Re: Is my baby getting more milk than it seems
Welcome to the forum and congratulations on the new baby!
At this point, is baby exclusively nursing? Or is mom still supplementing with formula and/or pumped milk?
In general, babies are better than pumps at extracting milk from their moms. So it's very possible for a mom to nurse successfully and yet be a not-so-successful pumper. What you want to keep an eye on is diaper output, weight gain, and nursing frequency. They tell you more than pump output and more than observing mom nurse or pump. As long as baby's diaper output is normal, weight gain is normal, and baby is nursing a minimum of 8x (preferably 10-12x) per day, then all is as it should be. If you and mom have doubts about baby's intake, you want to try to get baby to nurse more often, get in to see a lactation consultant (preferably an IBCLC), and have the baby weighed. (Remember to have the pediatrician use the same scale every time, with baby always weighed in the nude or in a dry diaper.)
There are a couple of reasons to watch your baby's intake and growth carefully. Mom having 2 medical conditions which can affect supply- namely PCOS and hypothyroidism- is one. Mom should definitely be monitored carefully in the postpartum year, and have several TSH levels done over the next few months, since it's very common for thyroid function to fluctuate very widely in the postpartum year. The second reason to watch your baby's intake and growth is that mom has had a tough start to breastfeeding, what with the pre-e, c-section, additional hospital stay. The fact that she has not been exclusively nursing, and has done a lot of supplementing, is something that could be affecting her milk supply, though those issues are generally solved by more nursing and/or more pumping.
Don't worry about mom not getting engorged (i.e. not getting rock hard breasts). It's not actually something that happens to all women, and it is less common in women who have larger, softer breasts. More space for milk to hide = less engorgement.
It really sounds like everything is okay, since the baby's pee output is on track. Just keep an eye on things, and do your best to be the most liberated man in the universe- nothing helps a new mom more than a dad who spontaneously scrubs toilets, purchases take-out, changes diapers, wipes down the countertops, and offers to hold the baby for a bit so that mom can get a nap or a shower. You're probably doing all those things already. Oh- and don't forget to tell your wife that she is doing an amazing job as a mom and that she looks great. Trust me, she needs to hear those things! Tattoo them on the inside of your eyelids, if necessary, and repeat ad infinitum.
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!"