1. The method described is just a modification of the drop and drip method(2). We are still unclear how an infant feeding tube used to drip milk is more beneficial than dripping milk from a spoon or palada. The article further states that the tube should be cleaned with boiled and cooled water after every use to prevent bacterial contamination. Not only is a closed tube more difficult to clean, it is even more cumbersome and involves more expenditure than cleaning a cup and spoon or palada, which may very well be used to drip the milk.

2. The article states that mothers can be taught to use this technique by themselves. We believe that mothers would find it easier to drop and drip milk on to their breast from an open container rather than push in milk from a height using a syringe. Mothers will find it difficult to position the baby correctly whilst they are pushing in milk into the infant feeding tube through the syringe. We are also of the opinion, that the sight of an infantl feeding tube and syringe is enough to daunt the mother and she is more likely to accept the idea of dripping milk from a cup and spoon or palada rather than use "medical equipment".

3. The author does not mention anything about cleaning the disposable syringe or whether a new syringe has to be used each time. The use of an infant feeding tube and disposable syringe and cleaning them each time refutes the author’s claim that the method is simple, safe, cheap, effective and hygienic.

4. Two photographs accompanying the article show the mother with her breast exposed and another shows her breastfeeding her baby. Breastfeeding is a sensitive issue, and we health care providers should see that we do not do anything to outrage the modesty of the mother. Both the contributor and the editor have overlooked the need to conceal the mother’s face either by blackening it out or blurring it.