I'm not Karen, but this is one of my favourite topics, too! I'm not sure I understand the difficulty with breast compression... is it because the mother is breastfeeding them two at a time at all feedings? The question of whether to feed separately until the latch is right or to feed together to enable stronger nursers to "bring the milk down" or to save time -- in my opinion the least important of reasons, since there is no guarantee of sleep between feedings anyway :-) -- probably has one answer: "Well, it depends." Last night at our twins' club meeting, I quoted Karen Kerkhoff Gromada's statement that the decision to breastfeed simultaneously or consecutively is as much the babies' as the mother's. I have BTDT experience with multiples who don't latch well, but also with older multiples who latch very well. In all cases, our daily routine involved some simultaneous and some consecutive feedings. If we are really doing cue feeding, of course, that is exactly what will happen! How about this kind of protocol: Some feedings separately with breast compression. Baby stays on breast as long as no womb-mate is fussing too much. If second (or third) baby wakes up or fusses, the mother can shorten a feed and offer each baby one breast, in turn: e.g. Baby A right breast 10 minutes, Baby B left breast 10 minutes, Baby C right breast 10 minutes, Baby A left breast 10 minutes. Other feedings together. These ones can be more leisurely; one baby can be nursed and then cared for by daddy or grandmother while mother and two babies go to bed, get settled, and nurse and doze for an hour or so. Offer the breast to each baby every two hours at most. If complementary or supplementary feeding is necessary, it can be given on a more regular (every three, and then every four hours) with lots of "freebies" of nursing in between. Most importantly, of course, is that these are only suggestions... mother has to do what works for her and her family. What a beautiful family she has! Jo-Anne *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html