If this mom has twins, a full supply would be considered 24 oz/baby.  That's 48 oz.  Paula Meier's moms aim for a supply of 30 oz/baby at 4 weeks.  Could it be that less frequent pumping is causing issues?  My triplet moms who are successful pump 90 oz/day.  We just use very large bottles for pumping into to keep it moving (so not having to stop and change bottles).  Plugged ducts come from incomplete drainage, infrequent drainage, tight pump funnels or a baby who is clamping down on the nipple.  Larger flanges for the pump might help. 

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Charity
Sent: Thursday, June 24, 2010 8:05 PM
Subject: over-supply with twins

I need some suggestions for  Mom with recurrent plugged ducts/mastitis and twins.  She is currently pumping for 20-30 minutes every four hours and producing over 50 oz per day.  She could pump longer, she is not at drops when she stops.  (The babies, recently released from the NICU are not yet at the breast, and are taking in less than that).

I want her to be more comfortable AND have enough milk for her cuties, but am unsure how this works with twins.  

Does anyone have a really great tried and true pumping protocol for a situation like this?  

We are trying a variation of "block feeding", in this case "block pumping" for the time being.  She is aware of lecithin, B-complex and Vit-C as nutritional support for recurrent plugged ducts.   She had been drinking Mothers Milk tea, and has agreed to stop taking it.  I am reluctant, with the twins still being so small, to use aggressive pharmacological means to drive the milk supply down, but am open to suggestions from those with more twin experience.




Warmly,

Charity

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