Hello everyone,

I am in need of some help on an issue with a client.

I am working with a mother with twins born via elective c/s. The babies are
three weeks old today.

The mom has had one previous birth, a singleton, now age three. When the
singleton was born, the mom tried to breastfeed for six weeks, by which time
she felt that the baby's health was in jeopardy because she was not gaining.
(I don't have any actual numbers on this. The mom couldn't remember how long
the baby took to regain the birth weight.)

I first saw this mom last Wednesday. She was feeding with a pattern of Baby
A gets breast with formula-SNS at a feed while baby B gets bottled formula;
then at the next feed, Baby B gets breast with formula-SNS and Baby A gets
formula. After each feed, she would pump to try and increase her supply.
Needless to say, she was exhausted.

Last week, I helped her learn to feed both babies at once. We ditched the
SNS and the pump. The formula has been shelved. (WOO!)

We did a follow up last night and all looked good. The babies were pink and
round, they self-latched and nursed until they self-unlatched. The feed I
watched last night was just over 30 minutes of active sucking and audible
swallowing. I noted a clicking on one breast, so we worked on a new latch to
help that. (The mom said she occasionally felt some pinching.)

She has not assigned one breast to each baby; instead, she alternates
breasts, so that a baby gets one breast for the entire feed, and then gets
the other breast next time.

The problem is that she has weighed the babies at the clinic today. (Same
scale as always.) One baby has lost an ounce; the other baby has gained an
ounce.

HELP!

Charlotte Millington
Director, Global Birth Institute
www.globalbirth.org

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