Re: Working long hours, baby now screams when trying to nurs
Are you a resident? I had my first as a surgical resident and had a very similar experience as far as crazy schedules.
1) In general, the rule of thumb is 1-1.5 oz/hour for each hour you are gone. So baby "should" be eating 16-24 ounces, but could be eating less, especially if he's nursing more frequently when you are around. Pumping 20-24 oz is great! You are early in your breast feeding and probably have some oversupply. Ideally you would pump every 3-4 hours, which if you nurse right before and after work, I think that works out to 3 pumps while at work, which should be fine. In my experience, I had over supply in the beginning, then my supply matched needs, then it dropped. If at all possible, I would continue to "over pump" at this point, because even though 200 oz seems like a ton now, by six to eight months you may be glad you have it. Many women have a eight month slump with pumping, and I found this to be very true. You seem like you are doing the best you can with a very crazy schedule. The over all goal of AT LEAST eight feeds or pumps in 24 hours is a good one.
2) Not sure about why baby is struggling with that feed -- one thing you can do is try to relax about it. One thing that worked for me with my second son is that when he was really tired, he'd get all worked up and wouldn't want to latch. I actually got him to relax by sucking on a pacifier for maybe 30 seconds, and then he'd latch fine. Maybe just snuggle for a bit before going for the latch? More than anything, don't take it personally. When they cry with latching, it makes a mother feel like they are rejecting you and your motherhood (which can feel like a knife in the heart when you add the guilt of being away for long hours while the baby is small) but they aren't. They are struggling with a physical process, one that they've only been practicing for 10 short weeks. Things are complicated because you've had to introduce a bottle, but you are smart and devoted, and with a gentle hand you'll be able to bring him back. I found that when things like this happened I got really tense, which was counter productive (though very difficult to avoid).
Hang in there! I have more ideas about crazy schedules, stress of pumping like that, etc if you have any more questions.
DS Ethan 12/16/2008
Breast fed/pumped 11 months as a surgical resident, 80 hours a week at work
DS Abram Daniel 12/20/2012
Feel like we've gotten a strong start