Can I recommend again the booklet "Breastfeeding with the Supplementary Nursing System" which describes a number of different ways of placing SNS tubing. I have been made aware that in North America it can be purchased from Platypus Media, otherwise direct from Marta in Europe. I've not heard of how mothers might manage using an SNS with baby led attachment and I wondered whether it might be worth contacting Marta to ask her about it?  http://www.breastfeeding-support.de/eng/contact.htm
Karleen Gribble
Australia

On 20/02/2012, at 3:21 PM, Laura Spitzfaden wrote:

> at I have discovered so far is to tape the tubing at the palate side of the breast and for mom to hold her breast with her fingers compressing the breast underneath and and present the lower part of her breast to baby's lower jaw first and use her thumb to hold the tubing very close to the base of her nipple and push the nipple in with the tubing and then lift baby's lip up with her thumb as baby latches.
> 
> I have not figured out how to let baby self attach in a laid back position with a supplementer and I have not successfully helped a mom to push the tubing in after latching.  I think I would need firmer tubing to do this.
> 
> What are your experiences?
> 
> Laura Spitzfaden LLLL, IBCLC

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