> Date:    Thu, 26 Feb 2004 22:30:09 -0500
> From:    "Catherine Watson Genna, IBCLC" <[log in to unmask]>
> Subject: Re: twins, one oz gain, one oz loss
>
> Sometimes when formula is precipitously dropped out of an infant's diet,
> they take awhile to increase the milk supply sufficiently to gain well.
> Mom can either go back to using the sns a few times a day if it is
> critical that these babies maintain their gain, or she can breastfeed
> more often and monitor the infants closely, say another weight check in
> 3-4 days to make sure that the milk supply continues to increase and
> that the babies maintain sufficient energy to eat effectively.

<snip>

> In your client's particular case, I would be more comfortable if the
> mother were nursing both twins with the SNS, at least every other
> feeding, and have a more gradual transition to having the babies fend
> totally for themselves.

Thank you for this information! This is fabulously helpful.

Also, I've been responding off-list to most people, but I really want to say
thank you to everyone who has emailed me. For the times when I feel like I'm
lost, the ability to post to Lactnet is SO helpful.

I have a breastfeeding plan for this mom and we're going to use it for three
days, then evaluate. What is really continuing to bug me is how healthy
these babies look. I mean, other than that bad weight, the babies look
fabulous. I'll let everyone know how it goes over here.

PLEASE keep sending me more ideas. The more ideas I have for this mom, the
better.

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

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