I highly recommend going to a breast feeding support group of some sort- LLL or hospital based. Your local hospital should have a lactation consultant. I went to meetings for months, for support and to weigh Alayna every week. It was piece of mind!! Doctors tend to be so quick to suggest formula supplementation, which is fine but if you really want to EBF you don't want to supplement and lactation consultants or LLL will be helpful there. It really depends on what your BFing goals are!
Alayna was born at 35 weeks (emergency C section after severe pre-ecclampsia) and spent 2 wks in NICU, she was mostly bottle/formula fed for those 2 weeks, I pumped and we gave her what I got and I nursed her maybe 1-2x a day while she was there but my milk did not fully come in until she got home, Within a month we had her off all supplementation and she was EBF until about 10 months when my pumping supply dropped so I had to give formula for daycare. We are still nursing in the evenings and early morning and more often on weekends.
I found the following to work best while doing a combo in the beginning. I would first nurse her at the breast and then offer her 1- 2 ounces of Formula from the bottle, that way she nursed strongly and stimulated milk production but would get the supplement after to top her off if she was unable to get enough milk. (I also had to use a nipple shield on and off for the first couple months, they do interfere some with stimulation for milk production but are better than nothing and you can wean her off later). When I felt that my milk was getting more plentiful (after the first 1-2 wks), I started decreasing the supplement bottle but like 1/2 ounce every couple days but still supplemented after every nursing session. When I was down to like 1/2 ounce I started skipping, like only supplemented after evening and overnight feeds but not during the day, and then stopped the supplementing completely. This whole time I was weighing her in weekly and monitoring diapers so I knew the whole time that she was still gaining as I decreased the formula and this also told me my milk supply was coming up to take over for the lost formula.
Oatmeal, Fenugreek (tincture is the best), nutritional yeast are all things I also ate/took to help. The Fenugreek was the most helpful and would boost supply within a couple days of taking it!
If BFing is your goal, just stay steady, nurse nurse nurse, it may feel like that is all you do for a while, but right now that is your primary job so just let everything else go to the wayside! If you are home with her, I would not pump too often (directly after a nursing session is best) and instead put her to the breast every 2 hours during the day to stimulate and just supplement with formula or whatever pumped milk you have. If you have any questions for me, feel free to private message me, I totally went through this!
-Rebecca (Blessed mom of two beautiful, healthy girls)http://i1178.photobucket.com/albums/x37 … 6174_n.jpg