<< I need information so I can help a pregnant woman who has had stomach
reduction surgery. I think it's a gastric bypass she had. This woman was
adimant that she would breastfeed when she found out that she was pregnant.
Now, she has learned that she is having twins and that one of them has a
foot deformity that will require special attention. This woman is concerend
about a myriad of things as you can imagine. She is convinced that with
her small stomach (about the size of a golf ball) that she will not be able
to take in enough food and nurishment for herself and produce a full milk
supply for twins.>>

I've worked with a few BF moms post gastric bypass -- don't know for sure re: MOT and BF twins post bypass, but I'll ask on a multiples list I participate in. How long has it been since her surgery? How is she doing with the caloric intake needed/recommended for twin pregnancy (approx 3000-4000kcal/24 hr)? The 3000+ would be similar to caloric intake "inhaled" by women producing well for twins. 

I don't know why she's too concerned about milk-making at this point -- why worry about something that may not be an issue? She may want to focus more now on maternal intake and its research-based relationship on gestational length and infant birth weights. If she can carry twins to term or near term, BF should be a piece of cake (no pun intended). 

Karen Gromada

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