Getting Ready to Breastfeed Twins

With all the benefits of breastfeeding, many moms strive to nurse their babies at least for a few weeks, and some for much longer. While breastfeeding one baby has a steep learning curve and struggles, breastfeeding two or more can bring a whole new variety of challenges and complications. The most common challenges to breastfeeding twins relates to the fact that many twins are at least slightly premature.  Even a birth date at 35 weeks – which is only 1 week shy of what is considered ‘full term’ for twins - can affect a baby’s ability to nurse efficiently. And even breastfeeding healthy full-term twins brings a set of challenges that most moms and lactation consultants have never encountered.

Honestly, I want to warn you that the greatest challenges of breastfeeding for me were not logistic, nor physical. They were mental – either self-imposed, or imposed under the pressure of a well-meaning but short-sighted lactation consultant or nurse.

If you want to breastfeed your twins - exclusively or not -and make the whole experience a lot easier on yourself, I recommend you invest some time researching and learning now before the babies arrive…finding time to read and comprehend a book while playing ‘Hot Potato’ with 2 crying newborns is simply not enjoyable or effective! Read (ok, at least skim) a good comprehensive book on breastfeeding like this one...

Find a breastfeeding 101 course from le leche league, your hospital, birth center or birth and parenting education center. Nothing beats the getting the 411 in person from someone who knows what they are talking about!

Get a phone number of a lactation consultant or counselor. Try to get a referral from a friend or acquaintance who had a good experience. Also, find out how she charges - if by visit, or for calls or both. (Some may charge two fees for twins, even if they only have one visit with you. You really should not have to pay for twice when they truly only have one visit, unless they are doing extensive coaching/examination of each baby and spending twice the time doing it). Also, you should also call your insurance company to find out if L.C. is covered. - Note sometimes it is covered better or only during your postpartum hospital stay, but not thereafter. If you do have questions or problems breastfeeding when the babies arrive and sleep is in short order, the hardest part is already done –finding an expert to call, and all that’s left for you to do is pick up the phone!

Create a ‘nursing nest’. You will be spending a LOT of time with your little nurslings. You might as well do it as comfortably as possible! If you have a rocking chair, glider or other comfy chair you plan to use, create a ‘nursing nest’ with it. (If you don't have a special chair, pick a spot on the couch or other chair with space to keep supplies nearby) This means choosing place that makes the most sense for your lifestyle and schedule. Yes, instinctively you may want to place it in the babies’ room, but that may not be the best option depending on your family and preferences. For instance, since I had 2 older 3 year olds, I put my nursing nest in the living room so I could watch and interact with my other kids and make sure they weren’t getting into trouble! Next to my chair, I put a TV tray that could hold my laptop computer or a book or magazine. On the window sill of the other side of the chair, I put a small basket in which I could store all sorts of essentials – nipple cream, TV remote, an extra burp cloth, tissues, my breastfeeding reference book and my big kid’s favorite finger puppets. I also kept the boppy leaning right next to the chair as well as my breast pump.

Here are some other recommendations just based on my personal experience...

Nursing Bras

Buy just one or two nursing bra in advance, buy different styles so you can decide which you like best after you are nursing. Get one that fits even while you are pregnant, but err on the large side as your bosoms will soon have superhuman elastic capabilities. It was much easier to know what fit well AFTER I was actually nursing. Then you can stock up on your favorite bras. I also highly recommend nursing bras with one-handed access – NOT SNAPS! Sometimes you just don’t have 2 hands available when you have 2 babies!

Comfort measures

I recommend getting the gel pad ‘soothies’ and a good nipple cream. I like the cocoa butter oil-based version that is not sticky like the lanolin and it goes on nicely even if you’re a bit chaffed.

Breast Pump

You don't usually need to buy this ahead of time because first, it is hard to know what you will need, and also they usually have them available a the hospital. Though, if you are pretty sure that you want a pump, you can buy ahead of time and shop for the best deal. If you will be going back to work at some point, you will probably want to plan on buying a good pump. Some moms who stay home hardly, if ever, use one. If you aren’t going to buy your own breast pump, try to rent or borrow one. It will really help you build supply for the first several weeks and when your babies have growth spurts. If you do borrow one, you should probably buy all new parts for it at a baby superstore near you, or order online.

