July 22nd, 2015, 06:30 AM
I posted a thread a few days ago about having a fussy baby at the breast after introducing 1 night time bottle...
Today I went to see the a lactation and infant care provider in my area to talk about my problems. When we weighed my daughter (who just turned 4 months yesterday!) and looked at her growth curve, it turns out she has gained only 13g per day (0.45 oz per day) in the last month. She said that 15g per day is the minimum normal weight gain, and because she is borderline not gaining weigh properly, that I need to consider supplementing with formula, or take steps to increase my milk supply.
Her main recommendation was to nurse, and then supplement at the end of each nursing session with 2 oz of formula. This way my breasts will continue to be stimulated, but baby will have enough to eat. And this way she will resume normal weight gain. The argument being that I since I will return back to work in about 4 weeks, it will be difficult to be able to increase milk supply enough so that I have enough to pump at work, and this way the option I would most likely be following would be to give formula for day-time feedings while I am at work, and nurse when I am at home with my baby.
Her second recommendation was to pump after every nursing, or as frequently as I could to increase the milk supply, but she only recommended I do this if I think it's feasible to pump multiple times per day at work, and if I were not to tired to do it.