I was just wondering if there was anything else you ladies can offer....
My DD is now 9 weeks. We initially had to supplement on day 1 due to low blood sugars. She also had trouble latching (kept sucking on tongue) and I had flat inverted nipples, and also had a lazy suck and was never awake long enough for a decent feed. So we used a nipple shield and the SNS. Afterwards I would pump. We did this for 1-2 weeks when DD was able to latch without the shield. So we continued with the SNS without shield for another 3-4 weeks and pumping afterwards....we did this about 8-9 times a day.
In addition, I had supply issues and had to supplement. I have tried fenugreek, blessed thistle, alfalfa, reglan, pumping longer and more often.
We introduced the bottle around week 4 for night feeds only and used the SNS for day feeds. But since week 6, I ditched the SNS completely and used the bottle only due to my sanity (was too cumbersome and seemed to take away the joy of breastfeeding).
So now we breastfeed, bottlefeed the expressed breastmilk, and pump for 20 minutes afterwards. We do this about 8 times a day. The whole production takes about 1-1.5 hour. In addition, DD is now somewhat rejecting the bottle after breastfeeding and pushing our the nipple with her tongue.
I don't know how much longer I can keep this up considering I will be returning to work at 16 weeks. Ideally I would love to get DD back to breast only but it seems the best she can transfer from my breast is about 1 oz (known from weighing after a feeding with my LC). How else can I help DD better transfer milk form my breast? I've tried switching sides, breast compressions. Do I need to do the SNS again? I've tried the SNS again and she seems to take forever with it as well and sometimes chokes more easily.
In addition, I can't differentiate when she starts to swallow due to the milk that is from my breast and not the SNS.
Help. Do I just need to exclusively pump?