We are being treated for thrush (not sure if we have it, but, the pediatrician thought that is why DD is clicking/breaking suction when she nurses...regardless if we have thrush or not the meds seem to be helping some with my nipples which were getting really sore/cracked.
I talked to the LC again, talked to a WIC BF support person, had a LLL leader watch me nurse...
LC and WIC nurse believe that DD has some sort of physical issue interfering with her suck (LC suggested chiropractic adjustment and speech/occupational therapy and WIC nurse also suggested speech therapy and a third opinion of her mouth - thinks she may have a high/narrow pallet). So we are working on getting all of that done.
The LLL leader helped give me some tools and explain things differently so I can latch DD properly myself now! Yay!
We are doing a before/after feed weigh tomorrow.
In the meantime DD gained 3oz in 10 days (through this past Monday - she was exactly 1 month then), ped's still felt that was slow so we switched to bottles - mostly breastmilk, occasionally high caolorie formula (a couple feeds each day) and on Wednesday she was up 3/4 ounce from Monday (though I realize that doesn't mean anything as it could just be related to when she ws last fed etc.) we are doing nurse, bottle, nurse each feeding...just trying to make sure she is gaining until we make sure she is nursing well...hoping the latch fixing was enough; though we are going to try the other suggestions as well.
Since adding bottles she has been pooping several times each day (instead of every couple days) and peeing every hour or so while awake - and her diapers could seriously be squeezed out they are so wet. So she definitly seems to be getting enough milk now; just trying to work towards having her entirely on the breast..and still trying to get her up to her birth weight (well and eventually beyond; but, one goal at a time - she has 6 1/4 ounces to go to get to her birth weight as of Wednesday's weight - her next weight check is a week from today).