My daughter is 4 weeks old, born by emergency c-section at 36 weeks and 5 days. We couldn't nurse or even give breastmilk for her first 5 days of life, when she was in the NICU on sugar water basically. Then I was pumping and it was given to her through an OG tube. I tried to nurse when we could but, though I was told she had a good latch, it hurt REALLY bad on one side no matter what I tried. It became too stressful on me and I would dread feeding her, so I decided to exclusively pump and give it to her in a bottle.
Well now she eats every 3 hours during the day and every 5-6 hours at night, 3 oz each feeding. Soon she'll take more than that or go through a growth spurt. I pump every 2 hours during the day and every time she feeds at night, and I get maybe an ounce and a half each time, sometimes less. Yesterday she ate a total of 18oz and I only pumped 16. When we came home I had a huge stash in the freezer from pumping at the hospital but since she's been eating more it has severely dwindled and at the moment I am only 4 feeds ahead of her. To try and build up more and get farther ahead of her, I began giving her a bottle or two a day of formula, and breastmilk the rest of the times. This makes me feel like a failure but I just don't know what to do anymore.
I have tried/am currently trying:
1. I have a powerpoint of pictures and videos of her
2. I take fenugreek (3660mg a day)
take my prenatal
3. I drink a gallon or more of water a day and eat plenty
4. I tried guided relaxation for breastfeeding but it made me feel silly instead of relaxed.
5. I try to watch tv while I pump so I won't bottle watch and the time will go by faster.
6. I power pump once a day, and make sure that the milk stops flowing before I stop pumping every time
7. My breasts feel soft after pumping, but if I squeeze them there is a place usually deep and under my nipple, that still feels kind of hard. I try to massage this area while pumping, and I use warm compresses right before I pump.
8. I have a new flange size on the way in case thats the issue - my nipple doesn't stay centered in the flange when I pump and some of the areola gets sucked in too, but not so much that I think the smaller size will work better.
9. I clean my parts after every use and sterilize every night.
So you see, I'm at a loss of what else I can try to get my supply up - I worry that soon she will be on formula completely because I just can't keep up with her. I know breast milk is best and some is better than none, but I am so afraid that I'm losing my supply! Is there any advice you can give me?