A little background. DD was born at 8#7oz. 6 days later she had gotten herself down to 6#12oz on the same scale, ended up severely dehydrated and in the hospital. We were nursing every 2 hours, she appeared to be eating and everything, but obviously wasn't getting enough. She came home from the hospital at 11 days old with formula supplements. 2 weeks later we were down to 6-7 oz of formula a day and she had gained back up to 9#7oz. Well, today, 2 weeks after that, I had weaned her off supplements totally. She's now 6 weeks old. She was eating 8-10 times a day. She had 5-7 wet diapers a day. I can't always hear her gulping and swallowing, but I can see her little jaw working and see pauses. I took her to the doctor's today for a weight check and DD is down to 8# 15oz. So, in the last two weeks she lost 8 oz. The doctor wants me to supplement with formula every other feeding. I did pump about 2 oz out yesterday and then another 1 1/2 oz today so I'm planning on giving her that as one of the supplements. The problem is, pumping makes my nipples sore, even with a hospital grade pump, not for future pumpings, but for nursing.
I'm wondering. Since at the last doctor's visit, I was supplementing with 6-7 oz of formula and she was gaining, if I should go back to giving her this much or if I should go to every other feeding, which is more like 12 oz of formula. I've started taking Fenugreek again, just in case it's a supply issue, which I doubt since I could pump out an ounce and a half in place of one feeding. My guess is DD has an inefficient suck. We are still using the nipple shields because she will not latch on without them. Unfortunately, the lactation consultant I spoke with at the hospital will only see patients in the hospital. She does not do outpatient consultations. The nearest LLL is 45 minutes away, but I am going to try to at least talk with them.
OH, yeah, at first the doctor said that my breastmilk probably didn't have enough calories. Like she can tell that by magic? She did then say that maybe the baby was getting just enough to fill her up but not enough to grow. She said the baby should have 8-10 wet diapers a day. Is that right? She doesn't seem to know a whole lot about breastfeeding, and doesn't seem to advocate it unless it goes problem free because she offers me no advice on how to fix the breastfeeding issues. She just says I need to supplement.
Anyways, I'm really frustrated and sad. The whole thing just makes me cry. I feel like I'm getting fired from my "job." Part of me wants to throw up my hands and give DD formula, because then she will gain weight without any trouble. But part of me is feeling injured because I really want to be able to nurse my baby and it's just not working.