Hi - I'm a new poster to this site. I'm mom to 5 week old (-1 week adjusted age) twin boys and having some breastfeeding issues. Both boys spent some time in the NICU so were bottle fed initially. Now that they are home, we are mostly breastfeeding but still giving supplemental bottles of EBM afte each feeding. Any advice on how to reduce/eliminate these bottles? both boys are gaining 9-11 oz a week so far, so weight gain isn't an issue, but they will nurse for an hour, and fall off the breast, but still seem hungry 15 minutes later. I often try to put them back to the breast, but they don't seem interested or only nurse for a few minutes. If I give the supplemental bottle, they usually chug it down and fall asleep immediately - I guess I'm just getting the impression that they aren't "full" or satisfied unless I feed the extra bottle. Am I just being paranoid? I really want to get rid of these bottles - it takes so much extra time to pump, prepare and clean bottles on top of breast feeding.
Also, should the breastfeeding sessions be taking an hour? It seems like a long time, but I know since my boys were premature they don't have the suction of bigger babies. Also, I'm using nipple shields (trying to get rid of those too) - is that something that is getting in the way of milk transfer? I'm trying hard to exclusively breastfeed and would really appreciate some advice on these issues.