Here is my experience: I would not expect a rapid increase in supply, as I would for a biological mother. It could take weeks. I would be concerned due to prematurity, twins (more milk is needed for 2), and risk of jaundice. I agree, she can bf ad lib but this triad will need daily monitoring in my opinion. I would expect a lactation aid would be useful. Since mother does not wish to use formula, she may need to obtain some donor milk. Laurie Wheeler RN MN IBCLC Mississippi USA ----------------------------------------- Smart Medicine. Inspired Care. And the awards to prove it. Recognized as a Top 50 Healthcare Network. To learn about other recognition and awards Baptist has earned, visit: http://www.bmhcc.org/aboutus/awards/index.asp This message and any files transmitted with it may contain legally privileged, confidential, or proprietary information. If you are not the intended recipient of this message, you are not permitted to use, copy, or forward it, in whole or in part without the express consent of the sender. Please notify the sender of the error by reply email, disregard the foregoing messages, and delete it immediately. *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome