We're almost to the 2 month mark, and were doing pretty well despite all our challenges. However, about a week ago I started seeing a decrease in diaper output, and she would nurse for 3 to 4 hours and still be screaming hungry! I would try to hand express a little and could barely squeeze out a few drops, so I'm fairly certain my supply started dropping.
After her nursing for several hours, we would give her a bottle of my frozen milk, and she would take a full 4oz before settling down. At first we only had to do this once a day, then gradually we had to do it twice, then three times. I think my production drop-off is due to a combination of things: starting BC, as well as pain from cracked nipples (which are nearly healed now, thank goodness!), and stress from Amee's frequent hospitalizations and surgical procedures (as well as the times unable to nurse due to her anesthesia).
What we're doing: I'm making sure to nurse her for at least two hours before giving any bottles, with about an hour on each breast. I'll then give her the bottle, usually between 3-4 oz, and she usually drains all of it. I try not to let her sleep too long during the day, about two hours per nap before waking her up to nurse again (if she doesn't wake up on her own, which usually she does. Then we repeat. She doesn't need a bottle after every feeding, the last two days it's been about 3 times a day, but so far today she hasn't needed any.
I'm also drinking an herbal tea with Fenugreek and a few other galactogogues (sp?) in it. I'll drink about 4 oz mixed with apple juice for flavor, about 3 times a day. I've been taking the tea for the last 2 days, and I think it's helping more than anything.
So, does what I'm doing sound ok? Are there any suggestions to make this routine a little more effective? Thank you for taking the time to read this!
Oh yeah, she's 7.5 weeks old, 6lbs 12oz. She's now getting 6 to 8 wets a day, and 3 or 4 poopy diapers.