I agree that SNS isn't helpful in a non-latching infant. I can see a use for SNS as a viable method of supplementation in the first few days when an infants blood glucose is low or weight loss > 10% and the baby has a good suck. Compared to other options for supplementation, I like that baby will associate the breast with nourishment.
Melinda Harris-Moulton ARNP,IBCLC
Olympia, WA

Sent from my iPad

> On Sep 9, 2014, at 12:15 PM, Barbara Berges <[log in to unmask]> wrote:
> 
> The method you choose depends on the reason for supplementing.  For a
> non-latching baby, the SNS will not work.  Then you need spoon, cup, or
> finger feeding.  If the baby is latching well but there is significant
> weight loss, then SNS might be the best choice.
> 
> I would suggest that all these methods be listed in the protocol, but not
> mandated as to what order to use them.
> 
> Barb Berges, BS, RN, IBCLC
> near Cleveland, Ohio
> 
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