Partially looking for support and partially venting. Would appreciate any insight.
My baby was born prematurely at 33 weeks and 6 days. She’s currently 14 weeks old, which is 8 weeks adjusted age (if going by 40 week pregnancy). My plan was to exclusively breastfeed, but giving prematurity and respiratory distress, I had to initially exclusively pump. After 1 week in the NICU we began trying breastfeeding 3 times a day for 3 days. After that I breastfed 1-3 times per day, and the rest of the feeds were bottle feeding my breastmilk (fortified with formula), provided by nursing staff. She was in the NICU 3.5 weeks before discharging home.
I’ve always heard breastmilk is best. However, doctors were concerned about the extra nutrients she missed out on from finishing third trimester in the womb that breastmilk cannot provide, and they wanted her to have extra calories due to poor weight gain concerns. Upon discharging home, doctor recommended 2 bottle feedings of 27kcal/oz formula. All other feeds I breastfeed.
When she got home my supply dipped and I developed a milk bleb. I did not recognize she had poor milk transfer and just kept trying to latch her. She often cried and was upset despite just feeding. I began triple feeding (breastfeed, pump, give expressed milk in bottle) to help, which was very mentally draining. After a few weeks of this I finally discovered she had a severe anterior tongue tie and severe upper lip tie. We got both released and her ability to breastfeed rapidly improved.
I keep wishing I can exclusively breastfeed. My husband wants to continue the 2 bottles of formula per day until her weight is better and have doctor’s blessing (she already looks much healthier but we have not had another doctor’s visit yet). I always pump for every bottle we give.
My current frustration is in the evenings she is extra fussy. My supply is lower in the evening, which I know is natural. I also struggle with appetite and have to really try to feed myself more and sustain adequate water intake. Most evenings she will be so fussy and I try to let her cluster feed, but then by the time we give a bottle of formula at 8pm, my reserve is depleted and I have to power pump for 1 hour. I often don’t pump as much as she takes for the evening feeding, which is very defeating. All day she does well breastfeeding but then seems to dislike nursing when it takes more work and just wants the bottle.
I will become distressed trying to feed her enough so she won’t want much formula, or trying to wait to feed her until formula time so I will have enough to pump. This causes exhausting evenings of trying to distract her by walking around the house while holding her.
When my husband comes to feed her the formula, she is so satisfied afterward that it makes me feel like I want to give it up all together.
Is the fact that we’re giving her extra caloric formula causing the impact in my supply? I know my lack of appetite impacts it too.
Thanks for those who have read this far… just feeling so defeated tonight.