Hi ladies! My baby boy was born 4 weeks ago tomorrow. We got off to a bit of a rough start-he had a big bruise on his head from descending crooked and had bad enough jaundice that he was admitted to the children's hospital for a night of phototherapy 5 days after he was born. As he was being discharged the next morning, my blood pressure went sky high and then I was admitted to the hospital next door for 2 nights for a magnesium sulfate drip. As you may know, the mag sulf is nasty stuff and when you're on it, you're bedridden so my mom had to stay with me so that my LO could stay with me, too. Luckily, I had pumped milk so she fed him with the syringe for the most part. I nursed him some but I was very out of it and didn't nurse him as much as I should have. When I was discharged, I was told to watch my sodium so for a week, I wasn't eating nearly enough calories. On 10/15, he was still jaundiced but not bad enough to need phototherapy and they weren't satisfied with his weight gain (or loss, I can't remember what it was). I was told to let him nurse and then pump-if I pumped at least 2 ounces, give him that and if not, give him what I pumped plus enough formula to equal 2 ounces. We went back the next day and he was finally back up to his birth weight, 8 lbs. 9 oz. I was so happy because I had only given him maybe 2 bottles of formula! So, I stopped with the formula because I didn't want to harm our nursing relationship. When we went back again on 10/24, he was back down to 8 lbs. 4 oz. The doctor was concerned and told me to start supplementing with 2-3 ounces of formula after nursing again. She thinks that my milk isn't fatty enough and told me I need to make sure I'm eating 2500 calories a day. And I'm trying! It's hard though, I'm not that hungry and I'm not used to eating that much food! I'm pretty confident that I'm producing plenty of milk...I only pump once or twice a day and can usually get 3-4 ounces total. I also hear him swallowing while he nurses.
So since Wednesday, he has been getting formula after every feeding. He nurses from both sides...anywhere from 15-25 minutes on the first side and 10-15 on the second. He has plenty of wet diapers...not so many dirty diapers but his doctor has been aware of this, too, and hasn't been super concerned because he's not uncomfortable and his belly isn't distended. She did a rectal exam on Wednesday and said his sphincter was super tight-and he pooped, a lot, the next day. It was yellow-ish, peanut butter consistency and had some "seeds" in it. I should also mention that I'm pretty sure he has a great latch-I haven't had any cracking or bleeding and very little soreness. We haven't seen a lactation consultant because I can't afford one and they aren't available where we live-I would have to drive 45-60 minutes and pay a $17 toll to get to one.
I'm afraid that by giving him 3 ounces of formula after nursing, what I produce will never be enough to satisfy him now. Have we started a vicious cycle? Of course, his weight gain is the most important thing. Has anyone been in a situation like this? Do you have any advice or suggestions?