My baby is currently 6 weeks old. She weighed 4kgs at birth, but has since then lost 400g.
For the first 4 weeks of her life I demand fed, every hour to hour and a half. At her 4 week check up she had lost 200g. The Paed suggested that I only feed her every 3 hours and for 10min per breast. He said she is only getting the watery fore milk and not the nutritious hind milk. I have since then been feeding her every two and a half hours for 15 to 20min per side. Today I weighed her and she lost another 200g
I have been feeding with a nipple shield, because I have flat and very tender nipples. My left breast has been aching since yesterday. I think I might have blocked ducts due to her not emptying the breast with each feed. Possibly because she falls asleep or maybe the shields are too blame.
So I decided to pump every 2 hours during the day and bottle feed. I still want her to drink from the breast morning and night so she doesn't go completely off the breast. I could only pump 40 - 70mls in total every time. This made me have a mild panic attack! I mean that surely can't be sufficient. I was taking Esperide and stopped that on Saturday, because I have gained 5kgs since taking it. I have been drinking Jungle juice for the last 24hours. This afternoon I had a Esperide again. Think I will continue to have 1 per day.
My baby sleeps very well at night. She goes to bed between 9 and 10pm and only wakes at 4 or 5am for a feed. Thereafter she will feed every 2.5 hours and cat naps inbetween. She will sometimes have a long nap during the day as well.
I would love to express around 120mls at a time and for my baby to gain weight. I really don't want to supplement with formula, but it seems that is where we are heading.
Well done for sticking it out, you should pat yourself on the back for that.
Oats (jungle oats or Bokomo Oats) really helps for me to boost supply. Have it in the morning, you can also snack on oat bars during the day.
As for the nipple shield, I suggest you go see a certified lactation consultant. I had seen a lactation consultant with both my babies. They are awesome. In fact, I believe seeing a certified lactation consultant is something that is fundamental for every breastfeeding mother, and the sooner you can see one, the better. Search for your nearest La Leche League, they will be able to point you to a lactation consultant in your area.
I disagree with your Pead, I get the sense that you also disagree with him/her. You should feed your baby as often as she wants to and for as long as she wants to. Watch the baby, not the clock. Google Demand Feeding.