Foodie Friday: A Healthy Alternative to Thin Mints

I’ve been rather obsessed with making different types of energy bites or energy balls lately for middle-of-the-night nursing snacks.  As much as I like them though, I will be THRILLED when we don’t need nighttime nursing snacks anymore!!! (Please tell me that some day our triplets will sleep through the night!!)  I started making these little balls of goodness a couple months ago after seeing a recipe on Pinterest but have since done a lot of experimenting with various flavor and ingredient combinations.  In general, I am a “just wing it” type of cook who likes to look at recipes for inspiration but then just throws things together.  Measuring is not really something I do, which is why baking isn’t really my strong suit.  The great thing about these little energy balls is that they are “no bake” gems that are very forgiving to imprecise measuring.  I’ve only made one “I bet this would be good in here” batch that flopped and the rest have been pretty tasty. These little energy balls are pretty quick and easy to throw together, which we MoMs know is clutch because “free time” tends to come in short bursts!  I’ve made many a batch of these wearing a baby or two.

Because you now know how much I despise measuring, I hope you will appreciate the effort it took me to actually measure and write down this recipe for you!  I would catch myself about to just toss something in and then remember that I needed to measure it so I could pull this recipe together.  But for those of you out there who are creative cooks like myself, please feel free to add “ish” after all these measurements! I’ve also added notes about substitutions that would work nicely if you don’t have these things on hand.

The raw ingredients!

The raw ingredients!

We love having these for nighttime nursing and since they’re chock full of oats I think they’re good for our milk supply.  They also have a little protein to help them stick with you.  And the best part is that they are delicious!  I’ll grab one from the fridge and it feels like sneaking a bite of cookie dough without the guilt!

The finished product!  They look a lot like meatballs, but trust me, they're delicious!

The finished product! They look a lot like meatballs, but trust me, they’re delicious!

Chocolate Peppermint Energy Balls

  • 1 cup cashew meal (I find this at Trader Joes.  Almond meal also works great)
  • 2 cups oats (I use gluten free oats from Trader Joes, but any will do)
  • 1 cup oatbran (if you don’t have this you could sub oats or more nut meal)
  • 1/2  cup cacao powder (standard cocoa powder works fine too)
  • 1/2 cup finely diced dates (not tightly packed)
  • 1/4 cup maple syrup (can subagave or honey)
  • 1/2 tsp peppermint extract
  • 2 Tbs chia seeds
  • 1/3ish cup hot water
  • 1/4 cup chocolate chips (I like to use mini chips but was out when I made this batch)

Instructions: Mix all dry ingredients together in a large mixing bowl.  Put chia seeds in a measuring cup and then add water up to about the 1/2 cup line and let rest for a few minutes.  When you come back to your chia seeds they should have absorbed the water and be pretty thick and gel-like.  Add maple syrup and peppermint extract to the chia and water mixture and stir that and the dates into the dry ingredients.  It can take a bit of work to fully distribute the dates and wet ingredients.  The “dough” will be pretty dry and crumbly looking.  Mix in chocolate chips.  This is where it gets messy.  Now grab a small handful of “dough” and smush it together.  Some recipes say to “roll” the bals, but in my experience it’s really more of a smushing than rolling to get them to stick together.  This recipe will make approximately two dozen balls about an inch in diameter.  Usually about halfway through making the balls my hands are so sticky that the balls aren’t smushing well.  So I just wash my hands and come back for another round of smushing.  For those of you with older kiddos this would be a great job for your kiddos to help with!

Other flavors I’ve made include chocolate peanut butter, almond joy, chocolate almond, and honey peanut butter banana.  I’ll try to find the time to measure out the ingredients for these recipes and post them on our blog therrientriplethreat.blogspot.com.

 

Beyond the Sling – A Book Review (Attachment Parenting)

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I remember seeing Mayim Bialik a few years ago on What Not to Wear.

She had this bohemian-bag-lady look going on, and she reminded me of some of the women in my family: quirky and intelligent. I learned that she has a PhD in neuroscience. Then, several years later she showed up in the Big Bang Theory as Amy Farrah Fowler! She’s my favorite character.

(And, did you see the Valentine’s Day episode? Squee!)

Beyond the Sling So, I’m a big fan of hers.

I was in my first trimester of my twin pregnancy when her book, Beyond the Sling, came out. I mainly bought it out of curiosity.

I really liked her no-nonsense approach, and the way she rejects the gimmicks and consumerism of parenting (as our culture would have you believe).

