Well, at 6 months we've been having some real concerns about Jax. He's been exclusively fed breast milk for the past 5 months. I work full-time, so he is fed bm by bottle from 7AM - 6PM and by breast from 6PM - 7AM.
About two months ago, he seemed to be reverse cycling...where he was refusing most bottles during the day (only drinking one, swatting all others away) and, apparently, waiting for me to get home at night. However, when I get home, despite seeming eager and desperate to feed off me the minute I walk in the door, after about 2 minutes on the boob, he pops off lays flat and stretches himself out and screams. Pissed. I switch sides, I burp him, and the result is always the same...screaming. This goes on all night. Once we put him to bed, he wakes every hour and we go through the same thing. In recent weeks, my husband was able to get him to eat two bottles per day (10AM and 2PM). So, that means he's having 8 oz. of milk during the day and two minutes of milk at breast several times per night before freaking out. Naturally, to make sure he was getting something, I began giving him a bottle of breastmilk at bedtime, which he accepts frantically as if he's starving. The problem is that I'm only pumping 2-3 bottles of milk per day. Alot of my stash in the freezer is gone because of weekend visits with grandma, etc. (She would like him to stay over one night and I can't allow that because I don't have enough milk stored to provide her with enough for an overnight stay.)
Recently, we've introduced two solids to him, both of which he's had very little interest: brown rice cereal and sweet potatoes (spits out the sweet potatoes)
Well, Friday we had his check-up and because he hadn't gained a pound in the past month or so, his doctor (whom we LOOOOVE, as she's been incredibly supportive of breastfeeding) suggests he just isn't getting the calories he needs and this is why he doesn't sleep. And I have to agree with her. I just don't think he is getting the calories based on the 12 oz. of breastmilk by bottle and the unknown amount at the breast with his constant popping on and off. She also thinks that he's popping off the breast because at 6 months, he's getting smart and finding that the bottle is easier to work (even with a slow flow BF nipple) than my breast nipple and he's getting mad because he's getting lazy. She thinks he isn't sleeping because he's hungry. So, she's suggested the following:
1) Feed him on breast when he wakes at 6:30AM
2) Introduce brown rice cereal (or some other solid) in the morning
3) Bottle of breastmilk at 10AM
4) Bottle of breastmilk at 2PM
5) Introduce another vegetable solid at dinnertime
6) Nurse him, if he'll allow me to, when I get home at 6PM. (I pump a little on the way home so that he doesn't have to work so hard to get my milk to come down.)
7) At bedtime, 8:30PM, I feed him a 4 oz. bottle of breastmilk and top it off by trying to feed him what he'll take on the breast.
8) If he's sleeping, wake him at 11:30PM and feed him a 3 oz. bottle of formula and top it off by feeding him on the breast. (While he's sleeping from 8:30 - 11:30PM, I pump.)
She thinks this should get him to sleep for at least a 6 hour stretch from 11:30PM - 5:30AM.
She says that if this works and he starts accepting the solids and eating more of them, then we can replace the 11:30PM formula bottle with breastmilk (if I can pump enough).
Does anyone have any thoughts on this plan or her assessment?