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Subject:
From:
Robin/Joan MacNeil <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 12 Apr 2003 18:25:44 -0300
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One thing to be aware of with this style of nursing is a difference in
eye development - this can be prevented by changing positions (i.e.
football/clutch vs. cradle hold), which will allow each eye to be the
one 'out'.

Joan MacNeil, RN, BScN, IBCLC, PNC(c)
Halifax NS
(also mother of twins fed by this method)

-----Original Message-----
From: Christina M. Smillie, MD, FAAP, IBCLC [mailto:[log in to unmask]]
Sent: 12-Apr-03 03:55
Subject: Re: Twins of different sizes


Jennifer, one suggestion:
Because these twins are discordant and of quite different sizes, I'd
suggest "assigning" each baby to their "own" breast--: Right now, while
one twin is a more vigorous feeder, and we are still in colostrum phase,
it is fine to be alternating twins at alternate breasts, to be sure that
more vigorous twin helps get things started well on both sides. However,
very soon, because they are of different sizes, they will have different
appetites and needs. If you keep alternating breasts, the little twin
may end up doing a lot of foremilk feeding, because the bigger baby may
push up the general rate of production too high. Alternatively, the
smaller baby may have a more rapid growth rate and actually need to feed
more than the bigger baby. When each has their own breast, each baby is
able to regulate production precisely to their own appetite and thirst.
Neither you nor the mother needs to micromanage and think about skim
milk and cream, volumes, etc., you just give each baby a breast, and,
once feeding is established, they take care of the rest.  This is not to
say mom has to be incredibly rigid about this, each can nurse on the
other's side now and then, when the situation of the moment calls for it
(eg, one breast uncomfortable, that baby sound asleep, etc.), as long as
in general they are each thought to have their own sides. They can be as
flexible as a family with regular places at the dinner table, who
nevertheless shift now and then for this or that reason. Tina Smillie

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