Essentials

According to Mayim, these are the true baby essentials

  • a smooth birth (drug-free, vaginal when possible)
  • milk (breastfeeding is natural, bottle feeding should mimic breastfeeding as much as possible)
  • to be held (baby wearing is a biggie)
  • nighttime parenting (no “crying it out” or sleep-training;  co-sleeping or bed-sharing is appropriate)
  • potty (also known as Elimination Communication)

And here is what baby DOESN’T need

  • all that stuff (can I get an amen from MoMs everywhere?)
  • unnecessary medical intervention (holistic remedies)
  • pressure (“teaching” before baby is ready)
  • punishment (positive parenting vs. traditional discipline)

(There’s also a section on what mommy does need, but that part wasn’t as interesting.)

Attachment Parenting

If you couldn’t tell by her idea of what baby does and doesn’t need, Mayim is an advocate of attachment parenting. I really didn’t know much about it before reading the book, and I definitely think it’s a good “primer” in the logic of attachment parenting.

What I appreciated most about the book was the simplicity of her statements, backed up by science. But she writes in “plain English,” so it is easy to understand.

Diaper-Free Baby??

I particularly found the section on Elimination Communication intriguing, if not a little wacky. (At the time, I didn’t yet know I was carrying twins. I seriously contemplated EC, then discarded the idea at the thought of two diaperless newborns, then reconsidered and had an interesting couple of months!)

Positive doesn’t Equal Permissive

I also liked her section on punishment or rather, not punishing. She plainly explains why conventional discipline strategies like time-outs or threats are not effective, or why they work “for the wrong reasons.” She gives lots of examples of things to do instead and stories from her own children.

I enjoyed reading how the ideology played out for her family. There are many things that wouldn’t work for my own family, or that would be more challenging with multiples, but it was still neat to read about.

Give Yourself Some Credit

As with any book, this is not the answer to all your questions, nor is it a “quick fix,” and Mayim is the first person to tell you. I love that one of her first messages is that “you already know the majority of what you need to know to be an incredible parent.” What first-time mom doesn’t need to hear that? Now, as a parent of multiples, we generally need a little more logistical guidance, but when it comes to the meaty heart of parenting (or maybe its tofu heart, since Mayim is vegan), we should trust ourselves to make good decisions for our families.

For me, this book was an eye-opener and was kind of a “gateway book” into the world of attachment parenting. I would recommend it to anyone with an open mind who enjoys reading pieces that are straight-forward and scientifically backed.

Mercedes is a toddler-wearing, breastfeeding MoM to boy/girl twins living in Scotland. She is the author of an ebook, Twin Manibreasto, and blogs at Project Procrastinot

Advice for Pregnant MoMs

You’ve just found out you are pregnant… and with twins! Congratulations! So many thoughts must be racing through your head. Are there really TWO of them in there? How did this happen? What does this mean? Can I still have a natural birth? What if they come early? Do we need to get a bigger car, bigger house? How are we going to PAY for TWO babies at once?

OMG what are we going to do?!?!?

Relax. You are in good company. We’ve all been through it, that’s why we are blogging about it now. It’s been a tough road for many of us, but hey who said raising kids was going to be easy?

If you are new parents, you will be evenly matched. If you already have an older child… well… better prepare your house for battle because YOU WILL BE OUTNUMBERED!

Here’s what you can do.

  1. Arm Yourself With Knowledge

    Read up on books which will help you prepare for twin mommy-hood. You could buy them from your local bookstore or online, borrow from a friend, get them second hand or borrow from the library. Our local library has an online book reservation system which made it really handy to place books on hold. You get notified when the books are in and they store them on a special bookshelf near the entrance which makes it quick and easy to pick up. Plus you can renew books online. All you need is a library card, which is almost always free!

    Some of the books that a very thoughtful friend gave as a gift:
    • “Healthy Sleep Habits, Happy Twins” by Marc Weissbluth, MD
    • “Ready or Not” series on raising twins by Elizabeth Lyon

    Not-twin related but still very helpful books I borrowed from the library:
    • “What To Expect When You Are Expecting” – with a special section on multiples
    • “Secrets of the Baby Whisperer, How to Calm, Connect and Communicate with your baby” by Tracy Hogg
    • “The Girlfriend’s Guide to Pregnancy” by Vicki Lovine
    • “Baby Bargains, Secrets to Saving 20% to 50% on baby furniture, gear, etc” by Denise & Alan Fields

  2. Register for Bootcamp

    Find a prenatal class offered in your area either by your municipality/county, hospital or local Multiple Births Association.

    We took a combination of classes. First, we signed up for a local prenatal classes which at the time were a series of evening classes led by a Registered Nurse (RN) from the Public Health department. Now unfortunately those courses are only offered online with an optional one day workshop at the local library.

    Once we found out we were having twins, we then signed up for the Multiple Births Families Association (www.MBFA.ca) “Multiple Expectations” prenatal course where we met other families in the same boat.

    Finally, I signed up for a special Breastfeeding Multiples session at the local Hospital to get some “hands-on” training with dolls. It sounds funny but you will need the practice. It’s less nerve wracking to position 2 dolls and not worry about dropping them than a pair of REAL babies!

