First a little background.
When my son started nursing he had problems latching on. After about three weeks, he started clamping down on my nipple. I went to my LC and she suggested we get him checked for reflux as well as try some positions so I don't drown him. He was clamping to stop the flow. This made sense. However, my nipples were in such pain I started pumping almost all his meals and giving it to him in a bottle. I did keep nursing him at least once a day, but he would eat for about 3 minutes then start pulling off and crying. I know I am dealing with oversupply because I typically pump 6-8 ounces a feeding (from both breasts). I have also since gone back to work.
My son is now three months old. He is on Prevacid and that appears to be helping and he is starting to keep up with the flow a lot better when he does nurse. I typically nurse him two or three times a day - after work (around 5 or 6pm), before bed (around 9 or 10 pm) and when he wakes up in the middle of the night. He has always been gaining wieght very well, not too much, not too little. I think it has to do with my sacrifice of pumping and bottle feeding (as much as I hated to do it). I have several problems/questions.
1) When he does nurse (on one side), he only nurses about 5 minutes. I am still pretty full after he nurses, so I am pumping 10 minutes on the side he nurses and 15 on the side he does not. I would like to get to the point where I don't have to pump at all when he nurses. I have gone to my B/F support group where they weigh him before he nurses and after he nurses. Last I checked, he only got about one ounce (I haven't been able to go for about a month and he has gotten to be a better nurser since). I'm also having trouble recognizing that he's done. He stops taking the breast and fusses when I try to put him back on, but doesn't fuss if I let it go. I'm thinking that means he's had enough. I'm scared to go to nursing exclusively since he nurses such a short time, at least when he gets the bottle I don't have to deal with the foremilk problem and I know what he's eating. During the 5 or 6 pm feeding, he will eat every hour or so. I will give in and give him a bottle after I nursed him an hour earlier.
2) Should I pump both sides when I am at work? Would it make the situation worse if I pump one side every two hours or something like that?
3) He is now sleeping 7 hours a night (I know, I'm lucky). When he wakes up, I nurse him from one side I HAVE to pump the other side after going so long without pumping.
I just would like to stop pumping except when I'm at work, but I feel like I can't ever get to that point without one or both of us being miserable. Whether it's him being miserable due to the lactose imbalance or me being miserable because I am so full and engorged. I'm also real worried about dropping my supply too low!
Can anyone help me come up with some sort of a plan to get us on track? I work 7-4pm Monday through Friday.