Hi Halle, I think your approach to this problem with the SNS is a good start. What is not clear in your note is whether the baby was ever effective at taking the milk from the breast. Inevitably when babies do not gain well the first thought is that the mother cannot make enough milk. But the problem did not start at the breast. There can be many factors that will end up with the mother not making enough milk; lack of stimulation, lack of frequent emptying, unrelieved engorgement (LInda Smith has addressed these problems in her literature and talks), just to name a few. In your note I think a very important point was on day five when the baby was not stooling and decrease urine output. Then would have been a great time to intervene and save this baby and mother from the trouble they ended up having. (SIGH) Maybe with the SNS, herbs and or medications this mother can get her supply up. At least she should be able to restore some of it. I would have her use the SNS at all feedings, record intakes and weights and then reevaluate after one week. I find Moms are more receptive to using the SNS if they can see progress and should be followed closely for support. Keep us posted. Ann Perry RN, IBCLC Boston, MA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html