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Every get tired of BF multiples misinformation? - Page 3

post #41 of 59
I still can't get my head round the whole bottle thing tbh. Evidence shows that preemie babies' stats remain more stable with b'feeding than bottle feeding and that it is less stress on them than bottles, yet it's always discussed/ assumed that bottle feeding is easier. I know with an older baby bottlefeeding is 'easier' for them because it drips out, but ime my daughter just choked like crazy on a bottle whereas she coped well at the breast even though she would fall asleep etc....I had to tube feed her for weeks because that was the only way to top up and it was driving me crazy that they were suggesting I should try bottles.

How I would have managed it on my terms is:
drop the tube top ups and feed little and often rather than the preemie 3 hourly schedule !? but I wasn't allowed to feed 'normally' and it was stupid. Woops. Last comment my unresolved issues coming out
post #42 of 59
Can you insist that they take out the tube feeding or do they have rank over you?? What I have been told will happen is the baby will have a feeding tube down its nose and I will BF every other feed. I didnt think about them being on a 3 hour schedule. What if they get hungry before that?

Is all this necessary?
post #43 of 59
Quote:
Originally Posted by ~Mom2thhts~ View Post
Can you insist that they take out the tube feeding or do they have rank over you?? What I have been told will happen is the baby will have a feeding tube down its nose and I will BF every other feed. I didnt think about them being on a 3 hour schedule. What if they get hungry before that?

Is all this necessary?
I left the tube out for 36 hours after she pulled it and got into so much trouble as if I was harming my baby willfully or something ( long story : ) In the scbu they build up to three hourly feeds, stacking in a far, far greater amount than is sensible, but it's how it goes. Maybe there is sense to it.

If you have 36 weekers I'm not so sure how it will work. At 36 weeks I would *insist* I b'fed straight away and at every feed. Most 36 weekers will be just fine and able to room in with you, but of course there are exceptions, and maybe that's less likely in an induction than spontaneous arrival initiated by the baby/ babies iyswim.
post #44 of 59
Is there no way you can avoid the early births btw?
So sorry if I've missed that
post #45 of 59
My babies were born at 36 weeks, 6 days and both had great sucking relexes from the start.

They spent 3 days in NICU but a lot of that had to do with me as I was recovering from an emergency c-section for one twin and needed a blood transfusion so I was unable to care for both of them by myself. We spent a total of 5 days in hospital but I cared for them in my room for the last 2 days. They did need to be taken back to the NICU at times to be weighed and for blood draws (jaundice issues).

They did have feeding tubes for a short period of time to "top them up" but this was only done after I had nursed them. I am not necessarily convinced they needed it but looking back it did not really affect our nursing relationship and breastfeeding has been very successful. Regardless of the feeding tubes the babies were brought to me every 2 hours for the first couple of days and after that they slowly decreased the times between feedings because the babies started demanding to be fed more often. The nurses were great - I never felt like they were trying to keep babies on a "schedule". They helped me as much as they could with holding babies and latching babies. I did tell them that bf was very important and I wanted to nurse them on cue but I got the impression that it would have been encouraged anyways. So, it probably is very dependent on individual nurses, doctors and hospitals.
post #46 of 59
Quote:
Originally Posted by shukr View Post
Is there no way you can avoid the early births btw?
So sorry if I've missed that
Please nobody flame me.... but we are "choosing" to have a cs. The main reason is because I have a history of very long labors with all of my other dc. This would also be my 3rd vbac attempt. With identical twins we felt that the risks were too great. If they were fraternal it would be a different story.
post #47 of 59
Quote:
Originally Posted by ~Mom2thhts~ View Post
Please nobody flame me.... but we are "choosing" to have a cs. The main reason is because I have a history of very long labors with all of my other dc. This would also be my 3rd vbac attempt. With identical twins we felt that the risks were too great. If they were fraternal it would be a different story.
Honest question (not trying to flame at all) - is it b/c there's some concern about ttts that you're opting for the c-section 4 weeks early? That's all I could think of so I was just wondering. Otherwise I'd ask if you'd considered having the C-section after labor began so at least they'd benefit from labor itself and are coming in their own time, more or less.
post #48 of 59
Quote:
Originally Posted by 2+twins View Post
Honest question (not trying to flame at all) - is it b/c there's some concern about ttts that you're opting for the c-section 4 weeks early? That's all I could think of so I was just wondering. Otherwise I'd ask if you'd considered having the C-section after labor began so at least they'd benefit from labor itself and are coming in their own time, more or less.
Yes, its because of concerns of ttts. Not only do I have long labors but I tend to go 2 weeks past my edd. Yes, my edd are acurate, my body just likes to go late... and I cant be induced due to my 3 previous cs's.
post #49 of 59
fyi: at 36 weeks we didn't need tubes...
post #50 of 59
Quote:
Originally Posted by ~Mom2thhts~ View Post
Yes, its because of concerns of ttts. Not only do I have long labors but I tend to go 2 weeks past my edd. Yes, my edd are acurate, my body just likes to go late... and I cant be induced due to my 3 previous cs's.
Have your babies shown any sign of TTS? Is your hospital a big one? Is there some way you could go into labor and then have a c-section? Just curious, I really don't know how it all works.

