I think you are doing a great job with the baby who has a cleft. Take care to make sure baby can handle flow of an SNS or fingerfeeder tubing because this baby will be at high risk for aspiration. Probably this is just stating the obvious. Also, I think Barbara Wilson-Clay (and others) has some great things to say about pacing such babies and stress cues etc which would be valuable with a baby in this situation. Laurie Wheeler, IBCLC, MN, RN Violet Louisiana, s.e. USA _________________________________________________________________ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp *********************************************** 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