Weight gain problems

Bonnesetter27

DD is 9 weeks old. We have had a bumpy bfing journey. I started bfing DD was 8.5 and by discharge from the hospital she was dehydrated so we supplemented. She had abad latch which I was told was because she had a posterior tongue tie. By 2 weeks I had cut out supplements but she was down to 7.5, so we supplemented until 1 month. Then she was 8.16. I was pumping and giving her everything she needed. I would occasionally use a nipple shield and breast supplementer to feed her but her latch was so bad that my nipple was still looking like a lip stick tube even with a shield. Now I pump way more than she needs (40ish oz) but she will only take about 3 oz. so about 22 oz a day. Today she weighed 10.5 so she isn't gaining quite as much as she should. Pedi convinced me to make the 4 hour drive to get the tongue tie fixed next week. She also said to take a tsp of formula and add it to the 3 oz bottle to add calories. Could it be that my milk isn't high enough in calories for her? Do you think 22 oz a day isn't enough? (pedi said that was a fine amount) So hopefully starting next week I will be bfing not eping and I am worried that if my milk isn't fatty enough for her that we will continue to not gain enough.

Bonnesetter27

Well I am EPing right now so it isn't a transfer issue unless she can't transfer from a bottle. I usually freeze what I pump during the day and keep what I pump overnight in the fridge to feed her the next day. Overnight I am more engorged and I just read on Kellymom that when your breasts are full there is actually less fat in the milk so maybe I will keep the stuff from the day to feed her. I am not actually nursing right now so my supply is good @mrssqueegy as are my nipples. I am worried about after I get the tongue tie fixed that perhaps my nipples will be sore again but I know my supply will dip because she will remove less and I am ok with that if I can bf. I will check out that group though.

Bonnesetter27

@theresat858 She gained 1 pound and 5 ounces in 5 weeks so just over 4 ounces a week. I was shocked at first but the more I research I see it is just on the low end.  I am concerned but I can't make her drink more. She is happy and meeting milestones so I know she isn't unhealthy. I am going to keep adding the formula to BM until the tongue tie is fixed next week, then I hope to bf so I wouldn't be able to anyway.
Thanks ladies for your advice.

opheliainwaders

See if you can schedule an appointment with an IBCLC for the day after the tongue tie fix - if baby has been drinking bottles for the past couple of months, you guys may need a little help getting a good latch, just because it'll require he to change the way she sucks. GL!

Bonnesetter27

@ophellainwaders- I am thinking this might be a good idea. I have a at breast supplementor but it is still hard to get her to latch.