My plan if both babies were breech was to wait until I went into labor and then go to the hospital for a c-section. I figured we had a large, well staffed hospital that could an emergency c-section. Isn't there something about a bishops' score that can help determine how close you are to labor?

Good luck. I'm sure you'll make the right choice on when to have a c-section. Just don't let them rush you!
post #51 of 59
FYI- from today's Washington Post front cover. The risks of early c-sections.

http://www.washingtonpost.com/wp-dyn...010702919.html
post #52 of 59
Quote:
Originally Posted by ~Mom2thhts~ View Post
This would also be my 3rd vbac attempt.
i'm so sad to hear that you went through those vbac attempts and ended with a section

it is totally exhausting to do long labours and end up with surgery on top of the marathon you just ran, so i can understand your choice and how hard it must have weighed on you the whole pregnancy

no flame. just : and : and :
post #53 of 59
No flaming here, After three section I wouldn't blame you. My only concern is them coming at 36 weeks and having a mature suck swallow breath reflex. Some 36 weekers are just fine but some need the nicu, kwim? A NICU stay is just a recipe for disaster for some people (It almost was for me, my son was seriously nipple confused after his stay!) and even a week can make the difference for some kids. If they have TTTS and it's active and they have to come out then you gotta but if there is a chance of letting them cook just a little longer then it's really for all of your benefit.
post #54 of 59
Quote:
Originally Posted by fyrebloom View Post
No flaming here, After three section I wouldn't blame you. My only concern is them coming at 36 weeks and having a mature suck swallow breath reflex. Some 36 weekers are just fine but some need the nicu, kwim? A NICU stay is just a recipe for disaster for some people (It almost was for me, my son was seriously nipple confused after his stay!) and even a week can make the difference for some kids. If they have TTTS and it's active and they have to come out then you gotta but if there is a chance of letting them cook just a little longer then it's really for all of your benefit.
aw, Lucia, that's beautifully expounded. It's scary either way for you though isn't it ~Mom2thhts~
post #55 of 59
Wow, it's so awesome to read about all of these experiences, particularly with what has gone on in the last week for us. My girls are a week old today. On Day 3, when we were expecting to just be discharged home (c-section at 37+1 for footling breech presentation) the nurse noted that their weight loss was 10% and 10.9%...this triggered bloodwork and then a referral to a pediatrican and LC. The LC walked in with a Supplemental Nursing System (SNS) and a container of formula, which sent me into a fit of sobbing . She was a terrible LC, very bossy and not terribly sympathetic. Thank goodness the pediatrican was more reasonable and discharged us and told me to drink a beer Their sodium levels were elevated, which I guess is a sign of deydration, and they were getting quite sleepy...in the end in our total emotional state we agreed to use the SNS while at the breast for 1 day (we used some forumla and some EBM - I pumped but didn't get much at all). My husband I talked about just leaving the hospital against medical advice, but to be honest neither of us had it in us to take on that challenge in our sleep dreprived state. So, we agreed to view the supplement as "medication" that would allow us to escape the clutches of the medical system. Yes, it still bothers me, but I am SO glad to be home and have my care transferred back to our midwives...they are so awesome...at our home visit they just say "hey, those babies look great...you're doing a great job...see you in a few days". My milk was quite delayed in coming in (not fully in until day 5, despite a lot of tandem nursing and co-sleeping). One thing I wished I had done is maybe starting pumping as soon as they were born so that in the event that they did lose more weight than the medical system likes to see we could have just used EBM instead of formula. The LC said in her 30 years of nursing she had only seen 2 moms not have to supplement twins Talk about setting up expectations of failure!

We are tandeming almost all the time as that just seems to be how it worked out. I think I would prefer to do them each on their own so that I could concentrate on getting their latch perfected, but I can't handle listening to the other one scream as her sister peacefully nurses away.

