My six week old daughter has, since birth, wanted to nurse constantly. She'll nurse for an hour or an hour and a half and then 15-45 minutes later want to eat again. At the breast her latch is good and she eats well, at first. But with time she tends to (understandably!) get tired and she starts nipping and napping, despite my best efforts to keep her alert and feeding.
She just never seems satisfied after a feeding for very long. We can't get her to go down for anything more than a cat nap during the day or for a long sleep at night unless I express breast milk and give her some more breast milk by bottle (usually 70-100 additional ml). I started giving her several bottles of expressed milk each day when she was one month old because she remained at her birth weight of 3.4kg (7.5 pounds), despite near constant breastfeeding, and the doctor said we needed to get her weight up. Her urine and stool output, however, is and has always been good.
In the last two weeks she has gained 350 grams (12.3 oz), which the doctor says is not enough. Meanwhile she's now 5 cm taller than she was at birth, so she's really long and skinny. The doctor has urged us to supplement with two bottles of formula a day.
I can't figure out why she can't get more milk more effectively from my breasts. After she nurses I'm still able to express a good amount of milk, so the milk is there and if she's hungry (which she really is) why isn't she able to get it? (I've had two midwives and a lactation consultant say her latch is good.)
I worry that I'm not making enough milk or there's something lacking in my milk or I'm doing something wrong. . . and I worry that if I give her formula it could exacerbate the problem. I really want to keep her on the breast, but even more important than that is that she gains some weight!
Is there a way to give her some formula without diminishing my milk supply and making her even more lazy at the breast?
I'm kind of at my wit's end.