Re: Reflux... Hours of nursing... Going back to work...
Welcome to the forum and congratulations on the baby and on making it to 9 weeks of nursing!
When there's a concern about weight gain, the first thing we like to do is to asks some questions. So:
- Did you have IV fluids during your birth, and if so, for how long did you have them?
- Has baby always been weighed nude, using the same scale?
- What was the baby's lowest weight? Were there any other weight checks aside from the ones you mentioned, and if so, what numbers did you get?
- Was baby premature, sleepy, or jaundiced at all?
- Did baby at any time nurse less often than 8 times a day?
- Are you currently on any form of hormonal contraception? (Including Mirena IUD)
- You say you're block nursing- what is your motivation for doing that? Do you have oversupply? Also, are you feeding from one breast at a time for one feeding, or for several feedings in a row?
Based on what you've posted, I don't see any reason for you to consider either formula or exclusive pumping. First of all, if there's a problem with supply, that can probably be fixed. Second, except in very rare cases, formula is not easier on a baby's tummy than breastmilk, no matter what the marketers call it. "Sensitive tummy" formula might be better than regular formula, but it's not better than your milk, no matter how hard the marketing department at the formula company tries to convince you otherwise. Third, if supplementation does become necessary, that can be combined with nursing. Ideally you'd supplement with expressed breastmilk, not formula- but let's cross that bridge when and if we come to it! Fourth, exclusive pumping is much, much, much harder than nursing or combining nursing and pumping. It's hard to maintain and/or increase supply, it's immensely time-consuming, it's logistically challenging (think about storing, warming, and transporting large quantities of expressed milk, maintaining a pumping schedule, pumping in public, etc.). I would only pump exclusively if there were no other recourse- for example, if the baby was unable to nurse.
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!"