I use a variety of nursing supplementers depending on the issue. I like 
a syringe and 5 french feeding tube if the baby is weak or has lost a 
lot of weight; a lactation aid (tube in bottle) ala Dr. Jack Newman for 
babies who we need to gradually work on their sucking strength after 
frenotomy (see my website, clinical corner for photos and instructions), 
and Lact-Aids and SNS when long term supplementation will be needed and 
mom can afford them. I find many moms hate the Lact-Aid less than the 
SNS, and that many moms do fine with the home made version.

A little counseling to figure out what mom's capabilities are can help 
you decide - Lact-Aid and Syringe and tube are easiest to clean for moms 
who hate doing dishes, the feeding tube in bottle or on syringe are 
easiest to assemble, and the SNS is the hardest for moms who are less 
mechanically inclined. SNS has two tubes and is easier to handle for 
twins. Lact-Aid is most discrete under clothes if mom is shy or 
sensitive about having to supplement. SNS and Lact-Aid are both pretty 
durable. The syringes and tubes need to be replaced every so often. And 
some families find the tube and syringe scary - makes them think of 
medical procedures.

Catherine Watson Genna BS, IBCLC  NYC  www.cwgenna.com

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