My baby is having trouble gaining weight. I can see several possible issues and would appreciate any suggestions.
I had a breast augmentation in 2002 with the incision over the areola. I can produce milk, but it appears that I'm not producing very much. My baby was okay with nursing for the first few days, but then he began to cry and claw at the breast out of frustration (mainly in the evening). He is also very sleepy and likes to nibble at the breast without really sucking. If I try to put him down, he wakes up and cries then goes back to nibbling sleepily without a strong suck. He sleeps for several hour stretches at night, waking up only a couple of times to nurse.
I have been pumping several times per day to try to increase milk supply. A couple of times, I have been able to get over an ounce between both breasts. More commonly I can only get 1/2 ounce at a time. After pumping, though, I can still hand express some milk. I rented a hospital grade Medela pump. I didn't get very much milk at first, so I bought larger breast shields and that helped. When I pump, milk starts spraying out but this only lasts about 30 seconds, then only drops come out, then nothing at all. Sometimes if I keep pumping the milk will start to spray again in a few minutes, but usually it doesn't. Also, one side seems to produce more milk than the other. I got a Medela SNS so I can tube-feed my baby the pumped milk while he is nursing. Even with the SNS he does not finish the milk inside.
Baby was 8 lb, 5 oz. at birth. I was induced, so I had lots of IV fluids. The following day he was 8 lb. 3 oz. At two weeks he was 7 lb. 12 oz--a loss of 9 oz. total from his birth weight. I spoke with a lactation consultant at the place where I rent the pump and she said I should definitely be supplementing as baby should have regained his birth weight by now and I should be pumping 20 oz a day!!
Baby poops and pees all day long (and has already peed on me several times while I was changing his diaper). His pee is yellow, not clear. Poop is yellow and watery (sorry if this is tmi).
Any thoughts would be appreciated!