DS was born by EMCS and was showing signs of infection. So in the recovery room the MW gave us about 10 minutes to attempt to latch (the first time I got to hold my DS), then helped hand-express into a syringe, gave DS that, took him away to have cannula inserted, instructing me to meanwhile keep hand-expressing into syringe. She 'threatened' that if we didn't get at least 3ml out by the time he was back, he would have to have formula. I couldn't do it by myself. Luckily my mum was there and helped. Until they turned the lights off - mum couldn't see enough anymore...
Later on, bf was going well... . We had to stay at hospital in transitional care for 10 days due to the ABs he was getting. On day 4 DS stopped feeding. I asked for help. Lots of times. Every time, a MW or nursery nurse came, said 'let me see your latch', then left because it was fine. No help with the fact that DS came off or fell asleep within 30 seconds of them leaving. Or in the other cases, when DS didn't go on at all - just screamed with hunger - did the baby-to-boob-shoving thing, then left, despite me repeatedly telling them he was not on properly, was not suckling, was about to fall asleep. I saw about 10 different people and everybody thought I was probably doing it wrong wrt the latch, everybody showed me 'how to do it' before realising that I was doing it ok, and once they saw the latch was ok, nobody considered that there might be another problem going on.With the result that by day 6, he had to be tube fed as he was starting to be severly dehydrated.
Got lots of help with expressing, and a fabulous nursery nurse 'tricked' the paeds into removing the tube and letting us attempt bf again after 48 hours. Though found it difficult how the MWs/NNs and paeds didn't work together. Paeds said 'must tube-feed x amount 8 times/day, absolutely must, serious risks if not' and MW decides in the middle of the night that less will be ok too. Me, confused and unconfident as a result.
After going home at 10 days, MW came to see us once, then discharged to HV. MW and HV both assumed as we had been in hospital for so long, we knew what to do. And we did, in a sense, latch was alright and all, but DS was still not well, still on ABs, and too tired to feed enough, so my supply dwindled and nobody realised anything. Nobody had told us to look out for this either. I assumed that as he was feeding for a while, then falling asleep, things were ok. HV observed feed once, and left saying everything ok, when she came back - we had meanwhile been in A&E because of renewed weight loss - she mentioned she 'had been worried but didn't want to say anything' ...
At A&E the verdict was simple - you don't have enough milk, you need to give him formula. Nobody mentioned that there are ways to increase supply...
So we were expressing, putting to breast, and topping up - lots of - EBM by bottle. HV kept going on about how we could impossibly keep that up, didn't we want to give ourselves a break, there was nothing wrong with giving formula.
We went to see the hospitals lactation consultant. It was fab, she took lots of time, showed us how to increase supply, how to encourage DS to take more from the breast, encouraged us to keep going without exerting pressure. Gave us her private phone number for in case we needed out-of-hours help. Thanks to her, we got back to EBF and are still going (DS 10 months now).
It really upsets me that this fabulous, helpful person was available a few doors down while we were in hospital, and no-one ever suggested we see her - despite the huge problems we were having. Everybody seemed to think they knew best. Even when DS was clearly ill from not having enough milk, nobody believed me when I said that despite the latch being good, he was not feeding, and nobody thought that seeing an expert might be a good idea. And I didn't find out about her until much later...
Sorry for length.