I'm the mom of preemie twins born at 34 weeks. They're now at 44 weeks gestational age and 10 weeks old. I've been working this whole time with several IBCLCs to get them onto the breast. I think we are close as they each have done some full feedings at the breast! But I'm having some challenges and would love your advice.
-I think supply and milk flow are big hurdles for me because they feed great when I'm full, less so when I'm not. My pumping output is 24 to 28 opd plus some nursing, and I'm told this is borderline for twins. I didn't get very good pumping advice at the beginning and I'm afraid I was just under stimulated too long. I was told to pump 20 minutes on a low setting every 3 hours. I now pump at a higher setting.
-I'd like to pump more like every 2 hours to get my supply up but that ends up conflicting with my babies' eating. They got used to eating every 3 hours and we were advised to stick with this got a while as preemies use energy eating. Can I feed closer together now that they are 7.5 pounds and 10 weeks old? (I usually wake them to eat. Sometimes they awaken first.)
So I guess I feel like if I had better milk flow, I could do this, but I'm not sure how to get there. I'm so worried because we are at 10 weeks and I keep hearing you have to be established by 12 weeks. My IBCLC had given me some supplements. Not sure how much they've helped...
I think our latch is decent because I have no pain and no misshapen nipple but there's always room for improvement.
I recently got an SNS and am trying to use it a often as possible. Sometimes the babies are using the SNS and just stop/get tired.
All advice greatly appreciated!