No worries Serendipity - sounds like a good recipe, always are when you just go with instinct or experience!
Well we went to the clinic today. Not sure what we achieved really.
My goal was to have a relaxed environment where we could just focus on feeding (no phone, no internet, no dogs, no kids, no interruptions!), which we had. First feed went ok. She settled for about 45 mins afterwards, but that was it for the day. Fed again and she was back to her old falling asleep on the breast, not taking enough routine. Tried a few different things to distract her, tried again 30 mins later, same again. She falls asleep then cries she hasn't had enough (I can distinguish between her hungry, sleepy and nappy change cries now). So we went for top ups, as she didn't even have a wet nappy. She was unsettled for the rest of the day and didnt sleep all day which is not like her - I think she was trying to catch up on her feeds so I ended up EBM feeding for the rest of the day and she finally fell asleep at 8.30pm.
I guess I will just try increasing her breast feeds each day. So now she gets her 4-5am feed as a full breastfeed. Some mornings she will do an 8-8.30am one really well, but other mornings wont settle or finish the feed. So I will try breastfeeding in the mornings and try and improve her there before pushing her in the afternoons. I am also putting her on after I express when she's awake so she can finish off for me and stimulate my supply.
I dont really know what else to try now...she's just not an efficient feeder. I'm thinking about a supply line, but I'm not sure if I can manage it.
Paed saw her and was fairly happy. She has had a reasonable weight gain despite having a cold last week. I took her off formula (we were doing half half for one week) when she got the cold so she could get as many antibodies as possible. I gave her a bottle of formula on Sat and she reacted to it - I thought it was just a coincidence, so gave her 24 hours before trying another one and same reaction. This is the prescription formula. So paed agrees to put her back on full breastmilk - which was what we were aiming for anyway. I have enough in the freezer to keep us going for a few weeks, but then I dont think my supply will keep up with her when that runs out, so we will address the formula issue again when we go back for the next review.
I had a good sleep yesterday - 9 hours overnight. I left it for DD to wake me up after she has been waking at 5 am everyday, but she didnt. So I didnt express which made me feel guilty, but I did catch up on a lot of sleep and I still feel better today and feel like I can do this for another week. So I guess the sleep in had its benefit for a once off.