *********************************************** 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