In a message dated 00-01-01 10:19:29 EST, you write:

<< Just for those who may never have handled a fit problem before, my protocol
involves generous feeding of the babies however parents desire.  In this
case, with twins, the parents opted for bottles. These twins are to spend a
lot of skin-to-skin time with mom cuddling and nuzzling to keep rule 3
happening.  As babies grow, they should transition nicely.  Mom has been
given lots of positive suggestion about how "none of this is a big deal so
long as you keep pumping like crazy, along with some manual expression."  >>

May I add that in all cases I think the "as parents desire" approach is best,
but the glitches in any approach are magnified when multiples are involved.
(This approach is promoted in ch. 13 of the Mothering Multiples 1999
revision, although alternatives are not covered in detail.) However, I'd
highly recommend finding out who is available to help with any alternative
feeds that don't include an "at breast" component.

If the mom is the one responsible for handling all or most alternative feeds
for one or more newborn multiples, plus pumping, plus getting in extra skin
contact with any that aren't breastfeeding, even if the other(s) can
breastfeed, it often means that something is going to go before too long into
the plan. Since rule # 1 is "feed the baby," rule # 2 "move the milk" and/or
rule # 3 "keep each breastfeeding couple intact" often are compromised.
Having someone relieve Mom of alternative feeds, so she can concentrate on
pumping and the skin contact can make a HUGE difference to a  mother of
multiples. (And it works if the infant is a singleton too!)

Karen G.

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