I'd be interested in people's thoughts on supplementing with an SNS  
(or, more simply, Jack Newman's version with a 5 french feeding tube  
in a standard bottle). I see SO many problems with the bottle to  
supplement, including that anyone can do it - the mother's role as  
essential to feeding is removed. While initially, this might be a  
relief to her, it does complicate a return to full breastfeeding. I  
think a lot of people see the at-breast supplementer as overly  
complicated - but again, complicated can be good for encouraging the  
mom to fully breastfeed - if it's possible.
One story - we saw a mom who had a reduced milk supply at 2 months,  
and a very weak and scrawny baby. In spite of domperidone and lots of  
pumping, this mom never regained a full supply (though she'd had one  
initially) and was supplementing with bottles as necessary. The  
slippery slope reared its ugly head, and she was bottle-feeding more  
that breastfeeding at one point. We'd held off on the  
tube-supplementer, and I shared the perception it was too difficult  
for daily use. But we thought we'd give it one last try - and the mom  
has been 100% thrilled with it. Those who think it's too hard should  
have seen this mom after just one week - she was so smooth with it,  
carried it right in her bag with her, and could get it all set up just  
about as easily as breastfeeding. She loved that all the feedings were  
with her, and once the baby started taking solids, they were able to  
get rid of the formula.
I think about our non-latching baby of last week, and this baby  
latched very well before the supplements were given. What if she had  
been supplemented at breast? Would we even see our current breast  
refusal?
Anyway - that's my perspective, but I have very little experience with  
this, and would love to hear what others have found using this device.

Kirsten Berggren
www.workandpump.com

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