>>>I tried a Haberman feeder with her yesterday and the baby sucked well on
the middle notch, but not on the short one - she started gagging and crying.
 Any ideas on where to go from here?  I have never had a case this bad
before.  How long should I expect it to take the baby to learn how to suck,
and what else can I do to increase moms milk supply???. Any suggestions
would be greatly appreciated.  THanks. Peg Merrill, B.S.,IBCLC,
LLLL(retired), CCE. Doula, etc...,

Isn't the short line (notch) the one that yields zero flow if directly under
baby's nose?  I always have to look that up.  The gagging might be from the
long nipple (you also mentioned gagging with the Avent if used correctly, a
forward gag may be part of the baby's problem.  The crying with the Haberman
on the short notch might be frustration with no flow.  I don't have a
Haberman in front of me so may be wrong, going by memory here.

I'm betting the baby had a primary problem suck that never the less worked
for a while, mom developed bad supply when the hormonal milieu changed and
baby is now fussing for food.  Keep working on supply with pumping, herbs
and maybe medication and feed baby abundantly with the best method you can
come up with in the meanwhile.  I'd vote for finger feeding as it allows
continued suck training if you can get baby well fed in a reasonable time
and parents will actually use it to suck train not just deliver food.  Keep
the baby fat and happy and maybe mom will stress less too.  Try again for
direct breastfeeding corrections when supply is up.  It may be that the
clicking suck will again "work fine" if mom has good supply,  in that case
and especially if it can't be trained away but "works for this dyad" maybe
treat it like a nipple shield, breast reduction or a premature infant (less
than ideal conditions that may require artificial boosting of milk supply on
regular basis) and keep supply elevated artificially with continued pumping
after feeds and/or herb use.

Carla

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