Pat's comments make sense, so now I am really confused about this. Maybe I am wrong, but it still seems to me that if the mother does not have a rapid and strong MER, the baby would get milk from the SNS first. If the baby is offered supplement in the SNS, not given a chance to first empty the breast without it, the breast would not get enough stimulation to increase the milk supply. I was under the impression that using the SNS from the beginning of the feed would be useful in cases where supplementation was necessary for a long period of time, but using it this way for short term supplementation could actually interfere with building a milk supply. In any case, I have had success with it's short term use, in the way that I described in my previous post (confirmed by Jack). Yael Wyshogrod IBCLC *********************************************** 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