Musical, congratulations on the music! Sounds like you might be on the verge of a breakthrough.
Jaggy and Musical, kudos to you both for still being at work with the BH and general uncomfiness. Yay for 2 weeks left apiece!
Dream, hope you're feeling a bit better and less pukey. Has Twin 2 been wriggling well?
Ok, different MW was here today (let's call her MW A for ease of ranting) and Maia has put on another 50g in 2 days, yay! So grand total of 70g gain in 3 days, which is excellent.
However, on the subject of conflicting advice, I just want to unburden myself about the bloody positioning/latching malarky. And the jaundice.
Hospital MWs (all different): Put her on the boob for 10 minutes, then swap breasts. Try feeding lying down. Don't sit up too straight or you'll hurt yourself (post-section). Stuff more nipple in her mouth (Tbf, this has been a constant right through). She's a little jaundiced but not very badly.
MW M (my community MW, who I really like): Sit bolt upright and put Maia on a stack of pillows at the level of the breast. Nose to nipple, big wide mouth, hand on the back of her neck and guide her onto the breast. Don't lean forward into her - this is called posting and it's bad. If it hurts, count to 10 and then take her off if it still hurts. She's really quite yellow, though...I'm a little worried but she's not symptomatic - she's alert and seems quite well. Feed her every 3 hours, definitely don't leave her for longer than 4 hours, stay on one boob so she gets foremilk and hindmilk and anything above 10 minutes is good.
MW M also turns out to have calculated the weight loss wrong - Maia actually lost 12%, not just over 10%! She's now made that up to 9.9%.
MW A: Sit leaning back slightly, get rid of the pillows, take hold of Maia by the back of her neck, nose to nipple so her neck is extended slightly, then use your other finger to poke the nipple into her mouth. Swap to the other boob after 10 mins - at this stage, she just needs fluids, forget about hindmilk/foremilk and concentrate on boosting your supply. 3 hours from the start of a feed, not the end (I didn't realise that - I thought it was intervals of 3 hours!). Don't feed her for longer than 30-40 mins altogether or she'll get tired. Express (by hand or by pump) and top her up with 20-30mls after every feed using a syringe. There doesn't seem to be any issue with your supply and she's feeding well. She is quite jaundiced...I might pop back tomorrow with the bilimeter...she's alert, though. Hmm, now she's sleepy (20 minutes later!)
Aaaaaaaaaaaaaaaaaaargh! Is it too much to ask to be given the same bloody advice from the HCPs? Oh sh*t, it's 11.50 and I have to go try to wake her up.