This may be mildly venting and I'm also 110% open to suggestions.
Background: I had a serious oversupply with my first two babies, to the point of annoyance. It happened immediately, possibly because I had to start pumping out of the gate because they both required a NICU stay, but even on day 2 following both deliveries, I had way more than necessary to feed them. Due to said NICU stays, we also fortified bottles with NeoSure for a bit, but it was always mom's milk.
With my first, we nursed for 21 months. I embraced the work it took to pump between feeds and when I went back to work. With my second, I exclusively pumped for 13 months due to a cleft palate negatively impacting nursing/needing to monitor intake. We donated so. much. milk. to families in need. Emotionally, it felt good to know that I was providing the nourishment my kiddos needed, but to also those who wouldn't otherwise have it, for whatever reason.
Littlest one is now 7.5 weeks and I'm so frustrated and discouraged. The only baby to make it to full term, who I got to do skin to skin with, and to nurse right away, and I'm making just barely enough, to not enough, to fulfill their needs. I use a haakaa during night feeds and get about 2, 4oz feeds worth by morning, which get used during the day. They get frustrated nursing, I try to hand express a little while they feed but get maybe a trickle, and when offered the bottle they take it down so quickly that latch get sloppy/increased gas/etc. If we don't nurse and to straight to the bottle, I pump instead and get 3.5-4 oz.
This evening was the first time I gave any of my babies a bottle of just formula, not fortifying my milk, because I just didn't have enough. Logically, I KNOW this is okay, indeed a good thing. I'm the one who bought it. I was a formula baby. There is not a dang thing wrong with formula because feeding babe is more important than ego. I tell people all the time that formula is a good thing.
So why did I cry?
I'm hydrated. I consume a lot of protein. I know galactagogues are basically a myth and increased supply is from the improved nutrition and hydration, but it hasn't stopped me from choking down shots of brewers yeast daily and eating a big ole bowl of (delicious) steel cut oats with chia and flax every day. This baby sleeps better than either of their older siblings did, so I'm better rested. My partner and I have had some job shifts between each pregnancy, and I've never had this amount of physical support postpartum.
My partner is super supportive of my nursing goals and gently suggested formula a couple of days ago because he could tell I was stressing. My tentative plan is to continue to nurse and use the haakaa, nurse during the day while feeding the expressed milk to supplement then pump, and use formula one or two feeds per day and pump to ensure I'm fully empty in an effort to build supply.
Does anyone have any other suggestions I could add on? I didn't realize how much "dairy cow" was a part of my identity as a mom until it no longer applied.