My son is almost 5 weeks old. he has been a good nursling, only takes one side per feeding, both sides at night (then back to one side during the night). I am going on week 3 of having this awful tear at the base of my nipple on the right side. It is between the nip and areola. I had a plugged duct originally and became frantic bc it started turning red. I was having him nurse and changing positions a lot and I also pumped a few times after he nursed. I do not know if he caused the tear or if the pump did. He is an aggressive nurser at the start. I have been living on waay too much ibuprofen to allow him to nurse and when it wears off it hurts soooo bad. I have APNO and had been using it until I saw a Pediatrician/IBCLC who recommended just straight bactroban bc she thought the steroid component could delay healing and there are no signs of thrush. She observed his latch, which is good. It just won't heal. I cannot get him to latch on in any position without it hurting so bad and ripping back open. The dr. I saw also gave me a pair of angled flanges, which are very comfortable to pump with...minimal pain on the tear. So today I started pumping that side and giving him my milk w a bottle ( he takes it semi-decently, some choking, but he chokes at the breast a lot too). Even thouh he takes one side per feed many times, the LC recommended at least offering the second side, if he doesnt want it, fine. She said he'll probably start to take second side as he gets a little bigger. This leads to my main question: since he has been *usually* taking just 1 side per feed, is it ok to have a schedule (ish) like:
8:30 left side
10:30 pump right, give bottle
12:30 left side
3:00 pump right, give bottle
Or should I be pumping that right side every time, just for a shorter duration when he mainly feeds on left? Today so far for both pumping sessions on the right side, I got 2.5 oz, he took it all by bottle both times, then zonked out so I didn't bother offering left side.
I get super nervous about my supply being impacted negatively. I am going back to work in 3 weeks, so I will be pumping and he will be on the ebm bottle while I'm at work. My hopes are to allow this tear to heal and just nurse him when I'm with him, like I have my other kids, and only pump/have him on bottle when I'm at work (not including the practice bottles leading up to my return to work).
Any suggestions or advice is so much appreciated!!!