Yesterday, 07:45 AM
Since your baby has been properly weighed and hasn't changed sizes in diapers or clothing, I think we have to accept that the issue with weight gain is probably real. The first rule of breastfeeding is "Feed the baby." At this point, I think it's more important to get the baby gaining weight than to keep her exclusively breastfed. If that means formula, well, that's okay. It's not the end of the world and hopefully we'll be able to help you get back to exclusive nursing.
Here's what I suggest doing:
1. Go see the LC again, or a different LC- ideally, you'd see someone who is an IBCLC. You want help with positioning, you want the LC to watch the baby nurse, watch you pump, and to do a weighed feed and to show you how to do one.
2. Ask the LC about renting a professional scale that is accurate to the 1/10th of an oz, and a hospital-grade pump with correctly sized shields.
3. Nurse the baby more frequently, if possible. You said she's nursing 8-10 times in 24 hours, and that's not bad but 8 is on the low end. I'd be a lot happier with 10-12 nursing sessions, or more if possible.
4. Do weighed feeds at home. Basically, you weigh the baby, nurse the baby, and then weigh the baby at the end of the feeding. Subtract the before feeding weight from the post-feeding weight and you have a good idea of how much milk the baby took in while nursing. Ideally, you do this for most feedings for several days, because you want to know what baby takes in at an average...