Aussie I'm a bit late catching up as I haven't checked in for a few days and got behind. Your situation is a bit similar to mine - in my case, Joanna regained her birth weight pretty quickly, but then subsequently lost a lot of weight rapidly at 4 weeks, dropping from above the 25th percentile to the 2nd. She was hospitalised overnight (although only so they could do tests to check that all of her digestive functions were working OK, which they were). Prognosis: top-up feeds. I asked the paediatricians working with her if they thought she has a tongue tie, because I had suspected one, and they said no without really checking her properly and were actually quite dismissive of me and my wanting to keep on exclusively breastfeeding - they seemed to think I was being a PITA and their attitude was very much 'well, whatever, she's not gaining weight, so give her formula and stop banging on about BF'.
I subsequently saw an NCT breastfeeding counsellor who thought she might have a tongue-tie and wrote me a referral email to a specialist tongue tie clinic. We waited 5 weeks for an appointment but it turned out she did have a posterior tongue tie and it was snipped - PM me if you'd like the details.
Since her hospitalisation at 4 weeks we've been BF at every feed then 'topping up' with formula, although the 'top up' has been almost all of the feed (up to 120ml each feed after BF). Since she's had the TT snipped, I am VERY GRADUALLY trying to tail off her formula intake to get her to increase her BM intake - so every 3 or 4 days I'm reducing her feeds by 10ml except for the last feed before bed when I let her take as much as she likes because I am lazy and I like sleep
. It seems to be going OK but by now my problem is as much increasing milk supply as anything. I'm taking Domperidome and Fenugreek (get doc to prescribe domperidome as otherwise it costs a fiver every couple of days!!). It's helping a bit, but I'm by no means back to exclusive breastfeeding. Overnight feeds she's generally satisfied with just BM and falls asleep without wanting top up. First feed or two of the day she takes less top-up than up I offer, but by the afternoon my milk seems to be running dry and she's back on full top-ups. Last feed of the day she'll often take 150mls on top of 30 mins breastfeeding. Sorry for the essay, but thought some comparison might help. I should be pumping more, and I hired a Medela symphony from the NCT but in all honesty a) I really struggle to find the time to pump, what with BF then FF at every feed already and b) I f hate it!
Lis really sorry to hear your bad news - what a rough few months
. On swim nappies - the classes we do require a disposable swim nappy underneath a Happy Nappy which has worked well - in 10 weeks I've never seen a single leak from a single baby.
Frak hope moving stress is worth it!
Dairy,Jo and other reflux-sufferers my heart goes out to you - it sounds awful. Hopefully not too much longer to go...