Hi there -- not sure to post this in "Increasing your supply" or "exclusive pumping" or "working and breastfeeding," so here goes (this might take a little while).
I have a 10 week old and we've been plagued with issues from the start...from inverted nipples (conquered w/ pumping and the shield); poor latch; clipped frenulum and PT for her tongue/jaw; poor weight gain; and then issues with supply due to a very inefficient nurser all around.
I've been able to maintain somewhat of a supply and haven't supplemented w/ formula thus far. But we do have to supplement almost every feeding with expressed breast milk because she's such an inefficient nurser. Already taking all the herbs, did a round of reglan, and have learned that I need to drink more water and eat oatmeal thanks to these forums.
Will it get better or is it already downhill since shes' almost 3 months. How should I prepare to up my supply via pumping before going back to work? I am completely willing to pump 3-4 times a day for 15 minutes at work. I can feed her first thing in the am and in the evenings, but we know from our scale rental that she sometimes only gets less than 2 oz after 30 mins on the breast, so I'll need extra milk at home, too. She's gotten 4 oz in one session a few times, but it's very, very inconsistent.
Would it be easier just to become exclusive pumpers? And can I keep up that supply for several months (optimally until she's 1 next May)? I wake up in the middle of the night and give her a bottle, because I can pump 4-6 oz during that time. I've been pumping other times throughout the day for weeks and get anywhere from 1-3 oz, but that's usually after I've fed her, so it's not exclusive pumping. If I skip a feeding for her I sometimes get 3-5 oz. Sometimes less.
Does anyone find that being on a schedule they are able to get more? (ie does it help to "train" your breasts). And finally is there anyone out there who actually found their inefficient nurser to improve after 3 mos?