Susan Keith-Herget and Jay have both written about twins and nipple shields,
and I just fired off my own 2 cents worth on the subject. So this is really
making me wonder whether with multiples there really is something
significant going on, or if it's just that with so much more stimulation
from the extra load of nsg/pumping it's easier for there to be increased
production. Do we know what goes on with the conributing hormones with
multiples? Do we get prolactin/oxytocin levels that are twice as high, or
just more frequent spikes because of more frequent/longer nsg.? And what
about the supposed inhibitory effects of fluid volume overload in some
cases? (like my situation - twin preg + polyhydramnios + CS delivery with
lots of IV fluids, + didn't put those babies anywhere near my breast for >36
hrs, yet enough milk to feed a small country).

Susan also says "I can't imagine telling her to pump after every feed,
as it takes so long to feed these two little people anyway." Well, you're
right on target with that one! As committed as I was to BFing, I don't think
I would have been able to persist if I'd been told to pump after every feed!
(And I say that not being at all critical of one who would give that
advice - I think I've probably recommended it myself, and I understand those
situations where it might be the way to go. Just my "body memory" of those
early days nsg. twins!)

So many interesting things to ponder!

Cathy Bargar, RN, IBCLC






It seems to me that, when shields are introduced early, before a good
supply is established, there may indeed be concern about the stimulation
being able to build supply....but...after a mom has proved to be a
producer....maybe not as important.