Sorry, this is a bit of an essay.

DD was born at 38+1 by scheduled CS at the end of April. She was latching on really well in recovery and taking colostrum well.

My milk hadn't come in by the time we left hospital and due to jaundice I was sent home with strict instructions to wake her to feed every three hours, then top her up with EBM, give her formula and then express. I'm not sure which of us was more miserable in the week between discharge and our first office visit to the MCHN. It's definitely not a great way to recover from a CS.

My milk didn't really start coming in until she was nearly 2 weeks old, and supply has never been huge. I wake up most mornings with a leak on both sides but I've never really felt full or desperately uncomfortable and needing to feed. I've never felt a let down either. Feedback from 3 MCHN's and Mum (a retired midwife) is that our technique is good. My MCHN suspects I have tubular breasts.

So far:
-We've been consistently switch feeding
-I've been expressing as much as I can, but have never got more than 10 mls from both sides after a feed
-Lots of skin on skin cuddles in bed and in the shower
-Lactation cookies
-I've just started on motillium to see if that helps
-Always offering the breast first
-I've called the ABA hotline and now have the details for my local support group

On a good day, we'll only top up with 200 mls formula through the day. A bad day 500 mls. Bad days tend to be the days she savagely objects to day sleeps.

At 12 weeks, DD had gained 2.1 kgs from birth, and is sitting in the 75th percentile for height and 50th for weight. Now at 14 weeks, she's a mostly happy, switched on girl who is doing 5 - 6 wet nappies a day and pooing every couple of days.

Any suggestions on what else I can do to get rid of the last bits of formula and keep DD happy, satisfied and well nourished?

Thanks