Monday, January 24, 2011

Our Experience: Breast Feeding Super Preemies

 I had always planned on breast feeding my babies, but had not planned on twins! It was a huge surprise to my husband and I, that is for sure! Although, this did not change my plans for nursing them. How was I going to do it? I had no clue...


Ever & Viv stayed in the NICU for four weeks and had no major health or development issues... they didn't even need a breathing tube! 


I began pumping while still in the hospital, recovering from my C-Section. I had a torn placenta that formed infected blood clots, and was still very sick from this. Despite this, my milk came in when the twins were a day old. From that day on, my milk was given to them through their feeding tubes. 


At about 33.5 weeks gestation, I became adamant about letting my babies start to practice nursing. The nurses finally allowed me to start "breast feeding" them in the NICU. I love the NICU nurses and will be forever thankful to them, but I will say, some of them were not very supportive of this. The majority of the nurses said things like "They are too young, so don't expect much." " Don't become discouraged, when they don't latch on." " They probably will not be able to suck at this gestational age." 


I guess, I just ignored them, for the most part. I was aware that they would probably not latch or suck, but wanted to try, despite the odds against them. After all, they had already beaten most odds- being born so early and in perfect health!






One of the nurses showed me how to do the "Football" hold. She gave me the shields and said preemies do much better with them ( I continued to use these until they were 12 weeks old). I remember the first time they latched onto my nipple, It was so amazing to see these TINY babies, doing exactly what nature intended. 


The nurses were shocked and started calling the twins "Super Preemies"! Even the doctors were talking about how amazing it was, that they were nursing at such an early gestational age.


The twins were not allowed to suck very long at this point, in fear that they would burn too many calories and loose weight. As the days went by, I continued to "practice nurse" at least once a day. 


 When the twins were about 35 weeks gestation, the nursing became part of their feedings and they were consuming anywhere from half an ounce to a full ounce, on a good feeding. The amount they nursed, depended on how tired they became, usually falling asleep quickly and taking the rest of their milk through the feeding tube. 


When I left the hospital, I continued to pump every three hours and was traveling to the hospital 2-3 times a day to nurse the twins, followed by pumping. After the twins came home, I continued to tandem nurse them, using the nipple shields and a Boppy pillow. This pillow worked for us, because they were still under 6 pounds for a long time. I believe I switched to a My Breast Friend when they were around 13 weeks. Personally, the twin feeding pillows did not work for me. I am petite and short waisted. They would not stay on and were so big and bulky. 


I would say, the hardest part of my nursing experience was when they were very young ( about 33 weeks gestation - 13 weeks old). The babies were constantly falling off the nipple, falling asleep, and/or just not consistent with anything!  I was also still having to pump after nursing, as they were not taking all of my milk and I wanted to keep up my production. It was so frustrating and extremely tiring. They were on a 1.5-2 hour feeding schedule to gain weight and that included the night time feedings too.  Since I was nursing, my husband wasn't much help. Although, he and my brother took turns "preping" the babies for their feedings at night, and then placing them on my feeding pillow to nurse. Occasionally, I would take a break from the feedings,  and they were given a bottle, but usually I choose to nurse them. I am so glad they were introduced to the bottle early on. Bottle feeding is crucial with twins, because it's very difficult to tandem feed in public. I would never even attempt that!


So, basically, all I did for the first 4 months was change diapers, nurse, burp, put babies to sleep, pump, wash pumping parts, and start all over again. 


My biggest problem while nursing came around 5 months when I was back to work (around 3 months).  The challenge for me, was not having the time to consume enough calories or pump often enough at work, to keep up my production and keep the milk caloric. 


I was/am about 110 pounds and I barely had time for one meal, let alone, consume the amount of food it took to keep my milk fatty.  I was having to eat over 3,000 calories a day! My milk began to look like water, literally translucent, and the twins continued to spit it up and/or need a bottle of formula after nursing. I tried supplements for milk production, and it helped with the production amount, but not the quality of the milk. At one point, my family would joke about the feeding following my Cheeseburger, because it would be the best milk of the day! 


At about 5-6 months, My weight continued to drop and I was still struggling on not having enough quality milk for both babies and I began nursing one/bottle feeding the other and switching back and forth with every feeding. Of course, this made the milk problem even worse and I couldn't do this when I was away from them at work 3 days a week.


The "watery milk" and low production never got better. This inevitably, became the reason for me weaning the twins at 7 months. 


I miss breast feeding my babies and I feel guilty in the fact that they are not getting the best source of nutrition, but I am also very proud for having nursed twins for 7 months. 


They are healthy, happy, and loved beyond measure and that is what matters at the end of the day.


I have always said "Breast feeding is not only the best gift you can give your baby. It is a birthright." Do what you can and breast feed as long as you can. There are countless options available for practically every problem you could have, when breast feeding. It's not easy, but it can be done. 


