Using an SNS with Johanna Sargeant IBCLC

I’m so pleased to be joined by the brilliant Joanna Sargent IBCLC this week. Johanna will bring her expertise on using a supplemental nursing system (SNS), also called at-breast supplementation or supply line feeding. Joanna shares her personal experience of low supply and using an SNS from 10 days to six months, and we explore how an SNS can support milk production, avoid bottle preference, and reduce the unsustainable burden of triple feeding. Johanna describes how an SNS works, cleaning and flushing tubes, and practical troubleshooting such as managing flow rate, positioning the “straw,” and using a necklace to stop babies pulling tubing. We compare products and discuss using NG tubes and syringes as a low-cost trial option. This is a great episode for both parents who might need to try an SNS, but also listeners who work in infant feeding.

My picture book on how breastfeeding journeys end, The Story of Jessie’s Milkies, is available from Amazon here -  The Story of Jessie's Milkies. In the UK, you can also buy it from The Children’s Bookshop in Muswell Hill, London. Other book shops and libraries can source a copy from Ingram Spark publishing.

You can also get 10% off my books on supporting breastfeeding beyond six months and supporting the transition from breastfeeding at the Jessica Kingsley press website, by going to https://bit.ly/JKPbooks and using the code MMPE10 at checkout.

Follow me on Instagram  @emmapickettibclc or find out more on my website www.emmapickettbreastfeedingsupport.com 

Resources mentioned - 

You can find Johanna at 

https://www.instagram.com/milkandmotherhood?igsh=MTNxaGJqYjJ1ZmZ3ZQ==

And

https://milkandmotherhood.com

Her podcast is https://podcasts.apple.com/gb/podcast/the-latch-revolution/id1841874307

Her presentations are available at https://www.goldlearning.com/ce-library/all-lectures/at-breast-supplementation-devices-detail and https://www.babiesincommon.com/forprofessionals/exploring-supplemental-feeders-workshop (20th August 2026 workshop)

The Ardo SNS is available here https://www.ardomedical.co.uk/shop/p,233,supplemental-nursing-system-sns.html?gad_source=1&gad_campaignid=19267684314&gbraid=0AAAAAD-Zrl7Ucv7LJJ7zq85tUN30amSFD&gclid=CjwKCAjwq6DQBhBVEiwA4ZD5XCuFaFZ5s8p1vyJPbdmJIcbc1Ywmcx98-PFRSPHv9W_iAT6cGzcFaxoCLrIQAvD_BwE

This podcast is presented by Emma Pickett IBCLC, and produced by Emily Crosby Media.