Hello, My name is Zenana Rose and I am a new subscriber to Lactnet.  I am
L&D and Mother-Baby Nurse as well as IBCLC.  I practice both in the
hospital setting as well as with a group of LC's in a private home
lactation service.  I have been taught to SNS and suck-train at the
hospital using a 5fr feeding tube and 35cc syringe with the stopper in
place.  The premise behind this method is that the baby needs to pull the
stopper down and that the amount of vacuum required to do this is
equivalent to that required at the breast to actively and effectively
breastfeed.  However, it is very common that babies initially pull the
stopper down and then stop or are never able to pull the stopper down.
Then the parents or LC's put a small amount of pressure on the stopper to
assist the baby in pulling the stopper down.  In my studies I have learned
(from Jack Newman and other LC's) another method of SNS which is simply
placing a 5fr feeding tube at the bottom of a bottle and placing it at the
level of the baby's head.  The baby is then using the 5fr tube as a straw
or a syphen.  The baby is seen to revert to nutritive sucks and BF
effectively.  Does anyone know anything about the difference between amount
of vacuum required with either of these methods and how any of them compare
to Medela's SNS systems or Lactaids?  What are you all using to SNS or FF
babies?  What is the rationale behind each different form of SNS and is
there one form that is better at teaching babies to breastfeed effectively?
What is the standard of practice that is supported by research?  Any other
comments/information that you have regarding SNS methods would be greatly
appreciated.
Thank You,
Zenana Rose RN, IBCLC

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