It was only recently, thanks to Adele from Circus Queen’s guest post on Plus2point4’s Breast Mates Breastfeeding Stories that I learned of the existence of Supplemental Nursing Systems (SNS). Simply put, it is a container which you can fill with breastmilk or formula and a couple of tubes which you position the ends of on your nipples so that when baby suckles, they receive the supplement in addition to your breastmilk from your breasts. Sound a bit complicated? This picture will help…

And this picture from PoshMums illustrates perfectly how you set up and wear an SNS…

They can be a bit fiddly to set up but can also be a really useful in helping overcome breastfeeding difficulties.
If, for any number of reasons, you are not producing enough milk for your baby or if they are ill and too weak to latch correctly an SNS is a great short-term solution. You can even use them if you have an adopted baby and you are embarking on induced lactation or you stopped breastfeeding a short while ago and would like to re-lactate. There are in fact a whole host of circumstances in which you might find an SNS useful.
A drop in supply is most commonly related to baby not feeding effectively. They might have a tongue tie (ankyloglossia) or weak latch. Milk is transferred easily from the SNS by baby suckling at the breast and eliminates the need for bottles. It is also vitally important, especially in the case of low milk supply, that your breasts are stimulated by either nursing or expressing and the SNS allows you to feed your baby whilst your supply is low AND still stimulate your breasts much more effectively than hand or pump expression.
If baby is ill or premature and/or small, the act of breastfeeding is very tiring for them. The SNS ensures a steady supply of milk without interrupting breastfeeding.
The SNS is a great tool for continuing breastfeeding through some pretty tough times and will usually be a short-term measure until baby is well again or your supply is back on track.
Mum of two, Cody was extremely thankful for the support an SNS gave her when her baby daughter was taken ill…
“June 1st was a big day for my family and I, it was the day we found out our 7 month old baby girl had IB (Infant Botulism). IB Attacks the nerve endings in the body not allowing the messages that your brain sends to all parts of your body to be received. A most commonly known form of getting IB is from honey or even from canned foods that were not prepared or stored correctly. This isn’t how she contracted IB. Something that is not commonly known is that the Botulism spores are in the soil. Places like construction sites where the soil is broken up and moved around are where you will find these spores. Where we were living at the time (and had just moved into) was an apartment complex that was remodeling everything.

I am a firm believer that “Breast is Best”, and was heartbroken when my baby girl was unable to eat. She was exclusively breastfeed up until this time when I was unable to pump hardly any milk for her Nasogastric tube feedings. Even though I was unable to produce the amount of milk that was needed, I was pumping to help. I knew that I wasn’t going to make enough milk for her to sustain her calories she needed per day and accepted that she would in fact need to have formula. As a mother who has always exclusively breastfed, it was hard but I knew it was more important for her to have formula than to wait for my milk to finally produce. Once she was moved from the PICU and onto the floor it seemed that there was a light that was finally peeking through at the end of this tunnel. I was finally starting to be able to pump enough milk for 2-3 feedings. Eventually when she started passing her swallowing tests, we worked on her nursing. She still was unable to latch and it was discouraging. Thankfully Medela, has a fun little helper called the SNS. I am so thankful for it till this day! After using the SNS for almost every feeding, my baby girl was starting to latch more and more. This also meant that the IB was starting to clear out of her little body and I could see she was starting to get back to her bright happy self. The SNS allowed her and I to have our bond of nursing back. Something we didn’t have for weeks. She was happy and I was happy. I am not sure how long it would have taken her to get back her ability to nurse if we hadn’t been able to use the SNS by Medela but I know that it was good practice and comfort for her. I would recommend the use of SNS to anyone who is having difficulty with nursing their little one, or even those who aren’t able to breastfeed but would like that amazing special close bond that a mother and child get from nursing”
Cody DuBois from Groveland Ca, USA. Currently residing in Dixon Ca, USA. .
The more I think about it, I realise I might have been able to use an SNS to continue breastfeeding Spud after I contracted the Norovirus. I tried to feed him after 4 days of not doing so (due to incorrect advice) but predictably, my supply had dropped dramatically. Spud was fussing and frustrated at the lack of milk when he tried to feed. If I’d known about the existence of the SNS then I probably would have been able to use it whilst getting my milk supply back up and who knows how long Spud and I would have carried on nursing for.
Circus Queen has written about her experiences of using an SNS when she encountered supply problems and has shared the experience of others to produce a really great post full of practical hints and tips on using an SNS. Please pop over and read ‘Practical Tips for Using a Supplementatl Nursing System‘













I was given an SNS by Preston hospital in February this year as a last resort as I refused to give up breastfeeding but my little stubborn girl would scream any time my nipple went near her. We lasted 10 and a half weeks of breastfeeding until I was told to stop by my health visitor for my own sanity. We called it tubey booby and although it was brilliant and I got the hang of it easily, it made it impossible to leave the house so it wasn’t very practical. She is a delightful little 8 month old baby who is alert and busy all the time, but I still get upset that my body let me down.
Yes, I can see how it would be a bit of a hindrance out and about :D Perhaps there is room for a new invention…
Don’t get upset that it didn’t go as planned. Did you attend your local breastfeeding support group or have follow-up appointments at your hospital? I can’t comment any further on why your little one wasn’t happy at the breast unfortunately as I don’t know enough details or met you at the time. In my area, HVs have excellent breastfeeding knowledge but other areas aren’t so lucky so I have no idea if the advice you received was the right advice for you.
There are over 3,000,000 germ fighting cells in each teaspoon of breastmilk so think how beneficial that was to your little girl. You gave her the absolute best start you could and I hope the stress of it all the first time round hasn’t put you off if you were to have more children.
Little Angels might come in useful if there is a next time :) http://www.littleangels.org.uk/about-the-central-lancs-team
Thanks for mentioning my post. I just thought I’d mention that there are other brands that make similar products. Yesterday someone was telling me that she’d used a lactaid. An IBCLC friend of mine always suggests making one yourself with a bottle on an elevated surface and buying the tubes from a pharmacy.
It is possible to use an SNS while out and I certainly did. I can understand why it would be off-putting. It is a nightmare to use and for a while I kicked it in and only supplemented with bottles. I did go back to it when we started having a problem with flow preference but it is by no means the easy option! Everyone has to work out how much they can take.
Yes, I have seen Lactaid on the internet but wasn’t sure what they were like. Making one yourself is a good idea. I’ve seen babies being finger fed after a tongue tie snip,with a tube in a bottle and they suck your finger and the other end of the tube.
I imagine if you’re not really confident breastfeeding in public then using an SNS can make it more difficult so you did brilliantly using it out and about!
I never cease to be amazed by the determination of some women to breastfeed their baby despite difficulties and I can see how this option would be a good one. Completely agree, breastfeeding is such an individual thing and it’s nice to know there are other options to bottles and cups etc if needed.
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