I just wanted to share our progress, up and down on the road to getting baby on EBF after a rough start: 37.2 week. Sleepy little one who received bottles and tubefeeding at the hospital. That also slowed down my milk.
Here we are now he is 29 days old and how we got there.
First step for us was breast at every feed, waking him up every 3 hours, followed by SNS at the second breast and sometimes finger feeding when SNS wasn't working enough to get him +- 30 ml of supplements. I was pumping after every feed but we did have to use formula.
When he got better at taking it via SNS, we started putting the SNS a little later in the feed. At first, it was always a race against the sleepiness to put it soon enough for him to do not fall too sleepy.
So around ten days old, his weight was back on track and he started waking up more by himself while remaining easily sleepy on the breast. As he was gaining weight fast (55 GR/day), we were encouraged to start giving less supplements.
Our first step was to stop giving the +- 3 am supplement and pumping to my husband to sleep more hours in a row (he was helping me give the SNS, wash the pumping parts etc every time.) to help the functioning of the family lol. It allowed him to sleep from the +- midnight feed to the +- 6 am.
A few days later, baby was still gaining a lot of weight (we bought a scale to weigh at home.) but he started taking big top ups and then sleep longer between feeds so we decided to reduce the offer of tops ups to 30 ml by feed, offering again the breast if he was still hungry. It worked for the frequency of the feeds, he got back to every 2-3 hour.
A few days later, still going high for weight and happy baby. So we started skipping the SNS offering at one feed a day. Still working.
Eventually we got to around 120 ml a day. When we try going to 90 ml, we had a less good weight gain and fastly saw baby was fussier after so we went back to 120 ml for a bit.
Big progress: Since last week, I have been able to pump 100% of his supplements so no more formula!
I now have two pumps: the Medela symphony I rent and I bought the eufy2. This one helped me get a lot of life quality back because I can, by example, pump and eat breakfast at the same time. It helped me make pumping work better while still taking a lot of my time. I use the two depending of the moment of the day.
We also discovered lately doing 6 x 20 ml was better than 4 x 30 ml because he will drinks the 30 ml but will have a lot more reflux and spitting after. It's a lot of trial and errors.
So we are doing this right now. Last night weight was great and we decided to keep on the 120 ml for a week, do another weighing and see what we will do. I still pump 5-7 times a day after feeding with SNS.
Oh and during this process, we have been writing all the pees, poops, feeds etc to be able to count them regularly and makes sure everything works.
I hope we will get to zero SNS eventually but we learned we have to be patient. I can pump between 20 and 60 ml after a feed so the milk he needs is there in the breast. He just needs to get it by himself!
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