Yesterday, 05:13 AM
Thanks for answering those questions! Your answers eliminate a lot of the usual suspects for difficulties with supply- you have ParaGard so it's not your birth control, nursing feels okay so it's probably not the baby's latch, the baby nurses at a nice frequency so it's not a case of going too long between nursing sessions, etc.
Since a lot of the usual suspects have been eliminated, I think we have to explore the following explanations for issues with supply: the double bout of mastitis, the baby's sucking style, and your pump. Mastitis and plugged ducts are bad for supply because they stop milk from being removed, and as the breast gets more and more full, your body gets the message to reduce supply in the area of the breast that is overfull. The question is, why did you end up with mastitis/plugged ducts in the first place? Well, maybe you're prone to it, and a nasty strain of bacteria just took advantage of your suspectibility. Or maybe your baby's very relaxed nursing style hasn't been doing a great job of emptying the breast...? Anyway, here's what I think you want to do:
1. Go see the LC again, and then the pediatrician. I think you need an explanation for why the baby has been unable to gain well and why he hasn't been doing a good job of maintaining your supply despite having a latch that feels okay and a good nursing frequency. If you have an explanation, maybe you can figure out how to fix the issue.
2. Go see your doctor and rule out any...