Sorry, I feel like I just post one problem after another!
Today I weighed baby again (12 weeks old today), and she has gained 3.2 oz in 8 days. Before that she gained 6 oz in 10 days. Her gain rate has always been slow, but in the past two weeks we have transitioned to nursing almost all on one side - I have a "bad side" that babe and I both like less for various reasons (slow-flowing, tends to get plugged ducts and mastitis, ridiculously leaky). I have also gone down to 1 cup of Milkmaid tea per day from 2 because I didn't feel like it was making a difference (but maybe it was), and so my maple-y fenugreek smell went away.
So today when I used the scale at the health unit, the public health nurse who did our initial visits and everything was there, and she asked her how it was going. She seemed concerned about the low gain and said maybe to up the tea dosage again, get back to using both sides, and if baby still gains this slowly then I "might want to think about supplementing, or trying domperidone." She figured one side isn't going to be enough - and baby does nurse almost constantly. The pattern is usually wake up, nurse for about 20-40 minutes, 30 minute happy break, nurse, sleep 45-90 minutes, wake up etc. She does one 3-4 hour stretch at night.
I had been really excited to become a one-sided nurser, which I knew was completely possible (read: twins!), because my right side has caused so many problems with both my little daughters. But perhaps because I'm a tiny A-cup, there simply won't be enough room in there for enough milk in the left side? Since this morning I have gone back up to 3 cups of tea a day and started using the bad side again - there's still something in there, and I did some compressions every time too.
Incidentally, I just wanted to clarify that I understand why compressions even help. Is it because more milk gets forced out that way, so more gets made for next time as well as baby getting a bit more at that nursing session?
Thanks for reading