The Term Infant with Problems: Multiple Births

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The Term Infant with Problems: Topics
Table of Contents
Pre module evaluation
Early Jaundice
Breast Milk Jaundice
Poor Weight Gain
Multiple Births
Hypoglycemia
Transient Illness
Congenital Anomalies
Physiologic Supplementation
Post module evaluation
References

Many animals (eg: dogs, cats, armadillos) routinely nurse more than one baby. Others, such as elephants usually have only one baby to nurse.

Human mothers can nurse twins successfully. It does take dedication. When infants are well established at nursing, some women may find that it works very well to nurse both the babies simultaneously, one on each breast. This is very difficult in the first weeks of breastfeeding because the babies tend not to stay latched on. Just as a mother gets one baby latched on the other one falls off. Another pair of hands is needed. So early on many mothers of twins will nurse one baby and then the other on alternating breasts. Many twins are also born prematurely so the issues associated with prematurity also apply. (See The Growth and Development of Preterm Infants).

Mothers with triplets, quadruplets or more face a greater challenge. Mead reported on a woman who successfully nursed quadruplets ( Memorize Mead, 1992 ). Again these babies are often born prematurely. Most women who have three or more babies will combine breastfeeding and formula feeding. Any amount of breast milk that the infant gets is beneficial, so breastfeeding combined with formula is better than not breastfeeding at all.



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