My baby girl is two months, and I have been having supply issues from the beginning. She is my first child. She was born 6lb 14oz, and was released from the hospital a two days later at 5lb 14oz. She latched like a champ, and for the first three days she was insatiable. Day 4 we had our appointment with the lactation consultant and baby girl was down to 5lb 13oz. After observing and weighing her, the LC determined that she had only taken in 4ml after nursing for 40 mins. The LC had me supplement with formula right there, and had me pump. Baby girl ate an ounce and a half of formula and was the calmest I have ever seen her. Pumping produced only drops. It was determined that my milk hadn't come in yet, and until that had occurred I should nurse, supplement, and then pump.
The next day at the doctor's office, baby girl weight 6lb 5 oz, after a day of supplementing. That week she would nurse for hours. The formula upset her stomach and she would comfort nurse. Through out this process my milk never "came in." About day 10 postpartum, after some weird pressure in the pelvic area, part of my placenta came out. It was long and gray, and my bleeding returned to normal. After that incident, my milk still did not come it. The next doctor's appointment baby girl weight 6lbs 7 oz, and the doctor encouraged me to be more diligent with the formula intake. Since that second week, baby girl is up to 10lbs 4oz.
Here are all the things I do to simulate milk production:
* Baby girl latches all. the. time. She still loves to comfort nurse even if nothing is there. She won't take a pacifier, which is fine.
*I have oatmeal every morning for breakfast.
*I take 3 fenugreek tablets, 2 Mother's milk tablets, and 3 brewer's yeast tablets with every meal.
*I drink at least 22 ounces of Gaterade everyday.
*I drink 60-80 oz of water a day.
*My calorie count never drops below 2000 (and often exceeds that amount, my to the chagrin of my waistline.)
*I have rented a hospital grade pump.
*We do skin to skin, and co-sleep.
I have to admit, I am poor at consistently pumping. The most I've pumped in once day is 5 times, but even then I pumped less than a half an ounce -total. This morning I pumped because she was too impatient for the breast, and I didn't even cover the bottom of the bottle. I heard the baby was more efficient at receiving breast milk, so I push nursing, and hand express after each feeding.
Currently we are supplementing 3 and 1/4 and ounces of formula per feeding, and feedings happen at least every 3 hours, if not 2 hours between 4 PM and 1AM.
Any other suggestions? Will I ever be able to pump more than an ounce?