The hierarchy is NOT endorsed by/discussed at LLL meetings, if that is your worry. I've never been to a meeting in 3 states where it has come up. LLL meets moms where they are to achieve their on personal breastfeeding/pumping goals. I merely pointed out that breastfeeding straight from the breast being the idyllic first choice is not an exclusive thought from LLL, but also by the WHO. I'm sorry if anything I posted sounded otherwise. It was my ill-put wording.