In a message dated 1/25/04 2:02:23 PM Eastern Standard Time, [log in to unmask]
writes:
2. Protect the milk supply.
What happens on Day 2 is critical to weight loss and to when and to what
extent the milk "comes in".  (refs cited below.)  If you are managing a
pre-term infant younger than 38 weeks, anticipate that breastfeeding won't
become robust until the baby nears term. Let parents know this.  They get
scared thinking baby will always be this hard to breastfeed.

Although I totally agree with what Barbara said, I'd not raise hopes that all
will suddenly be hunky-dorey at 38-40 weeks. Pad the time-table a little.
Birth at 34-37 weeks is common with twins and, in my experience, the babies
(and/or sometimes mothers) needs a bit more time than full-term due date to make
the turnaround. Not only are we all familiar with full termers that need days to
weeks to "get it," perhaps some of these "almost cooked" little ones have to
work through whatever sent them out too early or make up for some of the
interventions they were exposed to initially. For whatever reason, they sometimes
need more time than term date. However, that letting them know baby/babies
won't always be this hard to breastfeed can't be reinforced too often during the
"eternity" of early postpartum.

KKG

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