It's raining premature twins on me. After not having a set since I started
in private practice, I've got 2 sets of preemie twins in the last week. I
am truly grateful for all the help I received here with the first set, who
were discordant 36 weekers. They are doing quite well, now.
My new set are 34 weeks, born today by c-section for preterm contractions.
Baby A was 5 lbs 5 oz, Baby B 4 lbs 12 oz. Unfortunately, I have had to
send baby B to an outside hospital for NICU care due to RDS. Baby A remains
with mom at our little community hospital. IBCLC has been to see the mom
already, and helped with first attempt at putting baby to breast, but were
unable to get him to latch. Situation is complicated by little preemie
mouth and large breasts with large, somewhat flat nipples. This was also
mom's first delivery, so both she and babies are inexperienced. She has
started pumping, and got almost 10 ccs of colostrum on the first attempt,
which baby A took readily by soft cup feeder. He does root and sucks a
little on his hand, so we'll see how he does with time. He is otherwise
stable but of course we have a ways to go. The other one was not stable for
oral feeds at all, and now is an hour away in the NICU. Hopefully, we'll
have milk to send him soon too. Any more pointers on this set of even more
premature twins are welcome!
On a side note, I'm 2 days farther along than these little guys in my own
pregnancy. It's interesting to think of my little one looking just like
them at this point! Of course, my little one is hopefully safely in there
growing for several more weeks.
Jennifer Tieman
Family Physician
Mom to 3, and new baby #4 expected 5/31/03
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