He asked me to switch to pumping so that I can add cereal to her bottles to thicken them (so that they'll stay down better), and to start waking her every 3-4 hours at night to feed her. UGH. She usually sleeps at least 10 hours straight at night.
He sent us to the hospital to get bloodwork done, which thankfully turned out mostly normal. He also called the GI specialist to get us in right away, and warned me that they might ask me to wean her completely to put her on a very expensive hypoallergenic formula (UGH). He suspected that there might be something wrong in addition to her reflux (UGH UGH UGH).
Honestly, hearing him say "wean her completely" was like a punch to the gut. I hadn't realized how attached I'd gotten to nursing her, now that it's become so easy for us. (In fact, I cried in front of him after he said it. UGH.) The feeling reminded me vaguely of her birth day, when I went to the NICU and the nurses told me I couldn't hold her.
So today we visited the GI, after many frustrating hours of trying to pump enough to feed her while she howled in her bouncy seat, and trying to bottlefeed her while she swatted the bottle aside and lunged at my boob for a mouthful of shirt. The doctor and nutritionist thought it was just severe reflux, but recommended we put formula powder and cereal in my breastmilk to increase its caloric value and keep waking her to feed, at least until she reaches a more normal weight.
Side note: by "we", I mean "me", because Tyler is gone yet again on a dinosaur job. He always happens to be gone when Caroline's reflux blows up in my face. Sigh. I don't know which one of them is planning this. Maybe they are conspiring against me.
Anyway. I am relieved that nothing other than the reflux is probably wrong. But I am sad about two things:
- Losing my full night of sleep. I'm worried that even once she gets up to a good weight, she will still want to wake several times a night to eat.
- I will definitely have to supplement with formula, because there's no way I can pump enough for her to eat 4 oz every 3 hours around the clock.
And, I just don't want to give her formula. I hope that's not offensive to those who formula-feed. But I made that decision early on and stuck to it through a whole lot of obstacles, and I really believe in the benefits of breastfeeding, especially for a preemie who is disadvantaged from the start. I was so excited the night I finally pumped enough to replace all of her formula that I went back to bed after feeding her and couldn't sleep.
So, life isn't fair. We all know that. I don't want to give her formula, but then again I didn't want her to be born prematurely, and I didn't want her to spend weeks in the NICU, and if you want to be really technical and cruel about it, I didn't initially want to have a baby at all. Things just happen and it's not always fair, and you just have to get over the parts you don't like as best you can.
So that's the latest. If anyone has tips on how to increase milk supply aside from the obvious fenugreek, lots of water, and frequent pumping, please post in comments below.