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Welcome to the Lactation Ethics Navigator

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6Questions
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  • 8

    Your Feeding System Position: Attunement

    Attunement → Extension → Optimization → Enframing → Promethean
    You are here: Attunement


    What this means
    Your feeding approach is grounded in direct feedback between you and your baby. Decisions are guided by observation, responsiveness, and physiology, not by external systems.

    Technology, if present, is supporting your process, not shaping it.


    Why you landed here
    - Minimal reliance on tracking, devices, or structured systems
    - Decisions led by your baby’s cues and your own interpretation
    - Focus on connection, responsiveness, or understanding

    How your system is functioning
    Decision-making
    Led by you and your baby

    Clinical alignment
    Strong alignment with physiology

    Risk / friction
    Low

    Workload
    Contained and embodied, not externalized into tools


    What to consider next
    If challenges arise, tools can be introduced but should remain targeted and temporary. The goal is always to return to direct feedback between you and your baby.


    Feeding works best when physiology and relationship lead and tools follow.

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  • 9

    Your Feeding System Position: Extension

    Attunement → Extension → Optimization → Enframing → Promethean
    You are here: Extension


    What this means
    You are using tools to support feeding but they are not dominating your decisions. Your system is still anchored in the relationship between you and your baby, with technology acting as a bridge when needed.


    Why you landed here
    - Use of tools (like pumps or logs) for specific purposes
    - Decisions still guided by your baby or clinical input
    - Focus on managing a challenge rather than optimizing performance

    How your system is functioning
    Decision-making
    Shared between you, your baby, and occasional tools

    Clinical alignment
    Generally aligned with physiology

    Risk / friction
    Low to moderate depending on tool use

    Workload
    Increased, but often purposeful and time-limited


    What to consider next
    Tools should remain tied to a clear reason. If a tool is no longer solving a problem, it may be adding unnecessary complexity.


    Feeding works best when physiology and relationship lead and tools follow.

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  • 10

    Your Feeding System Position: Optimization

    Attunement → Extension → Optimization → Enframing → Promethean
    You are here: Optimization


    What this means
    You are using structure, tracking, or tools to guide feeding decisions. This can provide clarity but it may also begin to override the physiological signals between you and your baby.


    Why you landed here
    Regular use of tracking, apps, or structured routines
    Decisions influenced by data or measurable outputs
    Focus on improving or optimizing feeding performance

    How your system is functioning
    Decision-making
    Shared between you and your tools

    Clinical alignment
    Partially aligned, but increasingly system-driven

    Risk / friction
    Moderate — risk of over-adjusting based on data

    Workload
    Increasing — more time spent managing feeding vs experiencing it


    What to consider next
    Structure can support feeding but it should not replace interpretation. If something feels off, trust that signal before adjusting the system.


    Feeding works best when physiology and relationship lead and tools follow.

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  • 11

    Your Feeding System Position: Enframing

    Attunement → Extension → Optimization → Enframing → Promethean
    You are here: Enframing


    What this means
    Your feeding system is being shaped primarily by external tools, metrics, or routines. Feeding may feel organized or controlled but often comes with increased pressure, workload, or disconnection from intuitive cues.


    Why you landed here
    Heavy reliance on tracking, schedules, or output-based decisions
    Feeding guided more by systems than by direct observation
    Focus on managing or controlling feeding rather than responding to it

    How your system is functioning
    Decision-making
    Driven largely by systems, tools, or data

    Clinical alignment
    Inconsistent—may miss context-specific needs

    Risk / friction
    High — risk of misinterpretation and unnecessary adjustments

    Workload
    High — feeding becomes a managed task rather than a relational process


    What to consider next
    You may not need more structure, you may need less interference.
    Consider which tools are helping you understand your baby and which are replacing that process.


    Feeding works best when physiology and relationship lead and tools follow.

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  • 12

    Your Feeding System Position: Promethean

    Attunement → Extension → Optimization → Enframing → Promethean
    You are here: Promethean


    What this means
    Your feeding system is fully driven by data, devices, or optimization strategies. The process is highly controlled but may be disconnected from the lived experience of feeding and the variability of physiology.


    Why you landed here
    Decisions primarily guided by data, metrics, or external systems
    High focus on output, efficiency, or optimization
    Minimal reliance on direct feedback between you and your baby

    How your system is functioning
    Decision-making
    Externally driven by data or systems

    Clinical alignment
    Variable — optimization does not always equal appropriateness

    Risk / friction
    Very high — risk of over-control, anxiety, and missed signals

    Workload
    Extremely high — constant monitoring, adjustment, and management


    What to consider next
    Not all variability needs to be corrected.
    Reintroducing moments of observation, without measurement, can restore clarity and reduce burden.


    Feeding works best when physiology and relationship lead and tools follow.

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