I've been following the discussion about the mother nursing triplets.
Since she is putting babies to breast and one or more of them is more
efficient at milk transfer, the following strategy may help when she is
breastfeeding. She should nurse two at a time, starting the "good"
nurser/latcher on the breast that typically lets down quicker and has
better milk production.  Then, work on getting the "not so good" nurser
latched onto the other breast.  Usually, the good nurser has gotten an MER
and the other baby can simply latch and start swallowing.  Then, after a
few minutes into the feed, switch the babies.  This way, "good nurser"
continues the stimulation on the other breast while "not so good nurser"
gets the benefit of the more productive breast. I used this technique with
my own twins.  Basically, one baby "fed" the other one because she was
such a good nurser.  I have never worked with a mother of triplets who
actually tried to exclusively breastfeed, but here's what I would suggest.
Baby number three then goes first to the more productive breast, and
finishes off with the other breast.  Of course, until all babies are "good
nursers", she'd have to pump both breasts afterward to ensure complete
drainage of breasts.

Terri Lear, BA,IBCLC
Breastfeeding Solutions, LLC
Alexandria, VA

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