I also thought she could pump or express a little until she feels let down 
and then begin to nurse.  I also agree that she needs to give baby a week or 
so on his/her own and see how things go, then think about lactoengineering. 
Pat in SNJ

> This does not have to be complicated. If the baby is not gaining as well 
> as
> anticipated, mom can pump or express in between feedings, let the milk sit
> in the fridge until the cream rises to the top, take off the cream and a
> little of the milk underneath and feed to baby in addition to 
> breastfeeding
> with an eye dropper.
>
> These babies don't always have weight gain problems, so I would not jump 
> in
> with intervention unless it is really necessary. An SNS could also be used
> with feedings to increase intake/calories, but one needs to be careful not
> to overwhelm a possibly low tone baby with more milk than she can handle 
> at
> one time.
>
> Warmly,
> Sharon Knorr BSMT, IBCLC
>
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