Breastfeeding Twins: Some simple tips

Breastfeeding Twins!!

   In the very early days of breastfeeding, you may need some help getting settled, but once you get the hang of tandem feeding you’ll be able to manage it all by yourself!!  Here are some tips:

  1. Create a nursing “nest” someplace with extra room – maybe on the bed or the couch, or even the floor (rather than a rocking chair or armchair).  This will give you some space to spread out as you get everyone settled. Arrange your pillows in advance and have a basket with the phone, TV remote, water, and maybe a special toy or book for your 2-year-old to make nursing time special.  Some mommies make a nest in the corner of an L-shaped sofa, and another may use one of those arm/back pillows for support in bed.
  2. Put the babies in a safe “holding area” that you can reach from your “nest.”  Some moms use a crescent shaped nursing pillow (something like a Boppy pillow or “baby lounger”) on either side of them on the couch, or a bouncy seat on either side on the floor.  When they’re smaller, you may be able to just rest them on the couch next to you, depending on your furniture setup.
  3. Get settled with the pillow, then lift one baby at a time up onto the pillow with you.  You may want to use a rolled up receiving blanket behind the baby for added support and reassurance, though the baby is more likely to roll toward you than away as you lean over for the second baby.  Sometimes having the babies swaddled makes them easier to scoop up – you can unswaddle them once they’re on the pillow.
  4. Once both babies are on the pillow, many moms latch the “easier” baby first, then help the baby that needs some extra assistance. Others start with the baby with the stronger suck, so that baby’s sucking will help out the second baby.
  5. To burp the babies, you can keep one baby latched while lifting the other to an upright burping position, or roll the “need-to-burp” baby onto his/her tummy to burp.

  You can also nurse laying down. Some moms find that at night they prefer to feed one baby at a time, while others create a semi-reclined nursing position and cradle one baby in each arm.  Depending on how big your babies are, you may need to adjust to find a comfortable position that still enables the babies to have a nice, deep, comfortable latch.

Will I have enough milk to breastfeed twins?

  Many new moms worry about whether they will have enough milk but, in fact, there are very few women who don’t have enough. Milk supply works on the principle of supply and demand. Breastfeeding tells a mother’s body to produce more milk in response to her baby’s (or babies’) needs. With two babies, more milk is removed from the breasts so more milk is made. The best way to make sure you establish a good supply is to feed your babies often in the early weeks and to ask someone knowledgeable to help you check that they are latched on and breastfeeding correctly.

  During the first few months, babies go through growth spurts. Some mothers interpret this more frequent feeding as a sign of a lack of milk, but if they allow babies to feed more often for a day or two, their breast milk supply will swiftly increase and feeding will settle into a pattern again. Moms expecting twins aren’t always encouraged to consider breastfeeding, but twins, and even triplets, can be breastfed exclusively.

How can I breastfeed two babies?

  Confidence and the belief that it can be done are two of the most important factors in making breastfeeding twins a success. Attending a breastfeeding support group or workshop while you are pregnant is a good way to increase your confidence and find out where to get support locally. If you have any questions after your babies are born, you’ll then know whom to ask. Perhaps your healthcare provider, midwife, doula or breastfeeding counsellor can put you in touch with someone who has breastfed twins!

  Twins can be breastfedfed separately or together. Many mommies find that they do both in different situations and when their twins are at different stages of development. Feeding babies together can be a good way to establish a plentiful milk supply quickly and can save time. The football hold can be useful for one or both babies as well as (or instead of) the more traditional cradle position. While mom and each baby are still learning about breastfeeding, it may be easier to spend some time feeding the babies separately.

Some of the possible positions for feeding twins together

Crossover feeding pictureParallel feeding picDouble rugby style feeding pic

   V-shaped cushions are useful when feeding two young babies at once but ordinary pillows or cushions can also be used to help support the babies. If you have someone to help you in the early days, they can help you position a second baby after the first one has started feeding. As the babies grow and their head control develops, it´ll be easier to breastfeed them together without pillow support or an extra pair of hands. Later still, the babies will be able to position themselves.

   Many mommies find that, in the first few weeks, it works well for each twin to have his own breast, to establish his own milk supply. There may be exceptions to this depending on the relative size and growth of the babies. Later, some mothers prefer to vary the positions of each baby and don’t always offer the same breast to the same twin.

  As with everything in parenting, you will become the expert in your babies.  This is one method, but certainly not the only one.  Do what works for you!!

