I can tell you that the Children's Hospital in Houston uses fenugreek with their NICU moms and have had no concerns for their small babies. Nettle is a pretty innocuous herb, and mother's milk tea has been around forever with no complaints that I know of. Having said this, but all means the neonatologist should know when a mother is using an herb. But if this neonatologist is not familiar with herb use, perhaps the best course of action is for the LCs to first pull together some information, including from other NICUs that use galactogogue herbs, and present it to the doctors. The ABM protocol on galactogogues might be helpful as well. This all comes down to the basic issue of risks vs benefits: is formula safer than breastmilk that may contain some herbs? It is the same question we ask about medications and breastmilk. In the vast majority of cases the amount of a drug, and presumably herbs with therapeutic properties, is very small and of little risk. Hopefully there can be some productive, balanced dialogue, and a comfort-level agreement hammered out with all concerned. ~Lisa Marasco *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]