Hi Angie ~

Congrats to this new MOT! However, this doesn't sound as if it's a "twin
BF" issue -- sounds more of an individual one or both babies issue --
unless she's BF both at the same time, which takes some coordination and
makes it more difficult to monitor each baby to determine whether one/both
contribute to the problem and to deal with nipple/breast issues. So if BF
both simultaneously, I'd suggest she BF one at a time for now, so she can
pay close attention to the latch and suckling behaviors of each -- and
intervene more easily.

I'm in doubt that both baby A and B are latching all that well. Has each
baby been thoroughly assessed re: oral structures - tongue, palate, lips,
etc? When is the last time an IBCLC or other experienced BF worker actually
observed a BF? What does her nipple look like immediately after baby A
detaches and what does the nipple look like immediately after baby B
detaches? Is there creasing, flattening, etc? Is there skin damage? (If so,
what kind and where?)

Is there unresolved engorgement?

Do babies receive any bottle-feeds - even if EBM is in the bottles? If so,
feeding technique and type of teat can make a difference when at breast.

What does the mother think may be contributing to the pain?

KKG



> Date:    Thu, 16 Aug 2012 10:25:50 -0500
> From:    Angela Brekken <[log in to unmask]>
> Subject: Need help quick w/Mom of Twins ASAP
>
>
> Hi Everyone.  PTP:  I need some help with a mom breastfeeding 9 day old
> twins. They were 39w gestation and both 7+ pounds.  Vaginal birth
> w/epidural.  The twins are not quite up to their birth weight yet but
> almost.  Her milk is in, there is a great latch, but mom has burning
> pain in her breasts all of the time - not just with nursing.  She states
> that she has been icing them because it kills the pain a bit.  I
> encouraged her to try hot packs/towels and she states she has tried this
> but it makes it worse; warm showers too.  She has a blood taste in her
> mouth when nursing.  The constant fire-like pain in her breasts becomes
> toe curling excruciatingly painful per mom.  She is in tears just
> thinking about feeding again.  She has talked with MD and lactation
> consultant at the hospital with no progress.  I am out of my league on
> this one and need help for mom.  She states she is getting to the point
> where she feels she needs to stop breastfeeding because of the pain, and
> that she doesn't want to do that because breastfeeding is very important
> to her.  Any help is greatly appreciated.  Please email me off-list as I
> get digest mode and want to get some ideas to mom asap.  Thank you!!!
>
>
> Angie
>
>

-- 
Karen Gromada
www.karengromada.com/

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome