Hi there, I'm trying to increase my milk supply.
I am in the middle of a transition from one lactation consultant to another and would like some advice if you can offer it in the meantime.
First the history:
My son was born September 10 (that makes him just two months old). He was premature (born at 35.3 weeks) and had trouble latching and sucking at the beginning. He has since learned to do so, between offering him the breast at every feeding and topping off with the bottle/formula. Between the breast and bottle, he is gaining well and is very healthy. His latch has improved although he tends not to open his mouth very wide and his tongue doesn't always go or stay down.
I have thyroid disease and polycystic ovarian disease. All these factors have probably contributed to the low milk supply. I am taking Domperidone, 20mg X4 a day and have gone from 15ml a breast to 30 ml a breast since then.
I have tried the SNS and when it works it is great, but I find it to be a hit and miss and it has become too frustrating (for me and baby) to continue. It is a good idea in theory though if I could make it work.
I'm offering the breast 9-10 times a day. Breastfeeding, plus bottle feeding and then pumping takes me 45-60 minutes total everytime. If I manage to feed 10 times a day, then this is every 2 hours from when I started the last feed. Should I keep pumping after every feed? I always find I feel less full at the next feed when I pump. I'm pumping for 15 minutes after the feed. Should I cut back the time?
Another question: how long is let down, typically? How long before I am supposed to feel full again after a feeding and pumping?
And... if baby only eats 9 times instead of 10, and I pump to remove milk, should this be considered one of the 10 times I log or should I offer the breast one more time? I mean, if baby missed a feeding because he wasn't hungry, I don't suppose offering the breast again will help...
Oh! And how long between feedings is considered the next feeding?
Thanks in advance