Phyllis there are many choices here, but the main thing I am picking up here is that HER MILK SUPPLY MUST BE PRETTY LOW. sorry to put in bold letters but this is the important part, in my opinion. "Baby would not latch for more than 5-10 seconds on the left side without having a fit; ...We used a BP, to be sure mother is producing milk from left breast with only a few drops obtained." There seems to have been some bf mismanagement going on during the 2nd hospitalization (possbly the first?), so that any supply she might have had in early days was compromised (was she expressing REGULARLY during that week long bf ban?), but the question is WHY was the baby "readmitted to hospital when 4 days old with jaundice and recieved phototherapy for nearly one week (in-hospital)." You need to get to the bottom of this. Possibly this mom has a primary lactation failure situation - did she go thru some real breast fullness in the early days? what is her history as far as breast changes, endocrine, breast surgery etc.? Even is she had normal breast development, normal breast fullness, milk surge in early days, it seems there was an early milk transfer problem and mom lost her supply. She should continue to SUPPLEMENT the baby with post feed ebm, donor milk, or formula using whatever alternate feeding she is comfortable with and baby can effectively obtain the milk he needs. If the SNS is no longer preferred, she could bottle feed or cup feed. DO NOT BACK AWAY THE SNS if the SNS is going to be the alternate feeding method, UNTIL SHE HAS ADEQUATE SUPPLY. "I suggested retracting the tubing slightly with each feed until hopefully it is not used at all." Agree with this: "I also set mom up with an Elite BP to boost stimulation and milk production and use EBM for feeding." You could discuss herbal and/or prescription galactagogues. You have your work cut out for you! Let us know how it progresses. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ Add photos to your messages with MSN 8. Get 2 months FREE*. http://join.msn.com/?page=features/featuredemail *********************************************** 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