I read my previous post and it's not really clear. The baby in question is now nearly 6 mos old and almost 11 lbs. He is a pretty sturdy little guy now, not a tiny preemie anymore. He is mostly breastmilk fed by bottle - which is of course how the NICU staff insisted he be fed prior to discharge. (Another case of very little breastfeeding support in NICU) I don't think this is a case of mom inappropriately giving supplement after breastfeeding. He cries and struggles at breast, latches and sucks poorly, and pretty much holds out until a bottle is given. I think this is more a case of nipple preference than any problem with mom's supply or baby's anatomy at this point. The mom is considering giving up direct breastfeeding, and exclusively pumping (which she has pretty much been doing.) She's looking for ideas to encourage him to breastfeed better, preferably without any gadgets required permanently. She did try a nipple shield, and he doesn't like it and resists latching with it. Jennifer Tieman Family Physician Mom to 4, including my toddler nursling Caroline Rose *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html