Hey everyone, this is my second posting and I currently have a 4 week old. We had a really rough start o nursing and I fear we have a ton of factors working against us including :
Upper lip tie like I had when I was little
poor milk transfer early on which contributed to angry biting and breaking the latch constantly
Small nearly flat nipples
And most concerning ; breast constriction or tubular breasts which are often associated with a condition called PCOS which prevents breast tissue from forming and maturing during puberty...my breasts were oddly shaped and deflated had a very short underside and large puffy areola with tiny pea sized nipples. I did get a breast augmentation (where no ducts were severed because I knew I would want to breastfeed) so they wouldn't appear so deformed. However this did not in any way address the amount of mammary glands or milk ducts...obviously.
I was never asked as to why I had an augmentation by any lactation consultants, so they never took into consideration that I may not be able to produce enough milk with my diminished capacity.
Now...so far I have had issues with weight gain and horrible bleeding cracked peeling nipples from my poor son being so frustrated with the lack of milk transfer early on and I probably failed to let down and feed as often as I should have in the first place due to the worst pain...yes worse than my worst contractions in labor...
I was told to supplement with formula because my baby was starved and I have been ever since. I also started pumping and herein lies my question....when I began 3 weeks ago I was pumping every 2 hours I was beyond exhausted and never slept more than a few hours in a 24 hour period and hated everyone. I was only pumping 2.5 oz in a 24 hour period but I was also having him feed on my breasts directly and pumping after. Then I began pumping with a medela pump in style every 3 hours and I got more sleep, i took mothers.milk supplements and ate.more.and.got.up to 4.5 oz in a 24 hour period. At that time i was also feeding him on the breasts after pumping by using a syringe and tube that hospitals use for tube fed babies. I filled it with expressed milk first then formula. Then I got a medela symphony pumpm from the.hospital and continued this regimen almost exactly and within a week I got up to 8.25 oz in a day.
Obviously I still want to increase.my supply but have been looking into demand v.s. scheduled feeding since I am obviously on a schedule and was wondering if there's were more ways or better methods to increase my supply with pumping primarily. Just to clarify; I pump every 3 hours with a four hour break at night and then feed my baby the milk plus supplement formula after each pumping through a medela sns on one breast and alternate sides each feeding. Unfortunately sometimes my baby is hungry right before I pump so he has to wait 15-20 minutes until I pump and set up...but I still feed him within half an hour of his demanding food... is this horrible? I just want to get to the point where I have a reliable production and I know how much to expect from my breasts so I know how much to supplement with formula before I stop pumping first.
I'm sorry this is so long and complicated but I have so little information available on my breast constriction and nursing with this condition... I don't even know if its possible to ever breastfeed exclusively with this baby or any future.babies...nobody has any answers...but I'm pretty sure the answer is no.
As a side note...I did become engorged for a day when my.milk came in initially so it gives me hope that my ducts have higher capacity than they are producing now... is that a good indication? Keep in mind my baby had horrible latch and oral difficulties and I fed him less often than I should have but I just didn't know at the time that I was diminishing what supply I did have...
Uh.I am so frustrated about this whole ordeal, all I ever wanted was to breastfeed exclusively, but I am determined in any case to endure whatever difficulty to keep producing what little I can for the health of my son.