Find other M.O.M.s who know

Get connected with a good twins club/ moms club in your area. You will no doubt have questions or need input that is best found from other mothers of twins who have recently been in your shoes. If you can’t find a local club, join an online forum like are available at babycenter.com  that has mothers of multiples groups (like this one).  They are usually free of charge and full of compassionate women who have wisdom and experience they are eager to share.

Gentle, Patient and Kind...sibling (and parent) readiness!

Well, just a quick post to say...I'm late! I've never been on known for being on time, so it is fitting. My due date was 2 days ago. I had a checkup yesterday and everything looks great, so we are just waiting and this point. People ask me if I'm antsy, but really, no. I can wait for this baby to be ready. I have plenty to do in the meanwhile...like clean, work on some blog posts, heck, I even have some 'work' to finish up and a church website that I am helping put together. I am almost hoping for an extra week or 2 actually! But even if I didn't have that, I still would have my other kids to play with and spend extra time with. Which I am trying to do now.


When my older ones were 3, and we were expecting the second set of twins, I really didn't do too much 'prep' that way. I simply tried to keep them involved in the pregnancy, looking at my belly and feeling the babies kick. Asking them what they wanted to name them (Ellie and Jo were the answers! Not bad for 3 year olds I guess!) Talking about what the babies would look like when they are born. Dispelling myths about how they would not be able to play with the babies much until they were older. And how little babies put things in their mouths and can choke so it will be important to keep the little toys upstairs in their room (really, you don't have to worry about this until the babies are about six months old!). We talked about how the babies would drink milk from my breasts, and how they might cry alot and how mom will need lots of help getting diapers, blankets or towels. 

After the babies did arrive, I also made sure to spend some extra fun time with my big girls on a special outing every week or 2 for that first month or so after the babies arrived. The grandma's were glad to help babysit the little ones so I could take the big ones to the zoo for a few hours, or even just to the mall or the grocery store.


And in fact, when the little sisters arrived, I don't remember having any problems of jealousy or indifference or anger. Both the big sisters were nearly four years old at the time, and were really quite proud and interested in this phenomenon of each having a baby sister (they basically claimed who belonged to who! But the concept quickly faded over time!). Not that we didn't have problems! Just not those ones...


But what's been on my mind now, is how crazy life in our house is already, and how much crazier it  is going to be very soon. How to manage 5 different kids with various attention spans, anxiety problems, emotional regulation difficulties and cognitive ability to understand why a baby needs my attention more than they do for the moment.I've been paying extra attention to the things that are going to be hard - like teaching my kids to be patient when they need something from me. Right now, I am usually available quite immediately. But with a tiny baby, I've explained to them that I might be feeding her, or getting her to sleep, and that they may have to help themselves or manage to wait PATIENTLY for a few minutes. In fact, most times that there is fighting or crying in our house (remember, the twins are ages 3 and 7!) it is almost always because someone is not being either gentle, patient, or kind. I guess it's my new version of how to prepare your older kids when you are having a baby, or babies...

I've focused on three character qualities. "Gentle, patient and kind" has become a mantra in our house. Every time someone teases their sister, fights over something or simply has a meltdown waiting for a turn or waiting for me, I start asking them, "Is that the way you should behave?", "You need to be gentle, patient and kind...which one are you having trouble with right now?". If it is a fight between the two older ones, or an older and younger one, I will ask the older one "What just happened?" and "What should have been done differently" and while they are quick to point out the faults of the other involved, I also point out how their own kindness, gentleness or patience was lacking, and then usually tell them to practice saying or doing what they should have.

Is this working? I don't know. So far, perhaps for one of the older ones...a little. We'll probably have to keep it up a long time I guess. I figure, it certainly can't hurt! Meanwhile, I am practicing those traits myself! The best way to learn is by example, and it is really hard to expect your kids to not yell at one another, if you yell at them. Or to wait patiently for things, when you are not patient when you want them to get their shoes on and get in the car, or to be gentle and kind and when your voice gets strained when you tell them for the sixth time to do something or push them away abruptly when they are teasing their sibling. I found the bible verse to be very true - before you remove the spec from your brother's eye, you must remove the plank from your own eye! After all, could I really blame my kids for saying 'shut up' to each other, when they heard it from me first? I could say similar things about my husband's habits. It is really an exercise for all of us I guess. Here's hoping that it lends to a more peaceful atmosphere in our house...