Starting today we are switching to day feedings only. This is the schedule the dietician from Gillette suggested: offer food 3 times a day (breakfast, lunch, dinner) and tube feed breastmilk afterwards adjusting the amount as needed depending on how much she ate. 0-25% of 200 calories: 10 oz, 25-50% of 200 calories: 5 oz, 75-100%: 0 oz. Also, tube feed her 7 oz in the early morning and late at night. If she snacks during the day, you can adjust those feedings as needed,
Ryan and I decided that 10 oz at once was a bit much. Plus she's still gaining weight rapidly. We are going to do 1 tbsp of coconut oil plus 5 oz breastmilk (1 tbsp of coconut oil has 120 calories which is about equal to 4 oz of breastmilk). For the late night/early morning feeds we'll probably do around 5 or 6 oz. We'll be monitoring her weight at home with the scale that Fairview Home Infusion (the company renting us the tube feeding supplies) gave us. I really think this is way more than a baby her age needs, so we'll see how she does.
Audrey's daily medications from top to bottom: multivitamin/mineral, periactin (anti-histamine that's used to increase appetite), prophylactic antibiotic, ditropan (used to prevent bladder spasms), prilosec for reflux, and children's motrin for post-op pain (we alternate with tylenol).
The other exciting news I have to share is that my order of domperidone finally arrived! Domperidone is a drug used for various GI disorders that has a side effect of increasing prolactin which increases milk production. I had been debating for awhile on whether or not to try domperidone, partly because of the cost (about $40 for a 2 week supply), but it's difficult to find enough donor milk and I know there are younger babies out there who need the donor milk more. I tried increasing my supply twice by using various galactagogues but was only able to increase by a few ounces a day. Hopefully the domperidone will work and I won't need to depend on donor milk anymore. Or better yet, she'll start eating more solids!