I posted some time back in the newborn forum, we've made progress in some aspects but milk supply is still an issue. Baby was having difficulty latching and sleepiness in the first 2 days, he was becoming dehydrated and needed formula supplementation. I came home with a double electric pump and was nursing and pumping with the supplement at every feeding. At day 5, they found a tongue tie (a very obvious one had we known what to look for) and clipped at the pediatrician. His latching and eating didn't really start improving until week 6 or so. I took a break from nursing but continued to pump after the first few weeks because the frustration level wasn't good for either of us. I stuck with mainly pumping and a few nursing sessions for the first 2 months. I never had any sudden increase in milk, I've always been able to supply half or less. I have hypothyroidism that was monitored and within normal levels throughout my pregnancy. We also checked the TSH after he was born (somewhere around 8 weeks maybe?) and it was in the normal range. I didn't have significant breast changes in pregnancy other than nipple tenderness and very painful vasospasms with cold.
I saw several IBCLCs in the first three weeks to work on positioning and potential ways to increase supply. They recommended a hospital grade pump, nursing as much as possible and Motherlove More Milk Plus. I did eventually get the rental pump but didn't notice any difference in production. I switched to nursing instead of pumping about a month ago, production went up an additional 2oz or so a day.
I made another appointment with the IBCLC to discuss options for increasing my supply, said at this point it's going to be pretty tough to make much improvement but if I can pump it would help. She also suggested Goat's Rue and More Milk (apparently Fenugreek is contraindicated with hypothyroidism).
He eats 6-8 times a day, usually 7. He eats every 2-2.5 hours during the day and sleeps through the night. The first feeding after his long sleep, I can nurse without supplement and he gets from 4-5oz (we're renting a BabyWeigh scale). The next feeding he usually gets around 2oz from me, the rest of the day he gets 1.2-1.4oz very consistently. After tracking the past couple weeks every feeding with the scale, he's getting about 13oz nursing and 14-15oz of formula.
So, I'm at the point now where I'm almost ready to accept that this is my upper limit in milk production but I'm willing to try one more round to increase my supply. I am starting to add a 10 minute pump after nursing and supplementing today to see if it's doable. So far, it's been okay. I'm also considering trying the herbal supplements suggested by the LC.
Any thoughts on what I can realistically expect at this point? Or ideas on what would help? The one thing I am reluctant to do is pump in the middle of the night during the long sleep period, but if it would potentially make a big difference I will have to consider it.
I've looked back through our logs of feedings (we've recorded every feeding and diaper since he was born 3m1wk ago) to try to figure out what we did "wrong" but I'm not seeing it. Maybe more pumping with a rental in the first couple of weeks? I'm not sure. I know it doesn't matter at this point, but next time around hopefully we can be better prepared for potential difficulty.