I had my baby about 3 weeks premature. I had an emergency c-section since she was in the 1st percentile of weight for gestational age on my 36.5 week ultrasound.
From the beginning, she was put on a bottle due to hypoglycemia when she was first born. She spent 4 hours in the special care nursery and then was brought to me. I was allowed to breastfeed the first day, and she latched ok but was extremely sleepy at the breast. I had to use SNS with formula because, at 4#11oz, my baby couldn't afford to lose the usual 5-10% of her weight during her first couple of days. Then, she needed to go under the lights for jaundice. I had to bottle feed for that 24hrs since she wasn't allowed to be taken out from under the lights for breastfeeding. Once that was resolved, my baby no longer latched. I could get her on with a nipple shield only, and she remained very sleepy at the breast. We were prescribed a feeding schedule of 1.5oz formula or breastmilk 10 times per day, with breastfeeding allowed only 2-3 times per day (pediatrician didn't want her to expend energy at the breast). I rented a hospital grade pump, but was only able to get 10-15 mL per 15 minute pump (every 2-3hrs).
I have had supply problems ever since. My baby is 4 weeks old now, and up to 6#. I am allowed to breastfeed on demand now. My baby is starting to latch directly onto my nipple (however this is inconsistent). She eats ok sometimes, and not so well at others (weigh/feed/weigh results vary from 8 mL to 1.5oz). She is still very sleepy at the breast. When I pump, I get about 20 mL now. I need to supplement her with formula or pumped milk after almost every breastfeeding session (when she cries and roots after breastfeeding for 40+ minutes; she is usually satiated after taking 1-1.5oz from a bottle).
What's wrong with my supply? Shouldn't my milk be adequate by now? I am taking fenugreek, mother's milk tea, and reglan. I spend 10 hrs per day feeding and pumping, so it's not a supply/demand problem. My pediatrician told me some women just can't do it (have inadequate milk ducts or something). Has anyone heard of this? Any ideas on what else I can do?