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Nursing twins not going well - Page 2

post #21 of 35
I just wanted to tell you that you are doing a great job and not to be discouraged. You have had a lot of challenges. I've worked with moms with pre-e and between the medications, often early birth, and trauma to your body it often takes longer for your milk supply to build up. You've already gotten a lot of great suggestions, but I did want to point out that your milk production is highest in the early morning hours so not nursing at night may backfire. I know it's tough with two demanding babies, but as they get coser to their term due date and their weight gain increases you should start to get more breaks at night. In the meantime, it would be great if you could work out an arrangement where you are able to nurse them at night, even if jut between pumpings or with help. Good luck!
post #22 of 35
Thread Starter 
Ack... I'd really like to sit here and write out a well-thought response to each and every comment/question raised but... I just can't get around to it!

To touch on a few issues off the top of my head - the LC I am seeing is NOT connected with the looney tunes hospital I had my wee girlies at. She is at the hospital I had my son at and was reccomended by my pedi who I trust. (He is very on board with bf'ing the twins and chose to focus on the babies having good color, good suck reflexes, and being well hydrated rather than the fact that they are soooo tiny) I guess her "specialty" with lactation has always been twins... but then her daughter had twins and she says she got to see first hand then what advice of hers was good and what had to go. So I trust her but as with most things I can see arguments for and against the advice she gave and who knows maybe it wouldn't hurt to get a second opinion.

I can understand the argument that nursing is best, more stimulating/draining than the pump, etc ... but really, it is just NOT an option for us at this point. Try as hard as I might I can never get the girls through more than 2 let downs - and usually only 1. They will be active enough through that one letdown but then they zonk out and NOTHING will wake them - it's like I have boobs of ether. It will seem like they are sucking a lot but before/after weighs show them to only be taking in 1/4 - 1/2 ounce - it is very disheartening. DH is obsessed with weighting before and after and it's kind of stressing me out but he's just like "so don't ask for the numbers" but if he's taking the numbers I want to know them!!! We are weighing them in a popcorn bowl on top of a digital kitchen scale... we will have hilarious babies pics when they are older!!!

They are just too tiny and sleepy and I really think the best option is to let them sleep, eat, and grow while maintaining supply so they can nurse more effectively. They will take the bottle better but fall asleep at points even then, too. My main concern is my supply doesn't seem to be growing... I guess because it's not really being challenged like when your baby has freaky non-stop nursing spells during a growth spurt.

I am glad to see others understand the "nursing just isn't working!" problem what with falling asleep and spending too many calories etc.

I think DH and I will try nursing at night and not just pumping - since I seem to get only 1 - 1 1/2 ounces whether I nurse or not, I may as well get a let down in for each baby - then pump - it will be something more. I think I will try to pump more during the day, too. I wish I got more than an ounce at a time ... but I guess every ounce I can stash up is one ounce less of formula to use.

I checked out that video on compression/pumping and I am trying it but it's not doing me much good. Maybe with time... The good news is though the video was from Standford hospital which I am right near so the "local resources" link was helpful to me.

I am going to try to find somewhere to try out a Symphony pump and see if it does me any more good than the Lactina.

Ermmm, what else... my blood pressure medicine is safe while nursing... I have help in that DH is off work for a month ... then he can take 3 more weeks off if needed... and/or his job lets him work from home so that is a possibility, too... then maybe MIL will come out...

That's all I can gather the brain cells together to answer right now. I DO appreciate all the replies and will chew over all the opinions and advice.

I can't believe how different this is from my son... he NEVER went more than an hour without nursing... and I complained!!! I guess an impossible nurser is way worse than an over-zealous one. I keep telling my girls they need to be more like their brother. Maybe in a few weeks... we'll see.
post #23 of 35
The Mother's Milk Tea did absolutely nothing for me. I tried Motherlove and that helped sooooo much. In about 36 hours I saw a jump in my production.
post #24 of 35
You have gotten great suggestions from all of these twin mamas. I just wanted to pop in and give you encouragement. My girls were born 1/6 and they were 30w5d. They had pacis and bottles in the NICU. They told me to do some bottle feedings when they got home but I just went ahead and made the breast the only option. Their latches aren't 100% perfect but they are able to eat a lot.

Try not to get too discouraged and try to be very patient. That is what helped me. It's all about try, try, trying again and then it'll happen!
post #25 of 35
taking alfalfa tablets really helped me get my supply established after my c/s with my twins.
post #26 of 35
Thread Starter 
Planning to try the motherlove more milk plus starting tomorrow. Couldn't get out today to buy it.
post #27 of 35
I agree with you about letting the babies sleep and get their calories the easiest way possible for them, for right now - b/c thats the choice I made when my premies came home from the NICU. Weight gain was SO important b/c of their jaundice and well, b/c they weren't back at their birth weight yet. So practice some with the nursing, but I agree - don't tire them out. It will come in time. So don't tire yourself out either - Momma still needs sleep!

As for your supply - this has been a scary one for me, too. I think I was pumping the same amounts you describe at around the same time...and it worried me. In fact, I remember being THRILLED the first time I pumped 1.5oz! Supply is still an issue for me. Gotta have faith! I looked at those videos and was amazed, just amazed, at the milk GUSHING out! I'm not experiencing that! But then, our babes are so small - they're not eating like that yet, either.

