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My twin girls are now 3 months old and I have been pretty successful at exclusively breastfeeding them and not having to supplement with formula yet. I recently have had some issues trying to keep up my milk supply while feeding them both. I have not been getting enough sleep and eating well and thus my milk supply has suffered. I also believe that the girls hit a growth spurt which meant I needed to nurse more frequently to increase my milk supply.

I thought I would share some pointers to successful breastfeeding twins and maintaining your milk supply that I have recently learned and implemented (and they are working!!!):
1. You must feed at least 7-8 times a day. More frequent nursing helps to drain your breast and stimulate milk production.  My girls are sleeping though the night so this was hard to achieve so what I do is I feed every 3 hours during the day, then cluster feed in the late afternoons and evening, as well as pump right before bed. So here it the feeding schedule: 7am, 10am, 1pm, 4pm, 5:45pm, 7pm, 10pm (pump). This way I can squeeze in 7 nursing/ pumping session in during the day.

2. You must eat well, at least 3.000 calories a day and at least 110g of protein a day. If you are nursing two, you need to stop and take time to feed yourself properly. I know this is easier said then done because you are busy running around the house trying to take care of house hold chores, your twins, and perhaps other children that are still at home. It is important to fuel your body well so have enough nutrition to produce adequate milk for two infants. I have been making a protein shake to have in the later afternoon that has 60g of protein. I also went out and bought some healthy snacks that are high in protein to have on hand to much on throughout the day. Nuts are a really great source of protein and they are quick and easy! I also made sure to have some chicken cooked ahead of time to make sandwiches from lunch. Remember, you are feeding 3 so you need to take in more. If you find it hard to prepare a meal, try to do some precooking ahead of time so all you have to do is grab the meal and go!

3. Drink plenty of water! I make sure to fill up a very large water bottle and carry it around with me at all times. I found that if I did not carry around the water bottle, I did not drink nearly enough. I strive to drink at least 10oz of water after each nursing session and then sip on water in between.

4. Rest, Rest, Rest!!! If you can, makes sure you take some time in the afternoons to rest, even if it is only for 30 minutes. You body does not produce as much milk in the afternoons because of fatigue. If you take time to rest or nap in the afternoons, it will significantly help to boost your milk supply in the later afternoons and evenings. Try to get 8 hours of sleep a night. I know this is hard, but everything I read says that getting proper nighttime sleep is very important to creating a good milk supply.

5. Tandem Nurse. When you tandem nurse, nurse both babies at the same time, you are simulating both breasts. When you stimulate both breasts you actually produce more milk than breastfeeding one breast at time. I am using the Breastfriends Twin Plus nursing pillow to tandem nurse my girls and it is working out great. I love the pillow and highly recommend that you look into buying one if you want to successfully tandem breastfeed. To read more about My Bestfriend’s Twin Plus Nursing Pillow read this: https://blogginaboutbabies.wordpress.com/2010/06/19/my-best-friend-twins-plus-nursing-pillow/

6. Take a supplement with Fenugreek. The supplement that seems to be working really well for me is More Milk Plus by Mother Love. It contains fenugreek and it has been proven to help boost milk supply.

7. Make sure that your twins are taking full feedings. You want to make sure you twins take full feedings and drain your breast adequately after nursing. You will know they took a full feeding if your breast feel softer at the end of the nursing schedule. Make sure to burp your baby and re-latch her after her burping to see if she will nurse some more. The longer your twin nurses at the breast, the more stimulation your breast will receive to make more milk.

8. Feed more frequently during growth spurts. I know that a lot of twin moms feed on a schedule to keep things simple. I feed on a schedule, but if you do this during a growth spurt your babies will be fussy and also not get enough to eat. You also will not be stimulating your supply to increase if you keep to a strict feeding schedule. Growth spurts usually only last a few days or a week at most so it is best to just feed on demand during a growth spurt. Usually once the growth spurt is over, your babies will return to schedule feeding and naps again.

