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Subject:
From:
"Christina M. Smillie, MD, FAAP, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 16 Apr 2003 23:00:53 -0400
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To all those of you who are specifically "against"
moms giving each of two very different sized
babies their own breast-- please educate me: I
gather you have seen the small baby do OK in this
scenario? I do not intend this as an argument or
debate, I really want to know. I just have seen
smaller babies foremilk feed, and either fail to
grow well, or else want to feed all the time, some
choking etc, because of not being able to "get to
the cream" when their larger more vigorous sib has
driven up production on both breasts. I'm talking
about twins who are maybe 25% of so different, the
babies who at two weeks are 5 and 6 1/2 lbs, or 4
and 5 lbs, or even 6 and 8 lbs, whatever. Sure,
it's great to use that vigorous baby to help
establish milk supply on both sides, but once it's
established, and each is nursing ok, does this
really work?  Maybe you are talking smaller
differences or bigger babies? (Like the difference
between an 8 and 9 lb baby is not the same as the
difference between a 4 and 5 lb baby) It just
seems to me that a lot of feeding, sleeping and
growing problems get solved by letting the littler
baby have his own breast.

Sometimes if growth has been a problem from using
both babies at both breasts, we have assigned the
bigger baby to one breast, but the little baby
gets "both"-- but only nurses on the bigger sib's
breast right after sib was there, so it's creamier
milk-- that can help the littler one get faster
flowing higher volume cream than on his own side.
Better longer sleep, better growth, less struggle
or shutdown at the breast.  I dunno, it's all
anecdote, maybe I don't really know what I'm
talking about, extrapolating from specific
situations.

Or maybe that's how you do it, nurse both of them
on both sides, but try quite often to put the
little one on whichever breast is emptier, to give
creamier milk?

tina Smillie

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