Dear Judy,

This sounds hard on the mom. As a mom of twins I would highly recommend
pacifiers after good feeds - I realize this is a contraversial subject but
when you have fussy twins in the middle of the night who have full
bellies, using pacifiers is better than being led to unecessarily
supplement with formula. If they are fussy due to anything else but
hunger, I would suggest trying out the paci's and see if the babies seem
content. Ofcourse I do not suggest they be used in place of feedings, but
as a sanity-savor for a mother who not only has twins to care for but 3
other children, and herself.

One other thought was to suggest breast compression during feeds, and to
have the babies each weight before and after a feeding to indentify if the
problem is sufficient intake. I would think judging from what so many wise
LN's have said here before is that if one of the twins is having sucking
problems (missing muscle) then it would be a good possibility that mom's
supply is not being optimally stimulated. Maybe a handpump in bed might be
a small assistance with this? How is the weaker sucking baby on the finger?

Best of luck,

Megan

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