I'm most of the way through a long post about how the infection is back (short version: still bleeding, increasing pain, now running low-grade fever, seeing useless doctor on Friday), but I found something else to worry about instead.
Andrew hasn't pooped since Sunday, and I've noticed he hasn't been having a lot of wet diapers either the last few days. I've also been thinking he's looking a little thin the last couple weeks -- his 3-6 month size Christmas outfit was enormous on him. This morning, it finally occurred to me to stand on the scale with him to see how much he weighs.
Eleven pounds. My three-and-a-half-month-old weighs eleven pounds.
He weighed twelve pounds at his two-month checkup, an appropriate weight gain from the 8 lb 4 oz he weighed at two weeks. So not only has he failed to gain any weight in two months, he's lost some. I know scales vary, so we might be off by a pound or so, but it's quite clear that something is amiss.
He's nursing about every two hours during the day, from waking up at 7 to going to bed at 9, but the girls did that too when they started sleeping through the night and had to cram 6-8 feedings into the day. He nurses 6-7 times total, for five to ten minutes, and usually seems content when he's done, although occasionally I have to nurse him on the other side (I usually do one side and swap at each feeding). I nurse him on demand, he latches well, gulps milk, and nurses until he's done. I exclusively nursed twins for a year, so it's not like I have intrinsically low supply or don't understand the mechanics.
I'm suspicious it's a milk supply problem caused by the surgery and the returning infection and the bleeding. I've got to be anemic at this point -- I had barely made it up to the bottom of the normal range pre-surgery, and I've been bleeding for two weeks now. I've also been on naproxen for a while, and given the amount of bruising I've got going on, I suspect my liver is unhappy too. Put that together with the infection and the fever, and it can't be good. I don't *feel* good, so it's really not all that shocking, I suppose.
I'm seeing the doctor tomorrow, and I know she'll do a CBC to check for infection, so I'll see what that has to say. I'm planning on taking Andrew to his pediatrician for a weight check immediately afterward, and after that, I may call the breastfeeding clinic to get the opinion of the LC there.
When midnight struck last night, I told my husband that I hope 2009 is a healthier year for us all, but this is not a promising start.