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Supplementing with formula: my story

Categories: Newborns, Babies, Pregnancy & Birth, Eating & Nutrition

"Bunny," my oldest daughter, was born two weeks early and we had a very rough start.  Not only was Bunny in the NICU for four days with oxygen saturation issues, but my milk was late coming in. I was given a hospital-grade pump within 24 hours and was told to pump every two hours to help stimulate milk production.  Once Bunny was given the okay from the NICU doctors, I could also nurse her in between pumpings. Was the experience "natural" and "intuitive"? No.

When we finally brought Bunny home, she had lost almost a pound since being born.  The pediatrician was concerned that exclusively nursing was not enough. We met with a lactation consultant who evaluated Bunny's nursing and we found out that in addition to my lack of milk, Bunny had a weak suck (not uncommon with preemies, which, technically, she was.)  With the LC's help, we "taught her" how to suck more efficiently, but in the meantime, drastic measures needed to be taken to get her weight up.

I was told to nurse, then supplement with a bottle of expressed breast milk.  This meant that I had to nurse and then once that was done, I had to pump to get enough milk for the next feeding.  This cycle continued around the clock.  We were instructed to feed Bunny every two hours, weighing her after each feeding to make sure she was eating enough. I drank countless cups of fenugreek tea, tried to eat and drink enough, tried to relax enough to express milk. Needless to say, this routine was exhausting and I quickly burned out.

The pumping was physically and mentally draining.  As a new mother, I felt inadequate for not being able to feed my daughter with just my own breasts. I was also so tired from the constant feeding, pumping, and supplementing that I could barely function. The hospital pump tugged and pulled at my nipples in an unnatural way and made them cracked and sore.  I grew to resent the pump for what it represented: failure.

I checked back in with the lactation consultant a couple of weeks later and told her how I was feeling. "If you're burning out and don't like pumping, then why not switch to formula," she said.  I was shocked.  A lactation consultant was telling me to use formula?  "Calories are calories," she explained, "and at this point, your baby needs all the calories she can get."  I've never been so relieved in my life. My whole outlook changed.

She sent me home with some samples and for the next month, I nursed my baby and supplemented with formula until her birthweight was up and she was out of the danger zone. We got rid of the pump and immediately my demeanor changed.  Just having the pump out of the house was a huge psychological win for me.  By the time Bunny was two months old, her suck had strengthened and she was nursing well.  We were able to stop formula all together and she was breastfed after that.  We ended up reintroducing formula when she was around nine months old so that I could have an occassional break from nursing. I continued nursing until Bunny self-weaned at about a year old.

Babies are different and my second daughter was born with an incredible (made-my-eyes-cross-it-was-so-strong) suck and would not take an occassional bottle despite our best efforts.  She was breastfed until she self-weaned at 15 months old.

I've always felt that formula had a place in the baby-feeding world. While I do believe that breastfeeding is the most beneficial way to feed a baby, it isn't always possible. And how a mother decides to feed her baby is her choice. If it weren't for formula, I might have slipped into a deep post-partum depression.  Being able to supplement with formula not only benefitted my baby, but my mental health as well.

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