So sorry you had to have a blood transfusion. I think the days in the hospital are the hardest-constant interruptions, milk not in yet and dealing with recovery pains all on no/little sleep is really hard physically and emotionally draining as well. Big hugs mama, it will get better I promise.
Are you able to nurse side lying at all? Basically you lie on your side with the arm of the side you are lying on stretched out under your pillow or supporting your head and baby lies next to you latched on-helps to have a pillow to support your back and one between your legs. I know you aren't allowed to sleep in bed with the baby, but at least it is more restful than sitting up holding the baby (esp. if you are having a hard time holding him with the hep lock) and it was really helpful to me when dd2 was cluster feeding in the hospital (plus no one knew if I did doze off since I always woke up at the drop of a hat and acted like I was wide awake whenever the nurse came in)
Agree with the others that if nursery is an option, take advantage for a couple hours-you have been through a lot physically and the sleep would do wonders. If there isnt a nursery can DH or a family member sit in the room and try to keep baby happy/quiet by holding/rocking him for a while so you can sleep?
congratulations! sorry to hear about the tear. Ouch! I hope it heals quickly. I had a 3rd degree with my first and I can't imagine how awful a 4th degree must be.
:bighug: I'm sorry to hear you are having a rough time. :( I hope you can get some stretches of much needed rest and things start to get better.
Congratulations!!! WTTW Henry!