Thank you so much for the many words of advice.  I really appreciate 
everyone's feedback.  I am a true believer of following a mother's instinct.  I 
have considered that the baby's oral tone is low and have discussed that with 
her.  I will see them in 2 days.  I have not discussed competely stopping 
supplements, only during the feedings that he is alert and eats well.  I have 
witnessed those feedings and he is capable of transferring 2 ozs and is 
completely satisifed following the feed.  It is the feedings that she feels she 
cannot keep up with and he is not satisfied, that I feel he defenitely needs a 
supplement.  His output is excellent.  He has bm's with almost every feeding.  
I have discussed the SNS with her and perhaps that would be best to 
introduce, especially during those cluster feeds when she percieves her milk 
supply to be inadequate.  I am most discouraged by the length of feeds and 
the quantity transferred.  I realize it is tiresome for mom and baby to have 
long feedings and mom is becoming resentfull of the amount of time she is 
spending.  I will continue to encourage and support.  I give constant pats on 
the backs to moms.  I know that they are doing all the work.  It pains me to 
tell a new mom that is sleep deprived, exhausted and overwhelmed that she 
must feed her baby, pump 6-8 times per day and supplement.  She is doing a 
great job.  I want her to enjoy her baby and she has verbalized that although 
she wants to breastfeed, she is not enjoying being a mother because of the 
feeding difficulties.  She feels that something so natural has become 
calculated and unnatural.  I have a good feeling that he is going to turn 
around in the next week or so.  I will defenitely give updates to all of you who 
have been so supportive.  I feel better and am so happy to have some advice 
from more experienced lc's.  Much of the advice reinforces to me that I am 
doing the right things and some things, I am learning from.  

Fondly,
Laura

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