I really agree with Laurie's post!  I think this mom needs to be reassured
that it is very common for women to have reduced milk supplies after
reduction surgery, and that for her to be providing half for two babies is
really very good, and plenty to give her babies tremendous benefits.  I
would also suggest that, if she hangs in there, is is very likely that she
will be able to stop supplementing at some some point, if not while they are
still totally dependant on milk and formula, sometime after they are taking
other foods and liquids.

I haven't read everything about this case, so I don't know for sure if she
is using a supplementer but, if not, I would suggest the Lact-Aid.  Besides
the fact that it is generally preferable to the SNS, for women who need to
supplement on a regular basis over time, two Lact-Aids can be worn at once,
for nursing the babies together.  I did this with my last two babies;
Joanna, because she needed it when she was tiny and Joseph, who really
didn't need it at 21 months, when Joanna was adopted, but was never willing
to nurse without it.  While the SNS, with its two tubes, make seem the
obvious choice for nursing two, there are a couple reasons why it is
somewhat limited.  For one, if both tubes are being used at the same time, a
vacuum will result, inside the bottle, and the suction on one side will have
to be released, to let air rush in, periodically.  An older baby can learn
to do this, as will a baby drinking a bottle that is not properly vented,
but it is difficult for a newborn.  Also, when the baby breaks the suction
with the tube still in his mouth, milk and saliva from the mouth will be
sucked into it, which the other baby will ingest some of, too, which may not
be the end of the world, but probably best avoided if possible.

Maybe someone has already suggested this, but there is an excellent website,
and a new book, on BFAR.  www.bfar.org

Best wishes to this mom, whom I hope will be able to get past the
frustration and concentrate on the joys of nursing, supplemented or not!

Darillyn

BFAR.org



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