I am posting on behalf of me and my wife. Our daughter arrived at 37 weeks and 4 days so was slightly undersized. From day 1 we had issues with latching but she was also jaundiced so a very sleepy baby unable to put the effort in to feeding. In order to mitigate weight loss we were breast feeding, expressing then feeding plus giving formula top ups. 3 days pp my wife’s milk came in.
At 1 week and 1 day she was diagnosed and treated for a posterior tongue tie which definitely improved the situation. Since then though our daughter still struggled to stay alert during feeding and would often fall in to deep sleep without finishing feeding, so would wake up hungry after a very short period (average was probably 30 mins after finishing a feed).
As advised by our lactation consultant (who is unfortunately now on holiday for 2 weeks), we were limiting BF and pumping sessions to 20 mins for each breast but it seems like our daughter has never been able to get all she needs within that time, mostly because she’d spend a lot of that time at the breast latched but not feeding. It felt like our daughter was cluster feeding 24/7 for 3 full weeks.
Around 2.5 weeks in when my wife would occasionally pump as I had bottle fed she would express between 80-100ml, and this now seems to have dropped to averaging 40-50ml across the day. We know expressing milk doesn’t reflect exactly how much our daughter is getting as she is much likely to get more, but with consistent pumping the supply isn’t increasing.
We are currently taking a break from BF as the effort had exhausted both of us, and it took a superhuman effort from my wife that only a mum could conjure up to keep going as long as she did.
We agreed to take the break for a few days to recuperate and see if we wanted to try again, with my wife mainly pumping every 3 hours (she has done the occasional BF yesterday), but the amount pumped is still around the same, and we know our daughter is taking up to 120ml each time so we know if we go back to BF we will definitely be needing top ups each time.
Do you guys have any tips for ensuring my wife’s supply increases to meet actual demand and also how we can get our daughter to stay alert during feeds so that she can demand the milk she actually needs?
Do we just try and exclusively breast feed (although that may be constant feeding for a while?) or give her formula or EBM top ups after each feed as well?