This is a long winded set of questions but it is after much contemplation over past 72 hrs.
Situation: Water broke early and ended up with a section. Baby girl born at 36 wk 2 days 5lbs 2 oz, dropped to 4lbs 11oz. Considered border line premie- pre term, as we were told. She was healthy and latched immediately an hr after C section. We both did well during the hospital stay with colostrum latching pumping for extra situmulation etc. The lactation consultant was pleasantly surprised. I was thrilled and quite motivated as I wanted to exclusively BF her.
From then on started the trouble, I was nursing and when we went for her 5 day visit, she gained half an oz from hospital discharge. So, we thought we were OK. Used syringe feeding atbhospital and a few days after. Although she had wet diapers and small specks of poop all along, on day 12/13 she only gained 1/10 th of an oz :-(. That's when we realized she wasn't getting much from my on demand nursing sessions. I was pumping all along, doing ok on increasing supply and statshed up a bit in the fridge. Som when we were asked to shift to complete pump n feed so we know how much she is getting, first was guilty was letting her starve and then got over it and decided to pump as much as needed to get her to gain some strength. Have been Pumping for last 4 wks and just having her at the breast twice for about 10-15 min, so she doesn't forget her latch.
She is doing well with weight gain, so slowly want to transition her to nurse. Using all techniques for the past 3 days.
Questions on those:
1). Is it better the baby nurses and then drinks slightly less than her normal feed. If so, how long do you recommend to nurse. I am trying to nurse anywhere from 20 mins to as long as she takes, couple of feeds a day.
2). If she looks distressed, is it better to nurse directly. Is it better to give her some at the beginning and let her nurse?