Re: Dr. visit results - not a good weight gain
Same scale, baby weighed in the nude both times, right? (The reason I ask is that sometimes the problem isn't the baby, but rather differences between scales or weights being taken with baby clothed one time but not the next.)
I think the first thing to figure out is whether or not the baby is getting enough when nursing, and is just constitutionally small. Can you possibly rent a professional scale, and do several days' worth of before and after nursing weights? This would be the best way to figure out how much milk the baby takes in when nursing. If he's getting in the range of 20-30 oz per day, then maybe he's just a small baby and not a baby who isn't getting enough milk.
Is your baby one who will stay on the breast forever, or does he ever come off on his own? If he comes off on his own, I think the way to supplement would be to nurse him for as long as he wants, then supplement via bottle, and then put him back on the breast for a little more comfort sucking. Anding the feeding with the breast means that he'll associate the breast with the feeling of being relaxed, satiated, and comforted- and those positive associations are great for maintaining the nursing relationship.
If your baby never comes off by himself, then I would offer both breasts for at least 10-15 minutes, then supplement, and then put the baby back on the breast.
The scale would be really useful when deciding how much to offer as a supplement. If the baby has had 2 oz of breastmilk at the breast, you know you don't need to offer more than 2-3 oz of formula.
Obviously, whenever you can fit in a pumping session, do it. Nothing is better for supply than emptying the breast frequently and completely. But if you want to try the herbal route, fenugreek, blessed thistle, and ordinary oatmeal are all useful for some moms. And there are prescription drugs that can increase supply- Reglan and Domperidone. Talk to your doc before using either one, of course!
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
Coolest thing my little girl sang recently: "I love dat one-two pupples!"