I have a 4 week old baby boy who has recently been very fussy at night. He is breastfed -I've supplemented expressed breastmilk in a bottle probably 3 times since he's been brought home from NICU. He's had history of jaundice, was in NICU twice within the first two weeks after birth (total of 3-4 days) and was given bottles of ebm there. Now that he's been home for almost two weeks, I've only supplemented with ebm about 3 times. Yesterday I had to do an errand so Mother in law (lives out of town and came to help) watched him and gave him 2-3oz of ebm while I was gone (I was gone for only an hour, and had breastfed him right before leaving!).
I feed on demand if not every 2 hrs. He usually latches and feeds for 5-10min on each breast, on some days 15min on a breast. Produces wet diapers at each feeding, and poo diapers almost at each feeding. Weight gain is good per pedi. Was born 6.14lbs, and as of yesterday at pedi's office was 9.9lbs.
Recently, during the evening he'll feed off both breasts averaging 5-10 min each breast, sometimes 10 minutes on one breast alone, then will fall asleep. I would wake him up to feed on second breast, or switch back and forth between breasts when he gets fussy. I'll burp him, change his diaper, etc when he fusses, then place him back on breast which he cries and pushes away...but he still roots and looks for the breast/nipple! This goes one for awhile. Last night it took 3 - 4 hrs for him to actually calm down and sleep, and that was because I supplemented with 1.5oz bottle of expressed breastmilk since I didn't know what to do anymore. Within that 3-4 hrs I was back and forth trying to breastfeed him and calm him down since I was avoiding supplementing with bottle. He would feed until let down, get upset, unlatch and cry. Gave him a break and would repeat process. Letdown would come again and he would be fine, drinking and doze off for 2-3min and then wake up crying. I would try putting him back on breast, he'll latch, suck for few seconds, get mad and cry as if he' not getting enough milk as he wants out of the breast.
Any idea what's going on?! I was thinking he acts like this at night because he doesn't get enough breastmilk as he would like, therefore fusses?
I pump when I can, just so I can stock up if I need to be away from LO for sometime. I usually pump after his feeding, and usually at night (I did pump yesterday night, gave him that ebm for him to sleep..could this be the culprit?). I also have been using mother milk tea and lactation cookies so increase supply since I was worried of under supply at beginning, since then I have reduced mothers milk tea and stopped eating cookies, could this drop my supply? Should I continue using lactation supplements?
Sorry for such a long post! And apologies in advance if what I wrote is confusing!