I agree that milk supply sounds like a very important issue in this case.  I
would also think that continuing to use the SNS may be the best thing, until
the mother' milk supply is better.  It sounds like the baby is sucking well
at the breast with the SNS, rather than just slurping the supplement through
the tube, as can sometimes happen.

I have a few suggestions on how to wean from the SNS, when that time comes.
I assume this mom is using the smallest SNS tubing already.  I would also
leave the supplement cold and hang the unit lower, to further slow the flow.
  Depending on the mother's anatomy, just letting out the neck cord all the
way may hang it down far enough.  A few moms I know have taken the cord off
of the hook and then used the hook to clip the unit to their nursing bras,
which hangs it quite low.

Some of my babies would never start nursing without the tube there (usually
the Lact-Aid, because I liked it much better than the SNS, so I kept it for
back up).  However, with all of them, I could pull the tube out, once they
were fairly well fed and settled down, and they would keep sucking.  I
didn't use tape, and could just pull the tube straight out, without
disturbing their latch.  The SNS is more difficult to use without tape.
However, this could still be done, if the tube was fixed so that the tape
was over the top of it, but it was not sticking to the tape.  Some moms have
used a band-aid, and flipped the tube under that, which does not hold he
tube securely, but does help keep it in the area it needs to be.

Of course, with the SNS, it is also very easy to cut off the flow of
supplement to the tube.  If there is a decent amount of milk flowing from
the breast, the mother may be able to block the flow from the SNS, and have
the baby still keep sucking well.  At some point, however, I would suggest
using the tube without take, so that it can be pulled out at some point,
leaving nothing but the breast.  I would suggest that this mom try different
tactics, but avoid overwhelming the baby by trying too many things too
quickly.

Darillyn STarr






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