Flat or Inverted Nipples

 If I have Flat or Inverted Nipples, Can I Still Breastfeed my Baby? 

lactation dallas

 

There are many shapes of nipples; thimble shaped, rounded, pointy, flattened, dimpled, and truly inverted.  Most types of flattened and inverted nipples will not cause a problem during breastfeeding and if they do, there are ways to overcome them and succeed at breastfeeding. Babies feed from the breast not from the nipples – hence the term BREAST-feeding and not nipple-feeding. A breastfeeding baby draws the nipple far back into his mouth in order to suck effectively. Sometimes flat or inverted nipples can cause baby to have difficulty drawing the nipple deep into his mouth.

  Most babies at birth will begin to tug the nipple with their tiny fingers. In doing this they are elongating & stimulating the nipple, sort of preparing it for the first nurse session. They are usually very successful at getting enough nipple into the “soft pallet” of the throat.  Keeping your baby with you & allowing him to learn how to latch is done easiest before your mature milk come in.  When this still is not enough, other options need to be explored.

Listed here are a few:

  1. Basic correct latch-on technique is very important. Making sure the baby opens very wide and takes in a large amount of the areola will provide a more comfortable latch.  These techniques can be learned at my breasefeeding class.
  2. Massage Therapy to gently break-up binding tissues is an effective treatment for inverted nipples. This includes localized massage and manipulation of the constricted tissues at the base or areola area. Here’s what you can do. First, gently squeeze your areola until the inverted nipple ‘pops up’. Gently grasp your nipple, then with your other fingers target the areola area where you’ll gently but firmly pull down and then outwards in an action designed to place pressure on the underlying constricted tissues binding your areola. Your thumbs can balance the technique so that pressure is applied in a balanced manner.
  3. Use an electric breast pump, or the Evert-It Nipple Enhancer just before feeding your baby. 
  4. Wear  breast shells designed for flat or inverted nipples between feedings or for thirty minutes before feedings. Breast shells are made of plastic. They have two parts: a back with a hole through which the nipple can protrude and a rounded dome that fits inside your bra. Pressure on the shell from your bra against the areola gradually stretches out adhesions and allows the nipple to protrude. Be sure to wash these shells with soap and hot water between feedings and discard any milk that collects in them while you wear them in your bra. Note that shells come with two types of backs; the one with the larger hole is meant for treatment of sore nipples. Be sure to use the back with the small hole, which fits close to the nipple base.
  5. Lastly, if your baby is still struggling to latch on, try a nipple shield. You can get these from a lactation consultant or breastfeeding counselor who will also guide you on how to use the nipple shield without compromising your milk production.

Breastfeeding Classes

 

 

  Breastfeeding Classes are back due to popular demand! This is a great class to combine with a 4 week child birth class or for a mom who just needs a refresher.  Most families want to do the best for their baby so it’s no surprise the breastfeeding trend is on the rise.  While many mothers intend to breastfeed, they don’t prepare for potential challenges.  Without the tools education provides & a strong support system, she is likely to give in to formula  during a rough night.  In my complete & comprehensive breastfeeding class we will learn:

  • how often to feed your baby
  • successful components of a healthy latch
  • different breastfeeding positions
  • pumping for working moms
  • normal challenges
  • when and who to call for help (creating your support system)
  • …and so much more!

 BF class: $50.00   $10.00 discount for childbirth class students

 Small classes are taught in a small, cozy setting at Lover’s Lane Birth Center.  I teach through lecture, hands on role play, and videos so all learning styles may be accommodated. This is a 3 hour class so please bring a snack & dress comfy. Please call to set up your class today!

Avery Karnes~  Unfortunately, I had a lot of trouble
getting breast-feeding going.  All I wanted was for my baby boy to
experience this amazing bond with me and be nourished. But when my
milk came in on the 3rd day post-partum, I was engorged and in serious
pain, so bad that no matter what I tried I couldn’t get a drop out and
I couldn’t stand to nurse at all. I felt so defeated and inadequate
for my child. Rosemary swooped in and saved Sebastian’s chances of
being a breast-fed baby. She personally came over and showed Tyler and
I what to do to stop the engorgement and release the milk. She worked
with us for 2.5 hours in our home and by the end of the night
Sebastian had nursed for 1.5 hours and received much needed milk! I
don’t know what we would have done without her. I truly feel that God
sent us Rosemary. If she hadn’t helped us with such altruism we would
have probably given up. Thanks to her Sebastian was breast-fed and
well bonded with his Mommy. Even now at 9mths old I can see that
there’s really something so special between mother and son that may
have never occurred without Rosemary’s intervention. I can’t say thank
you enough!

