Pat,
You didn't mention whether or not she was trying breast
compressions.  I have seen some dramatic instances where it really
gets baby to increase the suckling (and a few when it doesn't seem
to help).  Regarding the supplementer-I don't think it can make baby
any less effective.  Hopefully, getting more "reward" for the little
he does do will encourage him to do even more.  It would certainly
be worth a try.  In the hospital setting with a variety of equipment
available, that's one time I would use a syringe and feeding tube to
test whether the additional flow will get any better results.  If it
does, then I would move to a supplementer, but if it doesn't help,
we've saved the cost of a supplementer.

On another topic - I use the mnemonic "PMS" to remember your
antigalactogogues.  Parsley, (pepper) Mint and Sage.
Winnie

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