Good for this mother of twins (MOT)! Glad one baby is getting the hang of BF
-- that's pretty darn good if still 7 weeks preterm! But please don't count
the other baby out - many preterm babies have gotten beyond an apparent
nipple "preference," (which I don't exactly agree is what is happening -
more likely it is more flow-rate response).

However, few babies 7 weeks preterm have the endurance to do a good job in
removing enough milk to really "tell" mom's breasts how much milk to make.
(This in turn affects mom's milk production.) I hope this MOT is manually
expressing and/or mechanically pumping at least 8x/24 hr. Many MOT find
mechanical expression with a good rental-type breast pump results in making
more milk sooner.

It's not clear what this MOT's underlying health condition might be.
Although some hormonal issues related to infertility may affect lactation,
others do not. Hormones associated with becoming and maintaining pregnancy
are not necessarily the ones associated with lactation. However, if milk is
not being removed often enough and thoroughly enough, low production will
occur!

Re: donated EBM -- you may try searching Eats on Feets and HM4HB and reading
their info.

All the best to this mother -- please tell her not to give up! Many MOT have
come from "behind" to nurse their multiples!

K



Date:    Sat, 14 May 2011 00:34:00 -0400
> From:    Maureen Fletcher <[log in to unmask]>
> Subject: Donated EBM for Preemie Twins
>
> Dear teachers,
>
> I was asked to visit a mom who had recently given birth to her twin babie=
> s 1 week ago. They were 8months premature. Mom had been trying for the pa=
> st 8 years to have a baby and they were conceived via IFV (hormonal issue=
> s at mom's end)
>
> They were delivered in our one and only private hospital (also known to b=
> e not baby friendly, especially the midwives) I was surprised to learn th=
> at babies were fed with a special preemie formula for the first 3 days an=
> d they did not ask mom to express her colostrum until about the 3rd day w=
> hen mom asked them shouldnt she be expressing to feed her babies? And the=
> ir reply was "Oh yeah, if you want to, you can express else they are doin=
> g just well on formula"
>
> Mom was adamant to breastfeed them and she did a couple of hand expressio=
> ns and pumped some milk out using a breastpump. The babies are being fed =
> every 2-3hours and so far Twin A is actively nursing (which makes it more=
>  easier for mom to bf) but Twin B has already developed a nipple preferen=
> ce as the midwives fed the formula using a bottle. It takes a little work=
> , with hand compressions while baby is at the breast, but eventually the =
> baby nurses. Mom is finding it quite tiresome and at times she is worried=
>  that her underlying health condition might not enable her to produce eno=
> ugh milk.
>
> Mom had asked if her babies could also be on donated EBM? Her friend, who=
>  has a 6 month old baby has an excess of 100+bags of EBM stored in packs =
> of 4oz. If there are no issues of a preemie taking EBM from a mother of a=
> n older baby, the mother would like to proceed with this.
>
> Is there any protocols on sharing of EBMs especially with preemies? We do=
>  not have any Milk Bank here and sharing of EBMs is only well accepted wi=
> thin members of the same family due to religious aspects, hence the lack =
> of info on this.
>
> Thank you in advance for your teachings.
>
> Warmest,
> Moe Fletcher,CLEC
>
>
>
>

-- 
Karen Gromada, author
Mothering Multiples: Breastfeeding and Caring for Twins or More
www.karengromada.com/

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