In a message dated 5/7/0 1:10:07 PM, [log in to unmask] writes: << She had been discharged from the hospital on day 3 with term baby using the SNS at the breast with occaisional finger feeds.>> Cindy, Does the baby's suck tend to improve with milk flow from the supplementer? I sometimes find that we can prevent pain and improve suckling by having the baby organize his suck on the finger (finger-feeding) for a couple of minutes before going to breast. <<Her breasts were soft, compression stripe abrasions to her nipples. Color of her milk had changed from golden to white.>> I would go directly to double electric pump, since this time is so crucial for milk production. Besides, what is she feeding the baby? Is she getting enough w/ the hand pump? << She had a rough delivery ("urge to push from the onset of labor", vaccuum, demerol, epidural), no history of infertility or other medical problems or drugs, no symptoms of retained placenta, breast changes in pregnancy. Suck assessment revealed a very disorganized suck and I couldn't get anything approaching a normal suck with finger training with SNS. They had given a couple of desperation bottles and baby hadn't sealed or bottled well>> <snip> <<I plan to call an OT for advice tomorrow though I'm not sure if we have one that is BF friendly. I have requested lactnet searches on 'insufficient milk', 'disorganized suck', and 'hydotherapy'. I know some of you have used bathing as well as ?craniosacral therapy (can't remember terms to do proper searches).>> You can go to the Upledger Institute website (www.upledger.com) and search for a cranial-sacral therapist in your area. I would definately have mom do co-bathing (I always tell mom to do it w/o any stress of "I must get the baby to nurse", but rather to be very relaxed about it, providing *opportunity* for baby to lick, suckle, nuzzle). I would also encourage co-sleeping and a sling (w/ her top off and baby skin-to-skin). I posted a couple days ago about cranial-sacral. This baby would be a prime candidate. I always try to get mom to imagine how she might feel if she got stuck all scrunched up and twisted about, etc--you get the idea. Wouldn't she expect she might have a headache or have a hard time opening her jaw or feel sleepy? I try to present it w/o guilt (that word again--hard to avoid, esp since these interventions are rarely needed). Good luck! Jennifer Tow, IBCLC, CT, USA *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html