I am wondering if you think my use of a supply line was justified.  I
think so, but am just wondering.  On Friday I saw a client with 13
month old and a 4 day old.  She had had insufficient Milk syndrome
with her first child and BF for only 3 weeks.  This time had a small
PPH, 10 minite 2nd stage.  Now, baby very fussy at the breast, very
unsettled, Mum feeding on one side, switching to other and back
again, baby sometimes only staying on a breast for 1 minite, if
unsettled, switching to the other.  Baby going 1 hourly between
feeds, screaming all night etc etc.  Good positioning and
attatchment, but I saw what Mum described as being fussy, it was bad.
Baby had no signs of dehydration other than about 1 tablespoon of
urine in a nappy after 4 hours and 1 damp nappy overnight.  I
discussed the way she was feeding the baby with her, keeping it on
one breast for long enough to get the fore and hind milk, blah blah
as at 4 days old I realize it was premature to think that she may not
have enough milk.  The baby lot 10% of its birth weight.  The Mums
breasts weren't soft, but not full.  I decided to use a supply line,
as well as her expressing between feeds,  in view of the urinary
output and the extremely unhappy baby (and parents) and now they
think, 2 days later, I am a goddess.  Do you think I was a little
hasty, what would others have done? Val in Busselton, Western
Australia RN RM IBCLC