I am currently trying to exclusively breast feed my 12 week old son. We had a ropey start with me being a bit unwell with blood loss after delivery, delayed milk arrival and him struggling to latch on. Once we got going he then failed to thrive with his weight going from the 75th to the 0.4th centile. We were referred to an infant feeding clinic and I am having to top him up with expressed milk and formula to make up the shortfall.
Here's what I am currently doing:
Eating and drinking (3-5L/day) fine
Feeding him 3hourly then giving 120ml top up
Using compressions when he feeds
Letting him go longer overnight (~5hours)
Expressing as often as I can - generally max of 6/day
Using a hospital grade breast pump to double pump since 2 days ago (previously hand or small electric pump)
Taking fenugreek and domperidone at max dose
Eating porridge for breakfast
I tried a "nursing vacation" a couple of weeks ago but that seemed to make no difference either.
Despite this my expressed volumes are going down. I've never needed breast pads and my son does not seem to ever finish a feed from me i.e. he never comes off the breast awake and satisfied. He will fall asleep there but once wakes when moved and is still hungry. Left to just breast feeding, feeds would just run into each other and eventually he would starve.
What else can I do? I really want this to work but my body is just not doing it. We don't have lactation consultants around here so that is not an option unfortunately. My husband works till late so it just me and my son till late evening so I lack an extra pair of hands.