I am wondering if any of you can give me any pointers on what specifically to watch for with twins breastfeeding in the early days. I don't have a lot of experience with breastfed twins, as I don't provide obstetric care for multiple pregnancies, and I haven't had a lot of twins in my practice. I have a patient who gave birth to twins this am, at 36 weeks, after induction for pre-eclampsia. Mom breastfed her two older children for most of the first year. The twins were discordant, weight 6 lbs 5 oz, and 4 lbs 10 oz. They appear healthy and vigorous so far. The littler one, in fact is very alert and a nice aggressive eater right from the start. The bigger one had several very good feedings today, and a couple of very sleepy ones. I was present for delivery, and both babies went ot breast in the first hour. Mom has put each baby to breast at least every 2 hours today, and is feeling pretty confident so far. For now, mom is nursing each one on one side per feeding, and alternating breasts each feeding. Due to being pretty tired and feeling like she doesn't quite have enough hands, she has not tried to nurse them together yet. They are just about 18 hours old. Aside from the obvious concerns about prematurity, small for gestational age issues, what things do I need to watch for in the early days? Mom is also receiving magnesium sulfate for 24 hours after delivery due to pre-eclampsia, but is not receiving any other meds except for ibuprofen for uterine cramping. She plans to room-in and Dad is available around the clock also. Mom is very dedicated and very excited about these twins. Our IBCLC will see her tomorrow also, but I was just wondering if there are any other things I should be watching for. Jennifer Tieman Family Physician Mom to 3, and new baby #4 expected 5/31/03 *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html