Hi Wendy,
How frequently and for how long is she pumping?
With 9 mo babies I would be guessing that the tricky bit is not going to be
milk production but encouraging the babies to breastfeed, Do you know what
her plans are for building attachment and introducing breastfeeding? How
have the babies been cared for?
Karleen Gribble
Australia
----- Original Message -----
From: "wendy burpee" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, August 25, 2008 4:58 AM
Subject: Adoptive breastfeeding twins?


Hello,

It was suggested that I post here.

One adoptive mom-to-be has been preparing for ABF. However, recently, she
learned that they may be the recipients of twins. They would be around nine
months old. Her supply thus far is not great, since starting to pump in
preparation, but she felt that it could be adequate, with supplementation,
for one child. She is pumping about three onces per day. this would
definitely not be enough for twins, she stated.

One suggestion was to try increasing domperidone to 120 mg/day (usual = 90
mg). I also told her that nursing babies would increase her supply.  I do
not know if she is pumping at night. I'm wondering if manual expression
would be more effective.

And I'm wondering if there is such a thing as a supplementer for twins. Do
twins awake simultaneously at night??

Thank you,

Wendky

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