Janine You are absolutely right to focus on getting babies to breast with a supplementer. Not sure what alternate methods of feeding are used often in South Africa, I would recommend discontinuing the bottles and feeding by another method (cup?). Then I would encourage continuous baby wearing (skin to skin holding) and work with mom on using a supplementer. I don't think I would even recommend pumping or drugs at all. Just holding and encouraging at breast feeding. Mother will not have to focus on how much milk she is making, nor how long it will take, she will just be breastfeeding her babies. Encourage her to accept help from friends and family for all other tasks. Laurie Wheeler RN MN IBCLC Mississippi, USA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome