Well, to a mainstream person it's extended nursing.
I took DS in today for his 1-year check up (he turns 1 on Sunday) and the ped. asked me about nursing/breastmilk. The ped. is well-aware of DS's physical limitations (tongue-tie, lip-tie and high bubble palate).
So I told the ped. that I was getting toward the end of my domperidone and when that was gone, I'd pump what I could, but I am not ordering anymore domperidone and/or herbal supplements because I feel like we're near the end. I've already done over and above what A LOT (not all) of other mom's would have done and I need to just feel good that he's gotten a year's worth of Bm (mixed with formula, but he got all the BM I could possibly provide).
The ped says (and I quote), "Well, you know we are recommending now that babies be nursed 18-24 months and not just 12 months, but I know you've done all you could and your little one is thriving so if you're looking for permission to stop, you'lve got it from me, but I'm telling moms with no obvious difficulties to keep on nursing well into the 2nd year."
How cool is that!?!? This is the same ped that in the beginning was very knowledgeable about the different sizes of SNS tubing and which size worked for which circumstance. He also wrote a letter to the ENT trying to get the ENT to clip DS's tongue tie and lip tie, but ENT refused saying that if DS could take a bottle, then he wasn't having a problem...I'm not allowed to post what I think of that guy!)
Oh, and this is also the same practice where another doctor called my insurance company and gave them he** for not paying for LC visits.