But does nursing still hurt? That is my biggest concern....
Jack Newman has some videos of what he calls "good drinking." You can check those out, but remember all babies are different. http://www.nbci.ca/index.php?option=...id=6&Itemid=13
But I hesitate to have a mom decide her baby is not getting enough based entirely on her perception of the babies suckle and behavior. Swallows at this age can be very subtle and quiet. Many babies at this age nurse for 45 minutes or more, and/or appear "unsatisfied" after nursing. Many will take any supplements if offered, needed or not. Many will comfort nurse as part (or most) of a nursing session. The active suck/swallowing portion is only part of a normal feeding, typically it may come and go during a feeding as a mom may letdown more than once (and many moms never feel any letdown.) Behavior and what mom can observe at the breast are certainly clues, they can be important, but they often do not tell the whole story.
If baby is gaining at the breast and pooping enough at the breast, then baby is getting enough at the breast. If not, then baby is not, and in that case the ‘best’ first thing to do would be to have breastfeeding assessed by a lactation consultant and nurse more often if possible. Instead, what is usually done is baby is immediately put on supplemental feedings. If baby is being supplemented (with anything but particularly with formula) that will throw a whole other dimension into what is going on that will potentially mess with a baby’s normal cues, feeding patterns, sleep patterns, and a moms milk supply and her confidence.
This does not mean to not supplement if baby needs it! But be sure baby needs it and how much (generally) is really needed. (And just because baby needed supplements last week does not mean baby needs them this week.) Be aware of how supplementing will change normal nursing behavior. It is important to be proactive about weaning off supplements when it is time, because otherwise, many moms find themselves falling down the more and more supplementation/less and less nursing at the breast rabbit hole.
In your first post, you asked:So I ask, what did the LC see that told her all was ok? Did she think baby was having difficulty transferring milk? And if so, what were her recommendations? And supplementing because baby needs supplements on a nutritional level is very different than giving supplements to quiet baby and get rest. I understand the impulse for the latter, but only the former would be considered necessary supplementing.Have I ruined everything by giving her formula to quieten her and get some rest? I have been to see a LC and she seems to think we will be ok but,
I would add to mommals suggestions breast compressions. http://www.nbci.ca/index.php?option=...tion&Itemid=17