We came home today. Have been in midwife led unit since Sunday. Has been great in many ways, as was the only person in there until yesterday. They have been very supportive over feeding issues - tongue tie does look to be a problem, so like Zigwig (I think?) he latches, sucks a few times, and falls asleep or screams for food (without ever feeding properly). We decided quite early to use formula to top up, but have been syringing or (now amounts are a little bigger) using a cup to try and retain the option of breastfeeding in future, which I hope may improve once the tongue tie dealt with (we are still waiting for the referral).
However, last night was awful. The unit went from just me to full plus a woman in labour. That meant the midwife and maternity assistant on duty were really busy. We'd had the good news that MiniPud only lost 6% on day 3 weigh in, and my milk was thinking about doing something, so we decided to try doing more breastfeeding and less formula dropping the 3 hourly regimen for something more demand led. And miniPud decided to spend the night demanding but doing nothing about it (would fall asleep as soon as latched, but then wouldn't settle except being held, just screamed the place down), so I got no sleep at all. Eventually, I decided I wanted to top him up with formula, but was feeling very out of control and disempowered as had to ring bell for help and to ask for formula etc... hormones were everywhere, but was feeling guilty about other people in the unit, guilty about needing so much time from the staff etc when they were busy, on top of guilt about the formula anyway, and decided that we had to come home. Needed to make our own decisions, even if they are bad ones? Also, needed to have DH to help, as he is as invested in making it work as I am, rather than all the lovely professionals who all have slightly different advice.
So we are mixed feeding. I have been discharged with a pump as a medical need, and am expressing alternate sides, offering the other at the start of feeds, then topping him up by whatever is required to a set total. So today each feed should be 35ml, so if I expressed 20, he would have 15ml formula. As one boob is on strike, this has meant some feeds are 35ml formula (need to work out what's going on there) while others are more balanced. Hope milk will come in soon, although they are looking at putting me on Dom Peridon (sp?) which can help boost supply apparently - hope to hear tomorrow from bf unit at hospital on that one. Here's to our first night...