For more information on breastfeeding twins and multiples, read the book: Oh Yes You Can Breastfeed Twins and The Nursing Mothers Companion
If you are having supply issues, please read the following posts:
How To Increase Low Milk Supply
Milk Supply & Breastfeeding During Menstruation

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UPDATE: I am still using this pillow and my twin girls are 12 months old. We are still going strong on nursing and I am still tandem nursing them. Without this pillow I would have given up nursing a long time ago. I LOVE THIS PILLOW. I can nurse both girls in under 15 minutes now. They both still fit on the pillow just fine and I could not be happier!
I have been nursing my twins for 10 weeks now. I am tandem nursing them, which means I am nursing them at the same time. I bought my first twin nursing pillow which was the EZ-2-Nurse Twin Nursing Pillow from Double Blessings. It worked pretty well. I was able to tandem feed, but I found it difficult. There is not a very good back rest. The pillow is not very wide, not giving the twins a lot of room to lay on the pillow as they get bigger. My twin girls also seemed to roll inward on the pillow and I was also having to reposition them so they did not totally fall off the pillow. I got frustrated with the pillow so I decided to break down and buy the Best Friend Twin Plus Nursing Pillow. I am so glad that I did!

Here are all the benefits of the Best Friend Twin Nursing Pillow:
1. It is wider, giving my girls more room to lay comfortably.
2. It has a better back support, making it more comfortable for mommy to breastfeed.
3. The pillow is ticker, raising the twins up higher to my breast which means I don’t have to lean over (and that keep my back from aching).
4. The velcro closure is a lot easier to secure the pillow around our body with. It also has a clasp that is easy to release and secure the pillow with.
5. The pillow is firmer. This keeps my twins from rolling inward.  This allows me to keep my hands free because I do not have to hold onto the girls to keep them from rolling off the pillow.

This is a must buy if you want to tandem nurse!

http://www.mybrestfriend.com/twins

For more information about breastfeeding twins and multiples read my post:
Breastfeeding Twins: https://blogginaboutbabies.wordpress.com/2010/07/21/nursing-twins/

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I just became the parent of two beautiful twin girls. They were born on April 9th and they are 2.5 weeks old. I also have a 19 month old son. I am a firm believer in teaching a baby how to fall asleep without having to have them fall asleep in your arms. When Cooper was an infant, I would rock him until he was drowsy, that would take sometimes up to 15 minutes of rocking to get him to the drowsy stage. If I did not rock him and just lay him in his crib, he would never go to sleep on his own. He needed my help. In hindsight, I wish I would never have rocked him before he went to sleep. I should have just held him until he started to calm down. Eventually, I could just lay my son down without any rocking, but that did not come until he was a much older baby, probably over 9 months old.

With the twins, I only have one pair of arms to rock a baby. I am also limited on the amount of time I can spend helping the twins go to sleep because I have to worry about my 19 month old. What I have been doing is swaddling the twins real good, putting them in their bouncers and swings, and waiting for their sleepy cues that it is time to go to sleep. Their sleepy cues is less activity and their eyes start to get heavy and dart back and forth under their eye lids. At that point, I pick them up, carry them to their cribs, and lay them down. I sometimes give them a pacifier if are having trouble. Since I started doing this, they go to sleep well on their own.

On occasion, one of the twins just has trouble going to sleep. When that happens, I do the following things:
1. Put a pacifier in their mouths.
if that does not work…
2. Rub their heads or tummies to calm them
if that does not work…
3. Just let them fuss
if that does not work…
Pick them back up and return them to bouncer/ swing until drowsy and then lay them down again

Just let them fuss: I have actually perfered to do this method. As long as the girls are not truly crying, then I will let them fuss and get themselves to calm down. This is teaching them to self-sooth so they will not need much assistance to drift off to sleep. If their fussing turns into true crying, then I usually pick them up and try the bouncer or swing until drowsy.

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