I should start by saying that my LO was born 24 days ago at 8lbs 10.5 oz and after the last pedi appt. a week ago, he weighed 8lbs 15oz. He also produces many wet and poopy diapers. So, I know he is getting enough nourishment based on these facts. However, this is my issue. For the first few days he was only breastfed. However, we did have a latching problem, so I was forced to pump and feed him with a bottle. I got a lactation consultant to come and help with the latching, and that helped a lot. He does have a problem latching still, because of a short upper lip, and as a result he flattens out my nipples when he sucks. It isn't painful during breastfeeding, but I feel some discomfort right in the beginning when he latches on and right when he is done. But this is not the issue. He is a very, very slow eater and I am not sure who much milk he is actually getting when he is at the breast. His feedings could last 1.5 hours, with him sucking & falling asleep on and off and right after he lets go of the breast he starts fussing for more. After 1.5 hrs, my nipples can't take much more sucking and my breasts do feel pretty empty. So, I ended up supplementing with a bottle, which most of the time is expressed breast milk and once or twice a day 2 oz of formula. He eats the bottle really quickly and then, he is fully satisfied and falls asleep for 4 hours or so. The ratio is, for every oz of milk he ingests, he then sleeps an hour. I have tried waking him every 2 or 3 hours for feeding, but I've been unsuccessful, regardless what I do: undress and change his diaper, tap his feet or play with his ears etc.
So, my current issue is that in spite of my constant every 2 hour pumping, it seems that my milk is starting to dwindle. I still put him at the breast for feedings every time he wakes up for at least half hour per breast, but regardless of how much he sucks, he still doesn't seem to get enough. I am now pumping about 1.5 to 2 oz every 2 hours, but it doesn't seem to be enough and I just don't know what to do. I also tried putting him at the breast every time he was fussing which was constantly, but my nipples were taking a beating and he didn't seem any more content, not was he able to sleep. That's when I resorted to supplement with a bottle. I am doing everything in my power, eating, resting as much as I can, taking fenugreek and eating oatmeal. Please help, I am becoming very discouraged and I really want to keep breastfeeding. Oh, and one more thing, in a few weeks I am returning to work, so he will need to be fed from a bottle while I will be gone for 10 hours. I hope, this is not too confusing! I really need some direction. Thank you for all your help!