My specific question is how do you adjust it for multiples? It is my understanding that pumping session shouldn't exceed 30 minutes....so for twins/triplets not at breast what is the recommendation? My thought is initially pump after delivery for 10-15 minutes 8x first 24 hours then increase to either 15 minutes for singleton, or 10 minutes per baby? Is this accurate and is there research to back the case of multiples? Of course with hand expression and pumping 2 minutes past milk stops dripping...

I have heard 100/day is enough for milk supply regardless of number of babies. I've heard 45 minutes every 3 hours. I've heard 20 minutes every 1.5 hours.

I'm just curious if there is an answer that is evidence based.

Thanks!
Jennifer Fultz, IBCLC
North Carolina

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