I have been helping a mom of premature twins and I am stumped. She came to me last week with a boy and girl 9 weeks old. born at 33 weeks. At nine weeks the mom comes to me exhausted and at the breaking point. She was trying with some success to get the babies latched on, trying to make the SNS work for her, and pumping 8 time s a day. She stated she could not keep up all of theese tasks, and I don't blame her. She was at this time unable to coordinate feeding both babies at the same time. I got her a pillow for twins and managed to get them both on for a feeding in my office. She left very encouraged. I gave her permission to drop the pumping as she thought this was what was stressing her the most, and she was still having to supplement the babies with formula via the SNS and with bottles. She came back in today, and is just a exhasperated as last week. Both babies nursed today at the breast for me to see. Both babies suck and swallow for 5- 10 minutes, but then are not satisfied and require supplementation afterwards. The mom thinks that she can't do the SNS anylonger, too hard to manage with the two babies etc. Here are my questions and please make any and all suggestions you can. I think it is possible for this mom to nurse theese babies at the breast at each feeding and then follow with formula to sustain growth as needed? I think as the babies get bigger and more efficient at nursing they will increase moms milk supply on their own. Right? Can mom abandon all gadgets at this point and have a hope of ever exclusively breastfeeding her infants? This mom got off to a very rocky start, and then comes to me to fix it. Can this be fixed and what would your collective recipes for fixing be? feel free to ask questions I will respond. Jessica *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html