M.,
I hope this advice will be helpful for you. I don't know if I am the best person to take it from- I can tell you some of the downsides of breastfeeding not working out.
My daughter was delivered 6 weeks early. Then the flange they gave me in the hosp was too small. My little was was in the NICU for 5 days. She didn't take well to breastfeeding for 2 weeks (also they NPOed her for 14 hours!!!)
I rented the hosp pump. For me that was the best choice. overall I had low milk production & I was dead set on breastfeeding for at least 6 months. Besides the factors mentioned earlier I was in a car accident 3 weeks after delivery (baby not with me, lucky to be in a large vehicle otherwise I would have been dead). Also part of the low milk production was probably genetic plus stress.
I tried Malta, pumping every 3 hours, fenugreek & some other herb, eating fennel, & took metaclopramide, which was the only thing that increase the production but caused anxiety & by 8-10 post delivery I had post-partum depression. Something I never thought would happen to me. I had no idea my mom had it until AFTER I developed. The only thing I didn't try was acupuncture. So here are the main points.
1. start off with a hosp pump, if you buy one & it doesn't work out you can't return it.
2. try to stock pile milk when possible- incase you get sick and go on meds, post partum depression, so you can take a day away whatever.
3. Use the service of the lactactation nurses while you are in the hospital (if that is where you deliver).
4. Join or go to a couple of La Leche meetings. They have good books you can purchase as well.
5. Try not to beat yourself up if you can't nurse like you want- even if you do 50/50 breast milk & formula- every bit of breast milk is beneficial for babies.
6. IF you have to go to formula- go with powder straight away- pre mixed looks different but tastes the same. Pre mixed is highly perishable & you will literally be throughing money away. USE coupons.