If she is so highly motivated why won't she sns every feed?
  It doesn't sound like the surgery or inadequate glandular tissue has
been identified as definitively the culprit yet.  Perhaps she could be
convinced it's worth it to keep trying at least until a definite reason
for the weight loss is found.
   She might be open to continuing nursing with an emphasis on being
able to nurture, put baby to sleep, and pacify him at night if she new
that others do that with great satisfaction.
-Joyce Mitchell


  We hooked
> her up with an SNs because she was supplementing with a bottle and she was
> amenable to using that every other feed.  Baby nursing on and off for hours
> at a time.  I had her double pump 1 hr after supplementing to try and
> Increase supply.  She would only get a feww drops.  Mom said she felt like
> the baby was swallowing more and her breasts were starting to feel fuller
> before feeds if the baby waited two hours between feeds.  Milk is visible
> when mom hand expresses.  Milk only drips out on the smaller side with the
> pump, does spray out of the reduced side but only for a short time.  4 days
> later baby lost 1 oz.  Doctor wants them to supplement every feed.  This
> peds. group is very supportive.  Mom upset.  She thinks her supply is
> increasing and is afraid that if she gives more ABM she will decrease what
> she has.  She was giving about six oz per day.  She will increase to about 10
> oz per day.  Does any one have any other suggestions for this very motivated
> mom?  Her OB does not seem very supportive.  He thinks she should just bottle
> feed if she can't make the milk.
>
> Thanks in advance
> Caren Goldstein RNC IBCLC