Contact:

Rosemary Walker-Beyer CD (DONA), CBE, BE

sweetbirth101@yahoo.com

972.231.4616

Breastfeeding: Starting Out Right

dallas lactation support, dallas breastfeeding support, breastfeeding help dallas, nursing dallas, tx

painting by Liz Smith

I commend you for wanting to breastfeed your baby!  You have probably heard that breastfeeding is healthier for your baby and even you. This is true, in so many ways you can’t even imagine, and with some effort (more or less) you can succeed!  But it can be challenging at times, and this is where it helps to have support (yes, this is from my own experience – having suffered from mastitis and latch problems among other things).  But I was able to work through my problems and continue to breastfeed which I am extremely thankful for now.

Breastfeeding is a learned art.  It used to be that mothers and other women in the community passed advise along to their daughters, but nowadays many of our mothers did not breastfeed, and in worst case they are negative about breastfeeding.  For others, they have no family and are on their own.  There are lactation consultants, but many new mothers do not have the means or resources to hire one.  Most hospitals offer breastfeeding education and advice.  Lactation consultants visit new mothers and help them get off to the right start.  On the contrary, some of these hospitals insist on feeding the infants sugar water and pacifiers, and keep them in the nursery which does not help the new mother get off to the right start!  Every hospital in the state of TX gives this new mother a “gift bag” filled with formula marketing devices.  These formula companies even give out pens and badge clips to the post-partum nurses so they can get free advertising from them.  So what do you do?

To start, begin surrounding yourself with other moms who breastfeed.  If you don’t have friends who do (although breastfeeding is becoming increasingly more common), join a La Leche League group.  They have classes which offer support and information for breastfeeding moms.  I would also recommend considering a birth center- or even home birth.  If you have a midwife, she would be knowledgeable in breastfeeding and able to give advise.  A gentle and positive birth sets the stage for a good start in breastfeeding.  Babies who are born naturally are more alert and ready to breastfeed.  Moms who have had medications often report that their babies are drowsy as a direct effect of the drugs and are not as interested in breastfeeding.  Their sucking ability is reduced.  In fact, American Acadmey of Pediatrics says that babies that are birthed naturally have 35%  better chance to successfully breastfeed within the first 3 hours.

Nurse your baby soon after the birth. Here  is a link to the amazing unassisted breast crawl video.  Babies are more responsive the first hour, so take advantage of that. 

  If you give birth in a hospital, have your baby with you at all times.  There is no reason for a healthy baby to be in the hospital nursery, but by your side.  Do not supplement with sugar water or pacifiers.  Your baby needs colostrum those first few days of life to build up healthy bacteria in the intestines.  Colostrum is also rich with antibodies, vitamin K, B-vitamins, and has a slight laxative effect which helps get rid of the meconium in the babies bowels.  If your baby is taking sugar water, he or she will be satisfied and not as interested in eating more.  Water should not be given to breastfeeding infants as it will cause an electrolyte imbalance.

If an infant is supplemented with bottles regularly, he/she will likely develop nipple confusion.  Sucking from a bottle is much different than sucking from the breast.  If given a bottle, the baby will eventually forget how to suckle the breast, and get frustrated because it takes longer for the milk to start flowing.  Contrary to what many believe, nipple confusion can also happen to older babies probably up to about 8 months or so.

  Nurse every time the baby is hungry.  Studies have shown that feeding on a schedule decreases breastfeeding success rates.  It is my belief that babies need the extra suckling for comfort, and mothers need it also to keep an ample milk supply.  Don’t overuse pacifiers.  Put the baby to the breast instead.  This extra suckling is what builds the milk supply, it’s sort of like putting in an order.  When babies go through growth spurts they need to be at the breast more often to increase the supply of milk.  Mothers often complain about not having enough milk, and I think this could be solved by having the baby at breast more often, co-sleeping, and of course making sure the mother has enough to drink and nutritious food. (Although mothers who have less than perfect nutrition have good milk also.)  Just be patient and let you milk catch up to your baby’s new demands.

At night it is a good idea to have your baby next to you.  Mothers who nurse often wake up a few minutes before baby begins to whimper, it’s like a 6th sense.  Mothers and babies are very much connected.  Mothers who have their babies in bed with them get more sleep as they can doze while nursing, and the hormones created by breastfeeding help mom and baby sleep.

If you experience complications, such as a painful lump accompanied with a hot red blotch or streaks, chapped, cracked, or bleeding nipples, or anything that doesn’t feel normal please call your Doula, lactation consultant, or midwife immediately.  Remember, breastfeeding should not hurt you.  For a list of some local lactation consultants please just call me or you La Leche

 leader.  For information on safe medication for breastfeeding go to this reliable website. Moms, always check with your care provider before taking medication.

This is a very special time and it only lasts of a tiny portion of your little ones life.  Enjoy the closeness you will share with each other.  As you gaze in each others eyes just remember how lucky you are that you have the ability to breastfeed at all!