Cheryl, I had a mother/baby like this during the past year. The baby was a lazy feeder at breast OR bottle, took a long, long, time, and a complete physical exam by a sympathetic ped turned up nothing. Unfortunately, this mother was a high energy person who lacked the will to put in the time to let baby mature or pump, and so despite two previous successfully breastfed babies and an excellent milk supply, she chose to dry up and quit. Having said that, you face a tough situation. When feedings take over an hour each time, it is hard for a mother to face extra pumping. Most likely the lackadaisical suck is doing little to stimulate her supply, and she probably isn't doing quite enough of the extra pumping, either. My first thought is to add an herbal galactogogue here to at least aid her efforts: fennugreek tea or tablets. Secondly, she probably needs some "frequency days" of pumping every two hours, 15 min a session double pump, to kick up her supply. Perhaps these could be days that she takes a rest from breastfeeding and fingerfeeds instead so that she has some sanity. I would think about scheduling these frequency days twice a week to start, and see where it goes. Meanwhile, baby needs to be feeding at least 8X a day on the "normal" days using the SNS & pumping in order to sustain the supply. It is so hard when you are trying to train baby at breast, but baby isn't adequately stimulating supply and mother is spending a lot of time working at it as well as pumping. You'll have to find out what she can handle, and go accordingly. Sometimes a lethargic suck can be related to allergies (uh-oh-- there's that controversial word! ;-), and when you don't have anything else to go on, I think that it is worth pursuing; at the Lactation Institute this is one area that they seriously consider, and I have seen babies' suck improve dramatically with dietary changes in mom. Takes a lot of detective work, though. Good luck! -Lisa ****************************************************************************** Lisa A. Marasco, IBCLC / [log in to unmask] International Board Certified Lactation Consultant / [log in to unmask] ******************************************************************************