Combifeeding - screaming after 45 mins on breasts, but not on bottle

[Layladylay234]

Intended to combi feedmy now 4 day old for a few months as this worked really well with my son. She's been breastfed about 5 times today and the last time, she was on for 45 mins, I changed breast after 20 mins. I then started to get sore (her latch can be a bit on/off) so gave her to my partner - she had about 60 mls of formula and expressed and is now sleeping contently and not screaming.

Is she not getting enough out of my breasts? I don't mind topping her up with formula but if it's after every feed, and she's having to take 60 mls of formula/expressed, surely she can't be getting that much out of me?

Sorry, should also say that I had the Hakka pump on my other breast for 20 mins when she was feeding and got 30 mls - does that mean she should be getting 30mls out of my breast?

What you express has no relation to what baby gets out. I can’t express any but have an EBF baby!
It’s probably bottle preference as it is easier, boobs require more effort. Are you pace feeding with the bottle?
If you want to continue in part with BF I’d reduce bottle feeding and increase time on the breast.
It’s possible she has tongue tie but mumsnet is obsessed with that and actually it’s often that babies need practice.

She already goes on the breast first every time. She's on for at generally between 30 mins- 1 hour and it seems is still hungry as comes off crying more often than not. We burp her and she still cries. We give her a bottle to see if she's still hungry, and she stops crying

Have you had someone trained in breastfeeding support observe a feed? This can be done online at the moment. It sounds like your baby is struggling to transfer milk from your breast. It may be solvable with some help. You can call the national breastfeeding helpline to get some assistance and help with finding someone local to observe a full feed.

Thanks @zurala, Im hopefully going to do this tomorrow. I joined a LLL group today on fb and asked about a zoom meeting but got no response! Will try a few phone numbers tomorrow. My intial thoughts yesteday were her latch was off.

It’s totally normal at 4 days to be on the breast constantly, mine did 11 hours straight quite memorably in the first week. It’s boosting supply and comfort.
Expressing so early isn’t always a good idea. I’d keep her on you as much as she needs, they are all different and what worked with your first might not be right for this one yet.

That's fine,I don't mind her being on me constantly,but I can't do that if she's not latched on properly as it's too painful. My boobs were killing after the 45 mins today. When she latches on fine,it's all good. She was on me for an hour this morning and was fine. But this evening she screamed blue murder and it was hurting. So something wasn't right.