I am the mother of a 1-month-old and have multiple concerns about how BF is going for us. I'm not sure what info might be relevant, so please excuse me if I include too many details.
My LO is 1-month-old today. She was jaundiced after birth and extremely sleepy which made her a VERY lazy eater. We tried stripping her down to her diaper, switch nursing, using cold wash clothes, etc., but she still was very difficult to keep awake throughout feedings. We first met with a LC when DD was 5 days old and she gave us the above tips in helping encouraging better sucking. After she was about a week, the lazy eating continued and I began to see indicators that DD wasn't receiving enough milk. She would never fall away from the breast as if satisfied no matter how long the feeding, cried very soon after feedings, and went days without any BM. When she was 10 days old, I suspected we were having significant supply issues and got the LC back out. DD was quite behind in gaining back her birthweight, so the LC confirmed my thoughts that supplementing would be necessary for the time-being. I began pumping 8 times a day immediately after feedings, and would give her the pumped milk at every-other feeding. The hope was that this would help the immediate problem of getting enough milk in her, and also help boost my supply to encourage more vigorous eating. A typical pumping session for me would yield just 1 oz.
DD has continued to have weight gain issues and has had less than 10 BMs total. I stopped pumping because it seemed to be doing nothing to encourage better eating from her, it was causing nipple pain for me, and because I also have a 20-month-old so there's not enough time in the day. I'm still BFing on demand (usually every 2 hours, but she does sleep longer at night) and supplementing with 2 oz of formula 3-4 times a day. My supply seems lower than ever and frequent BF doesn't seem to help because DD won't suck effectively to encourage more production. She seems to just take what's right there immediately upon let-down and then fights me to slide down on the nipple so she can comfort suck.
I realize that the bottle supplementing is likely encouraging some of this lazy eating behavior. My priority is that her weight is better before I push too hard to get away from the bottles, but is there anything I can do in the meantime to help? And, when she shows better weight gain, is there something I can follow to help get us off these 3-4 bottles a day and get to exclusive bfing? I feel like I've been running in circles to make this work and things only seem to get worse. :/