Went to the ER---More to add later.--ETA
I had to take Charlotte into the ER today because she's not making diapers, is listless, and her cry is very weak. They told me that her bilirubin is up to 16.4 from 9.8 the other day. I've been trying to breastfeed her, but she's not very effective at nursing. I can't seem to hand express or pump, so Ive been using formula. She is refusing my finger and sometimes I have to use the breastfeeding bottles. I don't like doing this, but I need her to eat. I saw two drops of urine on two different diapers and she hasn't pooped since the other day (she is 4 days today). At the ER they asked me if I wanted to see an LC, cause I mentioned I was going to set up an appointment today and the lady came down, saw that my daughter was yellow and fed her a bottle with the wrong nipple. I told her I didn't want her to feed her from that bottle and to transfer it to my bottle at least. Then she handed me the formula and the nipples (after I told her I didn't want those nipples), and told me "we need to get her hydrated right now." I even told her I was using an sns either at the breast of via finger feedihttp://www.cafemom.com/group/325/forums/create_topic.php?forum_id=325&topic_id=16334056ng. I don't see how I give the supplement to her makes a difference in the sense that she's not getting any more or less any faster or slower. I also mentioned that I don't really know how to use it and she ignored that statement. I understand that it is hard for a LC to work with a listless baby, but you can at least discuss issues, ask the person to set up an appointment, or something similar. She walked into the room, talked to me for 2 minutes (I also told her that she's been refusing to feed---any type and her suck is getting weak), she took out a bottle, put the screw on lid on (I asked her to transfer the formula to one of my bottles), and bottle feed her. I even brought my sns. She could have said something like "how about we focus on getting her hydrated. why don't you use the sns and make sure you supplement her with each feeding."Something like that. Anyways, I have more to add, but I need to feed my daughter and it's getting difficult. She's refusing everything, breast, botlle, sns, finger feeding. Sorry if I'm all over the place. Good news is that I called an IBCLC and she is coming over to help tomorrow morning. Hopefully dd is awake by then.
The IBCLC came over today and showed me how to latch her on so that there is no pain and she is transferring milk. We also worked at expressing milk. I found it helpful to use the pump after the feed and I actually let down. I ordered a PISA from amazon and some soothies. I don't agree with everything she said, then again who agrees with everyone on everything, but she helped a lot more than the other people did. Also Charlotte is acting normally searching for the breast and is alert. Right now she is napping so I'm gonna go take one and set my alarm to feed her and express as well, so that I can know how much I'm giving her supplement wise. I'm at transitional milk, so I think that and learning the pump is why I only 8-9ml out . I will probably still need to do a little bit of formula, but less is still always good. :) So far , so good. I don't think I'm gonna be taking her back right yet. I'm going to increase her feeds and start a semi-schedule of feedings so that I don't forget if she needs to eat, although I plan on still doing "on demand" feedings with her. Oh, and we found that the cup and spoon work well, and she showed me how to use the syringe. The SNS is too intrusive for her, so that method won't work for us.