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breast feeding of twins needs motivation
- dr sudarshan kumari (8 December 2006)
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New Mothers MUST Be Supported By ALL
- Melissa A Strong (2 October 2007)
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dr sudarshan kumari, neonatologist sunderlal jain hospital, ashokvihar delhi, india
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sudrshan{at}hotmail.com dr sudarshan kumari
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Dear Editor, In response to the subject, i wish to pen down my recent experience of normal growth of twins till 6 months on exclusive breast feeding. A pair of male twins were born to at term to a 2nd gravida mother by normal vaginal route, the birth weight was 3.2kg and 3.0kg. The mother was motivated and advised breast feeding in delivery room and subsequently in postnatal ward. The parents belonged to lower socicoeconomic status. the babies were followed up after discharge every fortnight for 2 months and later every month till 6 months age. they were exclusively breast fed, and weighed 7.6 and 7.3 kg at 6 months. The only advise given to mother was nutrion advise and eating for three(mother and twins).She was advised and motivated for benefits of breast feeding.The mother had some extra calories about 6 kg of fats with suji and nuts(panjeeree) which is commonly given to lactating mothers in northern India. I feel breast feeding of twins is possible if the health personnel give 5 min advise tomother in delivery room and followed up by same person subsequently. It is not unusual that health personnel shift feeding to other milks rather than giving ear to her problems and nutrition advise. although all mothers may not produce as much milk as this mother , but most can hanve enoughmilk for abot 4 months with some supplemntary feeds by katori or spoon; my advise is" eat more of all food items from family pot". |
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Melissa A Strong, medical assisting student
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upholder_of_birth{at}yahoo.com Melissa A Strong
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I am very proud to be a mother of twin girls, now 9 months old. They were born at home at 35 weeks 1 day, each double footling breech with no complications. Their weights were 2414 grams and 1647 grams. I chose to exclusively breastfeed them and they both nursed great from birth until they were 24 hours, when the smaller baby fell weak and had to be supplemented, first with glucose as she had low blood sugar on entry to the hospital. I felt discouraged there where the common practice was to stop all breastfeeding and entirely supplement with high concentrate formula. Had the doctors and other staff been more knowledgeable and supportive about breastmilk, fortificationn of the breastmilk, and various other preemie care such as kangaroo care, our breastfeeding relationships wouldn't be in the dire straights they are now in. Please research all the benefits of breastmilk for these special infants and encourage and support moms by any means neccessary to breastfeed their multiples, even if supplementation is required. Exclusivity can be had at a later date, which we were successful with until I took some decongestant for allergies and dried my supply (for which I was told even by lactation consultants to supplement with formula which has further hindered our breastfeeding relationship.) Please all doctors and Nurses, suggest a prescription medication to increase milk supply in instances of low weight gain due to milk deficiency while testing the mother for helath problems such as hypothyroidism (our current American Doctor Drama - how cute I have ADD, lol) |
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