tough day. tougher for Dsis but she is staying positive. MW expected today but still not here...Dsis is very independent minded and doesn't like asking for help but she spoke with a BFC this morning who gave some good pointers (such as putting a drop of colostrum on babies top lip to get it to lip-smack).
no latch since yesterday. she is trying to express every 2-3 hours (mostly by hand, essentially the pump is there as a 'prop') baby is feeding colostrum dribbled over the boob also. i agree that expressing is not the best way, but i don't know what else to advise.
on the positive side: she can feel her milk ducts filling, baby is strong, her nipple is standing prouder. Baby is showing tongue-thrust, has been checked for tongue-tie, makes lip smacking noises. we got more than 5 ml out in one sitting, milk is turning yellow-cream. baby is still rooting, alert and demanding. baby will feed colostrum dribbled on boob with every sign of trying to feed.
concerns: my sister is in pain now from her stitches. feeding/ expressing/baby being close makes her tummy contract and makes it worse (though we have discussed this is a good thing) no latch since yesterday lunch, babies head looks slightly bruised which makes some positions hard. DSIS took some damage from her first feed though not on the nipple
i also had large, flat nipples and got through it all with help (pinching to create nipple as described above) and this we have impressed on DSIS - success is possible.
MW has now arrived. DSIS is being so strong, i feel like a failure as her support though am trying to keep that to myself, don't know how she is keeping going, but she is. :( i'm so proud of my big sister.