Depends on what you are calling an SNS and what you're putting in it. A 5 ml syringe on a feeding tube is perfectly acceptable and works fine - IF - that's a big IF- the baby is trying to suck at all. I would say finger-feeding, spoon feeding, special needs feeder feeding and leave the bottle out entirely. -----Original Message----- From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Alla Gordina MD, IBCLC, FAAP Sent: Tuesday, September 09, 2014 11:06 AM Subject: SNS in immediate post-partum period?! I would like to hear from respected Lactneters regarding the following proposed protocol in our newborn nursery (in exactly in that order!): "Alternative feeding methods: - Supplemental Nutritional Sysytem - cup feeding - spoon feeding - finger feeding - bottle feeding" Does it make ANY sense to use SNS as a first line alternative feeding method in the first 24-48 hours? Thank you in advance. Alla -- Alla Gordina, MD, IBCLC, FAAP General Pediatrics Breastfeeding Medicine Adoption and Foster Care Medicine Global Pediatrics and Family Medicine NJ Breastfeeding Medicine Educational Initiative *********************************************** 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 *********************************************** 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