Gosh, I've rambled I think...it's all still so overwhelming right now, but honestly, I don't think it's that much more difficult than when I had my first baby. And while I'm anxious to see if they have gained some good weight over the past couple of days, I feel confident just by looking at them that they are happy and content with all that I am providing for them
post #56 of 59
Tammy, good for you insisting on nursing them. And #($*&# for that LC! I had one with a good latch and one with a weak/poor latch but still tandemed them for the same reason as you! I just always started the good latcher first and then thanks to a good pillow had 2 hands free to work on the latch of the other. It saves so much time!
post #57 of 59
Shukr ~ thank you for your kind words and support.

This has been a really hard pregnancy dealing wiht the feelings of an elective cs. It goes against everything I believe in and in a sense Im losing my dream of a completely natural delivery. Im not sure if all my failed vbacs were due to my first cs. I gave my hardest with my vbacs and it was devestating to end in cs's again. My 1st was vbac was 2 days of labor and then the midwife discovered she was presenting facialy and it was too late to try and move her. My 2nd was a full week of labor and at the end he had swallowed meconium and wasnt breathing when born. They were all drug free up until I was prepped for surgery. My last had to be done so quickly they just put me under GA.

So this time with ID twins we felt it wasnt worth the risk to try and labor. And with ID twins its not reccomended to go after 37 weeks. I carry my babes to full term and I cant be induced due to my previous cs's. Ive surrendered my dream of delivering and am now trying to gain more control on what happens afterwards. Thus all my questions!
post #58 of 59
Thread Starter 
Quote:
Originally Posted by ~Mom2thhts~ View Post
.... They were all drug free up until I was prepped for surgery. My last had to be done so quickly they just put me under GA.
I'm so sorry for some of the feeling surrounding your CBACs. It sounds like you really did everything you could for a natural birth, and shouldn't beat yourself up at all. Even finding a provider who is okay with a VBA3C is impressive, no matter what the outcome-- you really were giving it your all. Sometimes you give it your all, and it just doesn't work out the way you were hoping, which is extremely disappointing. I completely understand a planned cesarean given your circumstances and background, and would probably do the same.

Quote:
And with ID twins its not reccomended to go after 37 weeks.
Just wanted to point out for any new moms expecting twins coming into this board that this is not universally accepted. We have many moms on this forum who, based on their research, carried MZ twins well past 37 weeks without any adverse effects, and I'm sure that if anyone wanted to start another thread asking about research on ideal delivery dates for MZ twins, they might be willing to share some of their research. Unfortunately, the last thread we had discussing that topic got shut down and was never returned after a number of strongly medically-minded, first-time MDC posters came in and confronted anyone who didn't agree with them. But not all the research supports 37 weeks as the cutoff for MZs.

.....

I just wish there was some way you could make it to 37 or 38 weeks even, as growth during those two weeks is SO much and need for NICU at all decreases dramatically.
post #59 of 59
I totally understand where you're coming from with the planned c. I'd have done the same in your circumstances (heck, in mine, I've had 2.) Anyway, I'm a bit confused. Do your twins have TTTS already? I don't understand why they'd do an elective section at 36 weeks unless they already have concerns. I'm sure they're watching their growth closely to see any problems quickly. Anyway, it seems like waiting until at least 37 weeks would greatly reduce the risk of NICU. Mine were 37 weeks 2 days and were find, although even at that gestation one had a weak suck and it was a nightmare figuring out breastfeeding.

Quote:
Originally Posted by ~Mom2thhts~ View Post
Shukr ~ thank you for your kind words and support.

This has been a really hard pregnancy dealing wiht the feelings of an elective cs. It goes against everything I believe in and in a sense Im losing my dream of a completely natural delivery. Im not sure if all my failed vbacs were due to my first cs. I gave my hardest with my vbacs and it was devestating to end in cs's again. My 1st was vbac was 2 days of labor and then the midwife discovered she was presenting facialy and it was too late to try and move her. My 2nd was a full week of labor and at the end he had swallowed meconium and wasnt breathing when born. They were all drug free up until I was prepped for surgery. My last had to be done so quickly they just put me under GA.

So this time with ID twins we felt it wasnt worth the risk to try and labor. And with ID twins its not reccomended to go after 37 weeks. I carry my babes to full term and I cant be induced due to my previous cs's. Ive surrendered my dream of delivering and am now trying to gain more control on what happens afterwards. Thus all my questions!
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