Hi everyone, sorry for disappearing... We went yesterday to the paed and tried to show him how DD reacts to the bottle - and guess what - after days of loudly refusing the bottle, she decided to have the milk. So problem is kind of solved, I now wait until she is quite hungry in the evening, and she realises the breasts are empty and then she takes her top-up formula. She used to take a top up at every feed before, but has now decided that little snacks of breastmilk are sufficient during the day, and I only need to top-up the evening.
Regarding weighting before & after feed - it is a last resort, and should only be done in extreme cases. However, if weighting over several days shows that supply is 450-500 ml daily, most probably the supply is not 800 ml. My experience is that the weighting showed suprisingly similar results at the different times of the day - first feed 150, second - 90, and falling to 40-50 ml in the evening. So, I am tempted to believe it. Of course, using an accurate scales is very important.
Regarding breastfeeding - there is a lot of information on how breasts are supposed to work, but it is not always the case. I really believed all the theory and tried hard to make it work for the first six weeks, yet it didn't work. Baby literally sucked for hours, we co-slept, I woke her up at night - all the things one is supposed to do, yet her weight was stable for 3 weeks, and then started falling and we were accepted in the hospital..
We are told that every woman can breastfeed but this is not always the case, some (small?) percentage of women cannot, but even mentioning that seems to be taboo. I am really tired of being told that I haven't tried hard enough, or I haven't checked for a tongue tie... So there is not enough information about the case of not having enough milk, and what to do, and how to top up, and how to do mixed feeding. Doctors seem scared of even suggesting that a woman might not have enough milk, and the woman is left to kind of figure it out on her own, and everyone is waiting for the baby's weight to start dropping. Or at least this is my experience. All the information out there is biased towards breastfeeding. And breast is best, but sometimes it doesn't work so well, and mums are not only left to feel like a failure, but not given much direction on how to do mixed feeding, or bottle feeding...
I just wanted to say - mixed feeding could be quite hard, it has all the negatives sides of breastfeeding (baby feeding often) and of bottle feeding (the total confusion of washing, sterilising, warming bottles). If someone is doing mixed feeding, most probably their milk is not enough. And probably they have tried hard enough to make breastfeeding work. And they really want to get some breastmilk into their baby, and make it last as long as possible. So suggesting that they might try to increase their breastmilk supply could sound quite patronising...