Hi - I've just started working w/a mom of 2 week old twins who has a big
milk supply problem!!!!  She now has a double electric pump and 1 baby
who will latch-on and does transfer milk, but one who is very tiny who
has oral orifice insufficiency and can't latch. My thought was to feed
one twin exclusively at the breast and simultaneously pump the other
breast, then feed EBM plus added formula if needed to the smaller twin.
The pediatrician reccommended to the mom that she not breast feed one
and bottle/alternatively feed the second twin, even short term, that
they should be eating the same way - ie both breast or both bottle????
anyway....the mom also felt that she didn't have time to pump that
frequently and then feed the babies too.
My question:  how often and for how long should she double pump if she
is getting no nipple stimulation from the babies, in order to bring in
enough milk for the twins?  Is it the same as for singletons and her
body just knows that there are 2??????  thanks!  janna,cpnp, ibclc in w.
htfd. CT

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