Serving Size and Supply Drop
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|Fri, 03-29-2013 - 4:37pm|
Hi there! Some background: My daughter is 20 weeks, and we have been EPing since week 3, with random bouts of nursing. She's sort of a mystery case - she has always had a great latch, there is no pain during nursing, but she's inefficient at transferring the milk. She would take in anywhere from .5oz to 2 oz, the higher side being quite rare. She was diagnosed with tongue-tie, and we had her frenulum clipped, and it didn't make a difference. She lost quite a bit of weight during this journey, and we moved to bottlefeeding pumped milk. Because she was unable to empty the breast, my supply tanked, and I have been battling ever since to get it up and maintain it.
Where we are now: I pump anywhere from 22-28 oz per day. I pump 6-8 times per day, and usually get 3-3.5 oz per 15 minute session (though occasionally I'll get as little as 2.5 or as much as 4.5). Daughter is fed on demand, mostly 3oz servings about every two hours during the day, then two overnight feeds, for a total of 24-27oz. Some days, we will have a single nursing session, but she most often still needs a bottle after.
Two questions: first, my supply suddenly dropped somewhat significantly. Pumping sessions where I would normally get 3-4 oz have turned into 1.5-2 oz. I have done a power pump every day for the last three days, and have seen it come up a bit, but I can't figure out what caused the drop. I have heard that the return of your period can cause a drop - I haven't gotten it yet, but maybe that's the case? I'm on domperidone - currently 40mg per day, but I can increase it to 60 or 80 if needed. I drink a ton of water, and eat plenty of calories...
Second, yesterday the daycare fed her 5oz, then 4oz, then 4oz. She seemed to take it, but didn't go much longer between feedings. But I don't know what's appropriate for her now. Should she stay on 2-3 oz? Or should we be increasing her serving size?