Oh, and next time I intend to take 9 months off work, so I won't be as keen to introduce mixed feeding as I was this time.
How could I have gone back to work with a 5 month old bottle refuser? I have no idea.
We'd have been utterly fucked.
9 months would be a massive difference as they are weaned by then (allergies and other shitness aside of course).
I'd probably try harder next time
. Not that I had to try - I actually found the act of feeding easy. Probably because of my profession.
What I didn't find easy was the constant feeding. If I had a baby who fed for 30-40 minutes, I could have done that. O's feeds were ridiculously long. We never knew when he cluster fed as he cluster fed 24/7!
It's down to the baby whether breastfeeding is successful IMO. You can be the most knowledgable experienced breastfeeder, but if the baby won't feed, there isn't much you can change about that. Yes you can keep trying, but that is it.
When O was born, he was little. He wouldn't latch on. I was supine
thanks to the forceps/epidural combo and I could not get myself sat up to feed (and as you probably remember we never actually managed feeding lying down). I knew I needed to get colostrum in to him to encourage feeding.
So, I hand expressed, in to a cup I bought in with me, and syringe fed him. I did this 3 times til he latched on. We managed a 10 minute feed. Then he fed for 10 minutes every hour. Til he slept for 5 hours. Then that was it, he cracked it, and started on his marathon feeds.
If I hadn't been a midwife, would I have done the above? No. Would he have had formula by the time I got him latched on? Quite probably.
He was cold - his temp was low, and he was very little for his gestation. I understood the need to get him feeding, and knew how to hand express and how to give it to him. I knew how often to do it, to keep offering the breast etc etc.
What makes me sad is - this could all be taught easily antenatally. Hand expression can be taught, the knowledge of how to get feeding off to a good start can so easily be taught too. Women need to know that it isn't bloody true that you should never wake a sleeping baby! That might be true later down the line, but not a fecking newborn who hasn't fed, or isn't feeding 8-10 times a day!
I spend a lot of my time at work trying to explain all of the above, and it makes the job so much harder when there is already a lack of time, and by the time I might see the woman and baby, they are hours old already. All this needs to start ASAP.
Anyway, I'm getting off my soapbox. I know what is wrong with things, but I'm not saying it publicly here...!