Once the mother's milk supply is starting to come in or is established. The best way to use the supplementer is to allow the baby to feed on each breast with the supplementer in place but not flowing until the baby doesn't drink anymore. The mother can tell because the baby will stop the suck>pause (downward motion of chin)> suck motion. The mother can use breast compression to get as much breastmilk to her baby as possible from the first breast and when that stops working and her baby stops drinking, she can then switch sides and do the same thing. The mother should allow the supplement to flow only when the baby has done both sides at least. That way, if the baby doesn't want any more, the baby won't take any more and the mother will know that her baby had as much breastmilk as possible.
Newman-Goldfarb Protocols. © Lenore Goldfarb, B.Comm, B.Sc, IBCLC
and Jack Newman, MD FRCPC, November 2002
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