My best friend has a five-day old baby who will not latch. Baby came about three weeks early, and may either have a tongue tie (though he can stick his tongue out pretty far) or very tight muscles/jaws. My friend is in excruciating pain, and her nipples are very torn up. She is currently, on the advice of an LC, trying to nurse him every two hours, then pumping, and giving him a bottle of breastmilk with formula as needed. (This is exactly the advice that I got from an LC that led to the downward spiral of my own breastfeeding efforts, so I feel worried for her.) She is extremely committed to breastfeeding, and is feeling upset and overwhelmed right now.
I have suggested that she:
1. Supplement with a Lact-Aid at the breast rather than using bottles;
2. Rent a hospital grade pump so that she's maximizing her supply;
3. Find a better LC.
Questions for you all:
1. Do you have other thoughts on what she might do to both increase supply and get the baby back on the breast?
2. If she needs to supplement with formula, does anyone have thoughts on the healthiest, safest store-bought option? (Right now, making their own formula is not an option.)