Katherine in atl wrote: <<It makes me wonder if this is really the solution it seems to be (pumping following feeds, then feeding pumped milk)....keeping in mind that without exception, these mom's all told the LC's that this sounded like a good plan of action and were willing to follow it. Certainly it's appropriate at times, but it's starting to seem to me like this route is also overused, when it would be possible (in *some* cases) to simply have mom nurse...then nurse again (instead of giving the supplement after nursing).>> This is a common protocol around here as well when there are concerns about a mum's supply or if baby is not nursing too well at the breast for whatever reason. Nurse about 20 minutes, pump about 20 minutes, supplement baby with pumped milk. This is a scenario I have a lot of trouble counselling mums with, lacking experience dealing with it. What scenarios would this be appropriate for and when would the nurse, nurse, and nurse more fit in? What if the mum nurses for 20 or 30 minutes and baby is getting frustrated at the breast? At what point can you quit supplementing and just go for having the baby at the breast? I've heard and read that the whole nurse, pump, supplement scenario should take about an hour or the mum can get overwhelmed with constantly feeding a baby who ca't seem to get enough at the breast just yet. Donna Hansen Burnaby, British Columbia Canada *********************************************** 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