Starting Three Weeks

Today could be called poopy day. Hailey has had bowel movements after
every other feeding. The nurse practitioner wanted Hailey to have one
every eight hours. If she doesn’t she gets a little help, but Hailey
has been doing them all on her own. I timed things just right to be in
the waiting room while the changing was going on so Brianna had to
change a really dirty diaper. Brianna is catching up now, the score is
8 to 3, Dusty.

Elsey the milk cow has some medications now to help with
production. One is a nasal spray that is used to stop pre-term
contractions. A side effect of the nasal spray is increased milk
production, go figure. Increased milk will be beneficial now because
one of the nurses said Hailey is in the ‘feed and grow’ stage. Hailey
has plateaued on weight gain at about 1600 grams and they want to push
over the edge so she will continue to grow. If Hailey doesn’t start
gaining weight more rapidly they will begin introducing formula in
place of the additional “Donor Breast Milk” so they have more control
and consistency on the number of calories she receives with each
feeding. Right now they fortify Brianna’s breast milk to increase its
calories.

Hailey has started spitting up after feedings so they will begin using
a syringe pump to space her feedings over 1 hour. So she gets feed
every 3 hours, but it takes 1 hour to complete the feeding.