Supplemental Nursing System

What is a Supplementary Nursing System?

A supplemental nursing system is a feeding tube attached to a bottle that contains either formula or breast milk for supplementary feeding at the breast. This allows the mother to breastfeed her baby, even if the baby is being supplemented.

Using a lactation aid is a great way to get a mother to continue to benefit from the bonding experience that breastfeeding offers, even if she has no milk at all.

If a baby is going to be supplemented for any reason, it’s always best to use a nursing supplementer “SNS”.

A SNS feeder can be used when…


  • When an adoptive mother would like to breastfeed and needs to build a breast milk supply.
  • When a mother has a low milk supply and needs to supplement her baby with formula. The supplemental nursing system can aid lactation, by allowing breast stimulation.
  • The mother has had breast surgery previously and cannot produce enough milk.
  • The mother has hypoplastic breasts.
  • The mother has flat or inverted nipples.
  • Some mothers look for a breast shaped bottle, that will prevent nipple confusion, but with a lactation aid these bottles are not necessary.
  • Feeding the baby extra supplements for any other reason. 


How to Use a Supplemental Nursing System

Tips for using a supplemental nursing system

  • Before deciding on using a lactation aid, you should speak to a lactation specialist, she might give helpful advice and will be able to show you exactly how to use it and latch on properly.
  • Try expressing milk for the lactation aid. If your milk supply is low,  you can pump in-between feedings to build your supply further. If you are unable to produce milk, you can contact a milk bank, they can provide free breast milk (you will only need to pay for shipment). If breast milk is unavailable, formula may be used. 

The How To

  • Place the bottle so that you are comfortable, some mothers put the bottle under their arms or hang the cord around their necks for comfort. You can place the bottle in the pocket of your shirt too. Find whatever works for you.
  • Make sure that your baby latches on correctly. This will ensure that you get the best stimulation possible and also, will help guard against sore, broken nipples.
  • The tube can be inserted at the corner of your baby’s mouth once latched on, the tube should be pointed slightly upward towards the roof of your baby’s mouth.
  • You will know when SNS breastfeeding is working, when the milk starts to flow down the tube. You do not need to fill the tube with milk before giving it to your baby.
  • The feeding tube can be taped down on your breast, if it gets in the way, but this is not always necessary.
  • You can hold the tube in place with your fingers.
  • NB ~ Do not cut the end of the feeding tube, as the end could hurt your baby if it’s sharp.

How to Increase the Flow of a Lact Aid

  • Warm up the breast milk or formula before adding it to the bottle (just make sure it's not too warm). Warm milk flows faster. 
  • Raise the bottle higher, the higher you raise it, the faster the milk will flow; careful that you do not raise it too high, as your baby might choke if the milk is flowing too fast.
  • Using a larger feeding tube size can increase the flow.
  • Moving the feeding tube a little further into your baby's mouth.

Why is a Lactation Aid Preferred against other Alternative Feeding Methods?

  • Babies and mothers get to practice breastfeeding.
  • The mother's milk supply is stimulated even while her baby is being supplemented.
  • The baby is still receiving breast milk, even if it is just small amounts.
  • It prevents nipple confusion later on.
  • There are other benefits like bonding and jaw development.

How Long should it take for Baby to Drink with a Lact Aid?

It takes roughly twenty to forty minutes to breastfeed with a supplemental nursing aid, if it takes longer than an hour, you should make sure that the tube is positioned properly and that your baby is latched on well.

How to Clean a Lact Aid Device

Clean the bottle as per usual, the lactation aid tube can be rinsed through with hot water immediately after using it. Do not boil the tube.

Weaning from an SNS Feeding Device

  • Have patience, it could take a few weeks before your baby is weaned from the Supplemental nursing system completely.
  • You can start off by breastfeeding without the SNS first and then offering the lact aid afterwards to see if your baby is still hungry.

Read more on “breastfeeding problems” in connection with this page on a supplemental nursing system SNS

* Adjustable flow-rate system and Color-coded tubes for different feed rates.

* Neck strap for maximum convenience...

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Where to buy Supplemental Nursing System 
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Site by BFeeding Mamma, Tracy Behr. Currently studying through Child birth International (CBC, CBD). Also an accomplished author and Mommy of two.