Time for another update... my little guy with the BIG cleft palate (not lip) was in yesterday. He has been gaining acceptably on expressed milk via Haberman. (Plus fortifier ordered by primary pedi. Her milk supply dropped drastically at about 2 weeks, but Domperidone has brought it back wonderfully.) She has been nursing him when she is able (Has 2 other kids and husband works the night shift.) She has found that he latches best with her standing up, and him held diagonally across her body! She came in yesterday to try an SNS. This little guy took 45 cc through the SNS and about 10 cc from mom in 45 minutes. (Yes-standing up! SHe can't hold hiim at the same angle while sitting) This mom is SO determined...didn't bf her first 2 at all. So she is going to be pumping as before, and getting the same 3 oz per feeding into him via tube +/- Haberman, but is SO happy to have him at the breast. I showed her a sling, thinking it would help her hold him while standing, and it turns out her sister-in-law gave her one, but she hadn't known what it was! So, we'll see how it goes. And on a side-note...I've clipped 5 tongues in the past 2 weeks! (One set of identical twins!) And another little guy was in yesterday with a submucous cleft AND a moderate tongue-tie, and weight-loss at 1 week of age, so if we can't get him turned around I'll probably end up doing him, too! Amazing. Kathy Leeper, MD, IBCLC Medical Director MilkWorks, a nonprofit breastfeeding center providing consultations, education, support and related supplies in Lincoln, NE *********************************************** 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