I have a very low supply only producing about 40 ml total during a pump session. I pump after every feeding session (about every 3-4 hours) and once through the night, although there have been several occasions over the past two weeks where I've had to go 6-8 hours without pumping so I can get some rest!
My LC put me on Mothers Milk, Goats Rue and I'm in the process of getting Domperidone. I have a history of depression so my LC says Reglin isn't the best for me.
My preemie son is now six weeks old, 5 days old corrected age. I didn't try nursing too much in the beginning because we were a little stressed adjusting to coming home from the NICU, I was weaning him from a feeding tube to a bottle and he was having trouble gaining weight.
Now he's reached past his due date and he seems very willing and able to nurse. He has a great suck and latches on pretty well although I have to use a nipple shield. I nurse at almost every feeding. I'm also using a SNS because I don't think I produce enough and am worried about his losing weight. I put his recommended 55-60 ml milk/formula supply in the SNS and he finishes it while nursing from the breast.
My biggest question is how much should I be pumping now????
How/when do I wean from the SNS? Any suggestions on how to manuever the nipple shield, latching on and the SNS tube? It's a little challenging to get the SNS tube in his mouth while at the same time trying not to lose the nipple shield.
Thanks for all you help!!