I agree with Yael, that the improvised lactation aid using a 36 inch 5
French tube works a lot of the time.  Yes, there are problems with it
sometimes, mostly that the mothers are surprised by this concept, and don't
consider it *natural* like a bottle (aargh!!).  Also they have often been
shown how to use it wrong. Nurses love to put a tube on the end of a syringe
and the mother pushes the plunger to force fluid into the baby's mouth
(aaarggh!!!). You do need to get the best possible latch to use it correctly
(asymmetric latch, thank you Loni for that vote of confidence).  The better
the latch, the less likely the will need it; the better the latch, the
easier it is to use; the better the latch, the more rapidly the baby will be
able to do without it. It is the method of choice for supplementation
because the baby is still on the breast and breastfeeding.  That remains
true whatever difficulties arise with its use. If it's impossible to use,
that's too bad, but just because one technique doesn't work sometimes is no
reason to abandon it always.

Jack Newman, MD, FRCPC

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