Guide to Breastfeeding Premature Twins

Breastfeeding Twins, Your Premature Twins, Your Twin Babies

by | Last updated Aug 27, 2021

Breastfeeding premature twins can come with its challenges - especially during the first few weeks. We sought advice from a NICU lactation consultant to share her tips on how to have the most success when preparing to breastfeed premature twins.

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Let’s be honest, breastfeeding twins isn’t always easy and this is especially true when they’re born very early. It can be quite a journey breastfeeding premature twins. And it doesn’t always work out.

Many mothers-to-be imagine themselves tandem breastfeeding their newborns right after birth in those first hazy moments of bonding.

Although it seems like it should be the most natural thing, it’s much trickier than just popping your wee baby onto your breast. And breastfeeding premature twins can be even more of a challenge.

Premature babies generally don’t have the strength to feed themselves. “The youngest we ever had breastfeeding was at 30 weeks gestation” NICU lactation consultant Maggie Morgan says. But most babies aren’t able to suckle consistently until they reach around 34 or 35 weeks.

Many twins are born early and can require respiratory support for their first weeks. They are only able to start to practice breastfeeding when they’re breathing independently.

To begin with, they are fed through a nasogastric tube until they’ve learned to coordinate their breathing and swallowing, and have gained enough strength.

But that doesn’t mean they don’t need breastmilk!

Breastmilk and your Premature Twins

“Breastmilk is important for immunity. It’s easier to digest and prepares the gut for solid food later in life” Maggie says. “There are a lot of long term beneficial effects.”

Even mamas who don’t plan on breastfeeding when they take their babies home are urged to give expressing a try. Human bodies are amazingly clever. When babies are born early, Mum produces milk that is especially rich in calories, vitamins, and protein. The milk also helps the babies fight off infections.

“It’s the one thing Mum can do for their premature baby,” Maggie says. Many mothers feel so helpless when their babies fight for themselves in their incubators, but their milk can make a big difference!

Getting Started with Breastfeeding your Premature Twins

From when they first start to latch on it can take premature babies weeks or months to become strong enough to get a full feed from you. Some babies get enough milk just from breastfeeding from 37 or 38 weeks. Others continue to need bottle top-ups of expressed breast milk or formula for a couple of months (or much longer) while some never learn to properly breastfeed.

To get the milk flowing, new mums have to pump every three or four hours around the clock and a quality double breast pump is essential to get a good supply going. Most hospitals provide one for a week or so to give you time to sort things out until you can look to purchase or hire one.

There are a few double breast pumps on the market but some of them can be very expensive. A favorite amongst twin mums is the Spectra S2 Hospital Grade Double/Single breast pump or the Unimom Opera Hospital Grade Double Electric Breast Pump with Rechargeable Battery. Both are designed for frequent and long term use that is often required by twin mums. It is also considerably cheaper than some of the larger models such as the Medela Symphony – the Queen of double breast pumps and one that you may use in the hospital.

Managing your milk supply

Maggie says that the majority of twin (or more) mums do have enough milk to feed their babies. They should be aware that they have an increased need for calories, but sadly that doesn’t mean we can gorge ourselves on chocolate and chips.

Breastfeeding mamas have to make sure they eat a healthy, balanced diet, which is easier said than done if you spend most of your waking hours at the hospital.

READ MORE : Breastfeeding Twins – Your Diet Requirements.

Maggie advises not to despair if the supply dips. “It is absolutely normal for the supply to go up and down, depending on how mum is feeling,” she says. Stress can impact milk supply in some mothers, so stressing about it may make it worse.

Having something like a breastfeeding tea or some Fenugreek & Blessed Thistle capsules to help boost supply during these times can help some women.

READ MORE : Tips to Boost Your Milk Supply for Breastfeeding Twins

Each woman produces different amounts of milk. Some are like wells and have so much that they can freeze some for later, while others struggle to pump anything at all. We’re not all created equal and there’s no time to feel bad about it!

Every ounce of breastmilk you can provide in the early days is valuable, but if breastfeeding doesn’t work out for whatever reason, babies also thrive with formula. In the end, fed is best!

Feeding options for your premature twins

Before you head home with your babies, Maggie suggests planning where and how you will feed them. Will you have an armchair, will you use the couch, or will you feed them in bed?

Also, think about what kind of twin feeding pillow you will use as having these extra support items can really help in the early days of learning to breastfeed.

READ MORE : Twin Z Pillow – The number one favorite breastfeeding pillow for twins

“Most twin mamas give tandem feeding a go, but be aware that twins can be at different developmental stages. One might already be latching on without any problems while the other still needs help. In that case, it might be best to feed one after the other to meet both babies’ needs,” she explains.

breastfeeding premature twins
Guide to Breastfeeding Premature Twins

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Hello and welcome! I’m Anna, the twin mama behind Twins & More. I am passionate about helping twin mamas just like you to feel less overwhelmed and more prepared to be the best twin mama you can be.

I created this space for YOU and I hope to nurture, support and inspire you through your twin pregnancy and your first years as a new mama of twins. I really hope you enjoy your visit.

Anna xx


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