Lynn, Jennifer et al,

Yes, we always have baby nurse first in these situations.
Unfortunately, in composing a post, to include every detail would
make it very long.  I was getting to the gist of the question that
had been asked, so did not include every detail that wasn't directly
related to "What brand do you use if and when you use AIM?"

The type of scenario I was referring to is:
  Baby is7-10 days old
  Mom complains that baby is never satisfied
  Mom has sore nipples
  Baby has lost as much as 12% or more and LOOKS it as opposed to
those babies who lose > 10% and look and act great (probably a baby
that had an artificially high birth weight secondary to extra fluid
volume)
  Baby nurses, but based on pre and post weights has taken only a
few cc's OR we are unable to get baby to latch effectively and stay
at breast in spite of any interventions.

At this time I would have mom pump, but I try not to set her up for
expecting a large volume.  I'll say something like "An effectively
latched baby is the most effficient 'pump'.  This pump is as close
as we can come mechanically but it's still a far cry from the real
thing, so what you get with the pump doesn't accurately reflect what
would be there for the baby.  Whatever we get, even if it's a few
drops, we'll give it to the baby."  If she does not obtain much EBM
and I feel this baby needs something NOW, I'll tell her "Right now
baby doesn't seem to be taking in as much milk as he needs.  We can
fix that by working on getting a more effective latch and working on
maximizing your milk supply.  Meantime, let's give baby a jump start
on catching up with a little AIM."  I make every effort to boost the
mom's confidence and let her know this is a temporary stopgap
measure while we "fix" the problems that got us to this point.  A
little extra effort now will pay off in the long run.

Let's not lose sight of the fact that while AIM is definitely
overused and over promoted, it does have some legitimate uses - just
nowhere as many as the general public and much of the health care
system thinks it does!
Winnie, IBCLC

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