I saw a similar mom this week...reasons for failure of lactogenesis 2 
unclear, but with first baby never able to pump more than 20cc at a time. 
Used SNS and hated it...refuses to try it again.

It seems that moms who are really motivated to supplement at the breast 
long-term find the Lactaid easier to use.  I think it is a little tricky to 
get used to assembling it at first, but it allows the mom to nurse 
discreetly in public while supplementing.  It is also a lot more expensive 
than the feeding tube and bottle set-up, though...so sometimes moms choose 
to use the home-made supplementer at home, and a bottle when out and about.

Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE

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