Well, it's been quite a week but we seem to be winning a little ground, albeit with some set-backs along the way. Pob hasn't had any formula since 530am yesterday. That is a big win. Supply is up due to some combination of pumping as often as I can and the drugs. It makes me wish a little that I'd waited to take the domperidone until we saw how much my supply increased without it. But I just keep telling myself there's no reason it will do her any harm, and the bonus of breastmilk is worth it. In a few weeks if things keep going ok, I might try decreasing the domperidone dose, just to see. Not sure we'll get through another 36 hours without some use of formula as my supply is lower later in the day, but I'm trying to celebrate these small wins.
The screaming and kicking every time she goes near the breast has also pretty much ceased, due to starting to use nipple shields. I kept looking at her rooting around at the breast, pushing and pulling at it, burrowing her head this way and that, and it just looked like she didn't know how to get a purchase on it. So thanks to you and various real life friends, we decided to give the nipple shields a try. She will now latch on just fine with minimal fussing with the shields, and on the left breast she'll often latch on without. For some reason trying them seemed less of a concession than trying the supplemental nursing system. Our lactation consultant still thinks it would be a good idea, but I'm just not there yet.
Today was another milestone in that for the first time since day 2 or so she settled after a feed without a top up. Just once. Let's hope tomorrow it might even be twice. She's started to feed a bit more frequently - every 3 hours so far today, so rather than trying to pump in between feeds as well, I'm just pumping after each feed. That will still get me to 8 pumps today which I think should be ok.
Pob seems pretty unscarred by all of the drama. She is very alert after some feeds now (thankfully not at night, mostly) and looks very hard at the world around her, often with a puzzled look on her face as if she is contemplating the mysteries of the universe. She sleeps well, we have been thanking our lucky stars for that. She loathes nappy changes or having her clothes taken off or being put on, and howls the place down as we try to talk her through the torture with minimal fuss. She loves being in the bath with me and calms right down as she enters the water - although of course getting out of the water is a cause for much more screaming. When she gets really upset her chin trembles and her eyelashes get wet. Thank goodness she's no longer doing that just because I offer her the boob. She remains, of course, utterly beautiful. We are counting all our lucky stars.