Mine are almost a week old adjusted, and can latch now (not always perfectly) and this week we'll find out if they're gaining enough on just BM. I think that when you've been feeding measured amounts (like at the NICU) to your babies, it's hard to change to the unknowns of BF...especially when weight gain is so important for the little ones. I'm having challenges with that one myself.

It will all work out. You want this to happen, so it will. In time.
post #28 of 35
Thread Starter 
Quote:
Originally Posted by AnnJayTwins View Post
I looked at those videos and was amazed, just amazed, at the milk GUSHING out! I'm not experiencing that! But then, our babes are so small - they're not eating like that yet, either.
I was amazed at the size of the containers the milk was gushing out of. (If you watch the Stanford video you'll know exactly what I am talking about) I am thinking no way is that ever going to work for me because I can't wrap my hand around my boob like that.
post #29 of 35
I agree with pp about the Madela Symphony. My mother bought it for me when she saw how much trouble I was having with another pump. Hang in there, it will get better. My little guys also had trouble at first, (36w 5d) but by the time I got them home one week later they did great. I have a friend who is an LC and she came to see me in the hospital to help and then twice over three months to my house and it was a godsend. You sound as determined as I was. Keep up that determination and your babies will just fall in line. The babies just have to learn. Sending you hugs and good wishes. Keep us posted.
post #30 of 35
I agree with pp about the Madela Symphony. My mother bought it for me when she saw how much trouble I was having with another pump. Hang in there, it will get better. My little guys also had trouble at first, (36w 5d) but by the time I got them home one week later they did great. I have a friend who is an LC and she came to see me in the hospital to help and then twice over three months to my house and it was a godsend. You sound as determined as I was. Keep up that determination and your babies will just fall in line. The babies just have to learn. Sending you hugs and good wishes. Keep us posted.
post #31 of 35
Thread Starter 
Went out today and got More Milk Plus tincture and Goat's Rue (since no where local had the more milk special blend which is supposed to be good if you have PCOS - which i do - don't know that it's part of the nursing problem since it didn't affect nursing with my son but...) ... also some alfafa... and rented a Symphony. Have used the symphony only once so can't say how much better/worse it is than the Lactina but it did get me an ounce out when I thought I was empty so that's something.

It LOOKS prettier, LOL.

Shuli your mother bought you one??? Lucky!

Have been nursing Baby B a LOT today - not sure if it is good or bad. Not finding she had consumed a lot after she nurses despite being on a long time but... oh well. At least she's getting something and I am getting the stimulation.

Have been wondering if I'd be better off nursing the twins... then pumping 1 1/2 hours later... then nursing 1 1/2 hours later... etc rather than nursing/pumping every 3 hours. Would more frequent, shorter sessions of stimulation be better?? Or would emptying the boob [more or less] completely at each feed be better? Opinions? Going to call the LC tomorrow on that one.
post #32 of 35
i had a breezy time with nursing (but i'll post anyway)
my girls never went three hours, and still rarely do at 18 months! i would say to nurse/pump more often. three just seems like an awful long time between feeding especially if they are not quite getting enough and you are concerned about growth and supply.
keep in mind my kids all were constant nursers. constant. so that is all i know. hang in there mama! so great that you are committed to this. it'll get easier and is totally worth all the hard work.
post #33 of 35
Just thinking of you, sending : your way, and hoping that things are going better.

Obviously, your situation will differ from mine regarding gestational age, birthweight, etc. So all I'll throw in is the importance of trusting yourself about whether your babes are doing OK or not.

We went through a stressful month of self-induced insanity after consulting public health and a lactation consultant. Seems DH and I were a bit slow on the up-take that the twins might be different than our other "monster-sized" babies. Your comments about weighing after feeds, worrying about lengthy sleeps, and expending too much energy while nursing bring back lots of crappy, crappy memories.

May hours of peaceful, lovely-dovey nursing be yours!
post #34 of 35
Just wanted to offer more encouragement -- this is SUCH a challenging time! I'm also pumping and nursing newborn twins and it is harder than I possibly imagined. You're doing a GREAT job for your babies (AnnJay too!). Try to remember to take care of yourself, too. One night I was so exhausted I crashed -- and dh had to bottle-feed so I could take a break. I slept for six hours, totally missing a pumping session. But the next day I had MORE milk -- my body needed rest. Be gentle on yourself.
post #35 of 35
I don't have twins..

But my DD and I had a really rough start to nursing. She was full term (born on her EDD) but she was SOOOOOO sleepy. She would sleep for 5 or 6 hours at a time.

Luckily my midwife clued me into the fact that wasn't good for establishing my supply.

But it was really really hard to wake her up enough to nurse. She would nurse for 2 or 3 minutes and then fall asleep.

We ended up having to strip her completely down to her diaper. (I would drape a blanket over to protect her from breezes - those would piss her off and she wouldn't nurse.) And then we would have a cool wet cloth that DH would put on her feet every time she would start to drop off. I would also 'pump' her arm - and that seemed to help. It took alot of effort to wake her up - often close to 45 minutes. Because we would start gently by just undressing her and putting her down - but for the first 3 or so week we almost always had to resort to the cool cloths on her feet.
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