This is probably going to be long.... Kudos to anyone who can stick with it!
Okay... My daughter started out in the 13th percentile on the charts a week after she was born. I exclusively breast fed her for a month, and she wasn't gaining weight at a rate to suit the nurses in lactation, so they suggested I supplement... So I did. And then she gained enough to satisfy them, but then my supply dropped. Those same nurses in lactation then raked me over the coals for supplementing. So, I busted my butt with supplements and got my supply back and now my daughter is exclusively breastfed again.
The problem is, if I don't supplement she doesn't gain enough weight to satisfy the pediatrician or the lactation nurses. But if I do supplement they jump on me for supplementing! The thing is, it's not a low supply issue, when I pump I typically get around 4-6 ounces per pumping session now. She has a pretty good latch most of the time, however sometimes she's lazy and doesn't want to latch properly. She never seems hungry after nursing, and spends anywhere from 5-10 minutes on each side. If I pump afterward I am lucky to maybe get a half an ounce. So I would guess she's draining me pretty good.
I've noticed some issues that my pediatrician ignores when I bring up my concerns. My daughter spits up a lot... And when I say a lot, I'm talking a couple hours after a feeding, she's still spitting up. Sometimes, when she burps it sounds like spit up is coming up with it, but never does. Not sure if she's swallowing it or what. She gets the hiccups after nearly every feeding. After some feedings she will pull off and go into a full blown screaming fit, but won't re-latch or take a bottle....so I'm not sure if she's still hungry, gassy, or what?
I'm concerned that maybe I don't make enough hind milk? Should I try and get her to nurse on one side per feeding to make sure she gets enough hind milk? I just don't know what to do, and why she isn't gaining weight like she should. She nurses/takes a bottle about 8 times a day. We're lucky to get her to take more than 2 oz of BM out of a bottle, too.