Weight gain

Little Miss C is still in the NICU. Don't know when we will be moved to the 4th floor or "General Population" as I like to call it. All this depends on availability both at the NICU and the 4th floor. So for now we just take one day at a time knowing that we may have to move later that day.
For now we are still learning how to feed but I must say we are making progress. Yesterday she bottled most of her meals. She doesn't always have her whole feed by bottle and she has to be topped up by feeding tube but this is a drastic improvement. The nurses say the light has gone on. She generally wakes up for feeds now. This morning I bottled her 52 cc which meant she only needed 8 cc by feeding tube. Trust me this is great.

But now for the issue. Ceilidh hasn't put on any weight. She hasn't lost weight either but at this point she needs to be putting on weight. The dietitian has a detailed count of calories consumed and she is getting enough but no substantial weight gain. So the plan for the day is to breast feed her ad lib meaning however much she will take and then bottle her the rest, and if she doesn't finish that to feed her with feeding tube. Did you follow that process. The easy step would be to fortify the milk, however, she is on breast milk and the goal is to get her to consume it by breast which you can't fortify milk if it is given by breast. If she only bottles that is a different story. So today's plan is breast, then bottle, then maybe feeding tube. If this works we continue this route, if not we up her feed but then the problem with that is will her tummy handle it. 

I think I will focus on her just getting the food in. And speaking of food I now have to go feed Miss C. No rest for the wicked.