Re: late preterm, weak suck, not gaining
Welcome, Mama! And congrats on the new baby. Sorry nursing him has been tough so far, but what you describe sounds fixable.
Here are a few things that may help:
- If you're not using a hospital-grade rental pump with correctly-sized shields, now is the time to get one. Not all pumps are created equal, particularly when you're relying on the pump to maintain/increase supply.
- Pump more frequently. You want to aim to pump around every 2 hours during the day and every 3 at night, or right after feedings, assuming your LO is nursing at least 8-10 times a day.
- Pump for longer. If you're pumping 10 minutes per side, go to 15.
- Herbs: fenugreek, blessed thistle and ordinary oatmeal are all good for increasing supply.
- Drugs: as a last resort, Reglan and Domperidone are prescription drugs which can increase supply as a side-effect. Use of these drugs is considered "off-label"use and both have additional side-effects, so please discuss their use with your midwife, OB, GP, and/or LC before taking them.
- Scale. By weighing your baby before and after feedings for a few days in a row, you will be able to gain a highly accurate picture of how much milk your baby gets at the breast, and that will help you know when you can stop the pumping and supplementing.
- Supplemental nursing system (SNS): this can allow you to supplement at the breast, reducing the risk of bottle preference and potentially providing additional stimulation to your milk supply.
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
Coolest thing my little girl sang recently: "I love dat one-two pupples!"