A special thanks to my husband and my brother for the support, for that which making my breast feeding possible. 

Thursday, January 20, 2011

That Question

In this rare moment, I get a small glimpse of what it's like to have one baby. It's 6 A.M. (Everlynn's new wake-up time) and Vivian is still snoozing. Sitting here, watching the morning news and sipping coffee, I'm pondering the answer to the on-going question "How do you manage it with twins?".  


The difference? 


Possibly "Down time"is the answer. Down time is something a mom of twins- just does not have. I may get a moment or two to shove food down and/or post some photos to FB, but simple things are even hard to accomplish during the day, when the twins are awake- which is most of the time, considering they take three naps that are less than 30 minutes each. 


So, is having one baby, really this easy? That is MY question. 


The fact is, in this moment, I feel like I could do anything, go anywhere, carry on with my life as if ONE baby is not even remotely effecting what I want to do. You always hear how difficult it is to be a new mom- the sleep deprivation- the constant care of your infant-no time to shower. Every parent in the world can't be that bad at time management?!


Or, do you simply adapt to what you have as an experience? That makes much more sense to me. 


The things I know for sure regarding twins vs. single:


-Mom's (parent's) of multiples don't sleep in the beginning. It's not a 3-4 hour sleep rotation, like most circumstances with a single. The twins were on a 2 hour sleep/feeding schedule at night, to gain weight, which is common for multiples.  By the time you feed, burp, change, put babies back to sleep, and get yourself back to bed- you're lucky to get 45 minutes. I remember praying for a solid hour of sleep- and that was rare. Sometimes going DAYS without more than 3-4 hours of sleep, combined, my sleep deprivation became so extreme, that I had to drink a coffee mug of wine to force my body to shut down on a somewhat regular basis. This went on for the first 3 months of their life. It's gradually got better. I think we had a month stretch of both babies sleeping through the night,  but I am still up at least twice a night with one or both babies. 


-Getting babies to sleep/eat on the same schedule is a never ending battle in itself. 


-Twins cost double. Period. Thanks Kyle:)


-It's hard to take two babies out by yourself. I do it all the time and Kyle attempts it on the occasion, but it's physically A LOT to manage. 


-Nursing twins is very difficult. It's hard to produce for two babies... at least it is for me. Tandem feeding was a struggle for the first 4 months, that I managed it. I physically can't hold two babies and nurse them anymore.  I nursed for 7 months total. 


So, with all of that said,  I don't think it's fair to say that parents of twins have it much more difficult, than a parent of a single baby. We all give our 110% to our babies- period. We all spend our days playing on the floor, changing diapers, feeding our babies, trying to get them to nap/sleep, researching/reading what we can do better,  and giving everything we have to that child (hopefully), whether or not we have one or six babies.
"How do you manage it with twins?" Well, it's very simple. It's all we know, so we just DO IT.  Just as you do it with a singleton... or quads! It's still a daily challenge. I feel exhausted, blessed, defeated, humbled,  clueless, but ever so thankful... and I think it's fair to say "Double the love and laughter.".

Friday, January 14, 2011

7 Months and 20 Toes!

 Their favorite new position:)

7 Months and 20 Toes!

 The girls are starting to "fight" over toys... in this case a paci
 Vivian takes it from Everlynn... she is obviously not happy about this!
The tables turn!

Uncle Jamie 5 Weeks-6 Months


Uncle Jamie, A.K.A. The Baby Guy NYC, was a life savor for our family. He came to stay with us when the twins were 5 weeks old, until they were 6 months old. He was a great help with the twins and brought a light-hearted sense of humor to some very stressful moments! Not to mention- he is an expert in the baby gear department and his companies sent us amazing products for the twins-everything from diaper bags to double strollers! We are truly blessed. Thanks Uncle Jamie! We miss you!

The Food Isn't The Only Thing Solid These Days...



We began introducing solids at 6 months. After researching all of the options, we decided to join Dr. Greene's White Out Movement and start the babes on whole grain rice. Shortly followed by organic Avocados and Bananas. Vivian is a serious eater, with her arms opened up for a hug and her mouth as wide as she can stretch it- she takes the mush like a charm. Everlynn, on the other hand is all smiles with a little bit of hand-jive! She loves to play in her food and her tongue is in full action! Both great eaters and of course a little bit of a sweet tooth.
I have been making their food using a mega blender and lots of organic fruits and veggies. I store them in the freezer, so that I can make large batches and pull them out as I need them daily. This, of course, keeps the nutrients rich and also allows me to buy in bulk.
Another great idea, for teething babes, is to freeze the baby food in ice cub trays and put them in the mesh teething bags. Messy- yes, but they love chewing and sucking on these healthy little treats- they told me it feels like heaven to their gums!http://www.drgreene.com/whiteout
Breast feeding is not only the best gift you can give your child- it's a birthright.