Hi. I have a five week old son that I started to supplement with formula at 3.5 weeks. I didn't want to, and have been totally depressed/obsesssed about it since, but really believe it's what he needed. He nursed FOREVER but most of the time wasn't swallowing and was very unhappy when he tried to eat from empty breasts. I wish wish wish I could have and will in the future exclusively breastfeed, but really think he needed more nutrition.
I did it on the advice of my lactation consultant who watched us nurse and concluded that he emptied my breasts very quickly and was still quite hungry. She also noted that my breasts are "tube-shaped" which is often associated with less glandular tissue for milkmaking.
Also, my pediatrician recommended it due to slow weight gain. He was 10 lbs 1 oz at birth, 9 lbs 3 oz at lowest, 9 lbs 7 oz at 2 week visit, 9 lbs 11 oz at 3 week visit and... wait for it... 11 lbs 3 oz after a week of supplements. I believe he did some big time catch up and is taking less formula now than he did that first week.
My routine for supplementing has been feed him until he stops swallowing, hand to sister/DH to supplement, and pump 10 minutes. I'm also on Reglan.
Now I'm home alone with DS and can't pump as readily if he's wide awake after eating and won't accept being put down. I will let him nurse longer in this case to stimulate milk production.
What else should I do to make sure I can bf as long as I want? Any tips to make sure I don't stop producing?