Dear Rob and all, Some mothers find the sns cumbersome, some love it! Usually first I try to sneak some expressed milk into the side of the baby's mouth with an eye dropper or syringe while they are latched on to see if that improves sucking and swallowing and baby's interest. If it works well and the situation is warranted, then I will show mom the sns, still in the wrappings, and discuss how it is used....how she can get the 'dropper effect' herself with the sns. I ask her if she would like to try it. In the case of baby's weight loss or slow gain, I agree with Jack that the sns is definitely a win/win situation!! Get a necessary supplement at the breast! Baby learns that food comes from mama! Also stimulate the milk supply at the same time! Genius!! The more the mom is committed to breastfeeding, it seems, the sns is viewed as a helpful temporary tool. If a mom does not want to use it, there are other options. Some mothers prefer to pump and finger feed, cup feed, or bottle feed until baby is nursing better. Physics and chemistry are not my strong areas of study! But it was explained to me once because of the physics of the sns, the milk comes from the breast FIRST, whatever is there, and THEN from the sns. This has been an encouraging, reassuring fact for many mothers. Anybody out there care to explain/confirm this? Susan in Minnesota rn ibclc We got the badminton set out last night!!!! ________________________________________________________________ YOU'RE PAYING TOO MUCH FOR THE INTERNET! Juno now offers FREE Internet Access! Try it today - there's no risk! For your FREE software, visit: http://dl.www.juno.com/get/tagj. *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html