It seems to me , that more mothers have nipple confusion than babies, our Hispanic moms say "no leche", may breastfeed or not, but do give bottles, then go home and breast feed without any trouble. The "educated" parents fear nipple confusion so much that they set themselves up for failure. We have babies in the nursery who are tube fed, then nipple fed and go to breast before going home. Term babies are sometimes with us for several days, and are happy to take food whichever way it comes-will breast feed whenever mom comes to visit, and take pumped mothers milk or formula when she isn't around. Then we have mothers who insist no bottles, no pacifiers, have upset babies, and then have breastfeeding difficulties-the babies sense the stress in mom, who also has problems because her baby is hospitalized.
We have mothers very upset by the attitude of lactation nurses, who are very critical when mom wants to give a bottle, and will reprimand the mother for allowing it, or giving it.
My grandbaby was breast fed from the beginning, went home on a 107 degree day. She latched on well, nursed for hours, gradually became fussier, pulling her head back from the nipple. Her mouth was dry, she wouldn't sleep for very long.
Finally they decided to give her some formula, with less than 10cc, she fell into an exhausted sleep. So did her mom. After that she was supplemented with a bottle until mom's milk came in...........NO PROBLEMS..........She has been breast and bottle fed since then, is now being weaned at six mos, as mom has been back at work for three, and it's been difficult pumping.
You don't want to know what I think about cup feeding....................