DD2 (kidlet #4) was born 9 days ago at 37w5d. The birth was pretty ho-hum and we were discharged the next day with a pretty decent latch, positioning, etc. The following day we had a home visit from a postpartum nurse (standard practice here). She helped again with better positioning and making sure everything was chugging along, but noted that DD was jaundiced and had lost a bit over 10% of her birth weight. She also noticed that DD had a tongue tie and suggested some minor supplementing with equal amount of pumping, but was not insistent.
Next day we went to a weigh in and jaundice recheck. Both were worse than the previous day. The nurse that day was more insistent we supplement and pump. We did a tiny amount of formula that day and I pumped really effectively (manual pump, but I get good output).
Next day was another recheck and some mild improvement on the weight gain (first day to see an increase) but worse on the jaundice. I was sure that the underlying issue was the tongue tie and once we got it clipped the rest would get better.
Finally on Wednesday (day 5) we began to see the jaundice plateau, the weight gain make another tiny improvement and we had the tongue tie clipped. Thursday things were not better, but that was not unheard of. Friday finally felt like a good day. DD was latching beautifully, I got an amazing output on the pump and really cut out the formula.
Then Saturday came and everything went to pot DD started screaming whenever I tried to nurse her and was not really working at getting any milk. Nursing started to take nearly 2 hours start to finish, with multiple re latches, lost of crying (both of us), and whenever I think she is done she starts rooting again. I nursed on demand as much as possible but really the end result is that she is still hungry. We pulled out the formula for an ounce or two to top off and she would snarf it down and look peaceful and contented.
Today she wasn't nearly as angry, but she also didn't get any more sated from nursing. She still sucks a bit, stops, sucks, stops and nursing takes 1-1.5 hours. I started to take fenugreek, drink way more water and I pumped twice, with pretty meager output (though the milk is really creamy looking). At dinner time I nursed for 1.5 hours, she was still rooting and I was sure there was nothing left to feed her. I gave her 1.5 oz of FF and she went to town on it. She fell asleep within seconds of finishing (it was nearly impossible to get a burp out). Also, today she is really not having poopy diapers. Yesterday wasn't too bad for poopy diapers but today is really not good.
I'm stumped. I realize that I could opt to stop supplementing and that is probably the answer I will get if I want to make BFing work long term, but it is so hard to stop feeding DD the one thing that makes her finally settle contentedly. I had similar issues with DD1. Ultimately we ended up on formula after she hardly gained any weight in 2 months. I know that FF was a lifesaver with DD1 so I am not opposed to it at all, but I don't want to go to 100% formula unnecessarily if I can make BFing work in some capacity. FTR, I over produced with my older boys and nursing went really well, go figure!
The other thing worth noting is that I never really felt engorged is time around. I haven't had the whole leaking, breast pads galore, let down at random times, etc. this time around. I know DD had a pretty lousy suck before the TT was corrected which may have crossed the signals with how much she was needing to eat. I don't know...