Hello, My name is Zenana Rose and I am a new subscriber to Lactnet. I am L&D and Mother-Baby Nurse as well as IBCLC. I practice both in the hospital setting as well as with a group of LC's in a private home lactation service. I have been taught to SNS and suck-train at the hospital using a 5fr feeding tube and 35cc syringe with the stopper in place. The premise behind this method is that the baby needs to pull the stopper down and that the amount of vacuum required to do this is equivalent to that required at the breast to actively and effectively breastfeed. However, it is very common that babies initially pull the stopper down and then stop or are never able to pull the stopper down. Then the parents or LC's put a small amount of pressure on the stopper to assist the baby in pulling the stopper down. In my studies I have learned (from Jack Newman and other LC's) another method of SNS which is simply placing a 5fr feeding tube at the bottom of a bottle and placing it at the level of the baby's head. The baby is then using the 5fr tube as a straw or a syphen. The baby is seen to revert to nutritive sucks and BF effectively. Does anyone know anything about the difference between amount of vacuum required with either of these methods and how any of them compare to Medela's SNS systems or Lactaids? What are you all using to SNS or FF babies? What is the rationale behind each different form of SNS and is there one form that is better at teaching babies to breastfeed effectively? What is the standard of practice that is supported by research? Any other comments/information that you have regarding SNS methods would be greatly appreciated. Thank You, Zenana Rose RN, IBCLC *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html