  3. Make Allies

    Start building your network with some of the couples you met at these prenatal courses. Join your local Multiple Births Association to meet other families. If you live in Canada, check the Multiple Births Canada website to find a chapter near you. It’s worth the annual membership fee, especially for the first couple of years.

    Again, it may sound funny to some (“They have a twins club for you guys?”) but trust me, if you meet another twin mommy with multiples close to your age, you will want to exchange numbers and stay in touch! Many of these clubs also hold events like: summer picnics; holiday parties; meet and greets; and playdates.

    You can also join online communities such as right here on HDYDI to connect with other moms, either though facebook groups or blogging websites. Great way to connect with MOMs across North America!

    Another great resource we have here in our city is Breastfeeding Buddies. It’s another program offered by the City of Ottawa’s Public Health department for new moms with babies under 6 months old where they pair you up with another mom who has successfully nursed her baby or babies. I was grateful to get a phone call every few days from my BF Buddy to ask how things were going and encourage me along. If it wasn’t for her, I would have given up well before my twins weaned themselves off around 9 months.

    Yes, this person is a stranger to you but sometimes you can be more candid speaking with someone you don’t know very well. Plus, these ladies are screened and trained by a Ottawa Public Health nurse on being discreet. They are there to offer advice, not pass judgement. Check your county’s Public Health department website for a similar program.

  4. Select Your Gear

    Many people, when having their first child, will buy things brand new or get items as gifts from families and friends. That is not always practical when you are preparing for multiples.

    So in addition to joining your local Multiple Births chapter for the events, attend their Mom-to-Mom consignment sales. At our local ‘Twice As Nice’ sale, we have scored new or nearly new snowsuits and winter boots, not to mention toys, nursery essentials and big ticket items like high chairs and toddler bed frames. For more details on what these “Twins Sales” are about and why they are so popular, check out details on our local sale website here.

    Before you go, make a list of what you need so you don’t get carried away with buying too much or too little. Luckily, you DON’T need two of everything.

  5. Stockpile Supplies for Survival

    The biggest expenses for babies in the first year are diapers and formula. Now is a great time to start stocking up on those essentials.

    You will be needing diapers until your babies are at least 2.5 years old. When shopping for diapers, it’s handy to do a quick calculation on the cost per diaper to know whether you are being ripped off or not. Each diaper can cost between 16 to 40 cents.

    If you are using formula, you may want to wait until you figure out what your baby can handle. Not every formula is the same. We found the liquid Similac which the hospital gave us was easily digested but the more inexpensive powder form was hard on them and causing constipation.

    So we switched to the iron-fortified President’s Choice* baby formula from our local grocery store which often came on sale for $12.99-$15.99 for a big tin. (regular price at the time was $19.99, compared with $32.99 for other leading brands) A second brand we found worked well was Heinz. Find a brand and stick to it.

    Since we were doing both breastmilk and formula, we went through one tin a week for the first few months. Then 1 tin every 4 days until our twins were able to take cow’s milk at one year old.

    *President’s Choice label is only available in Canada at our grocery food chain, Loblaws. Their products (including affordable gourmet food items) are worth the trip up north!

  6. Line Up The Troops

    Make note of all the well wishers in your life that offer help, whether they be neighbours, parents, siblings, other relatives, friends, or co-workers. If you are like me and have a hard time asking for or taking help, pray that your family and friends know you well enough to know when you need it. We are fortunate enough to have both sets of parents in town, helpful aunts and uncles, friends and neighbours. They all came over on a regular basis (daily or weekly) to help out in some way whether it was taking over the kitchen, folding laundry, bringing over food, and of course caring for the babies.

    Have a short list of people you can reach out to by phone. These are well wishes who want to be there for you but can’t physically due to distance and their own situations.

  7. Have a Gameplan

    Manage your expectations and logistics of what’s going to happen when the babies’ arrive. Is your house going to be a disaster or will you work yourself to the bone trying to keep it clean? Can you afford to get outside help for a short time to help maintain it?

    Will you allow visitors in the hospital and in the early days at home? If so, ask them to bring lunch, or grocery essentials like milk and eggs. Tell them to expect you to open the door in your pyjamas. Let them hold the babies while you go take a shower or a nap.

    Are the babies going to sleep in your bed, your room or in the nursery? In one crib or two? Upstairs or downstairs? (depending on whether mom can climb stairs in the early days)

    Is hubby going to stay home for a few days, weeks or months? Will you invite your folks to move in with you for a short while? When will you go back to work? Will you go back to work?

    If you are nursing, will you hire a lactation consultant to help you? Will you consent to a wellbaby visit by a Public Health Nurse, if this service is offered in your area? Read a previous post I wrote on how to survive the first three months with newborn twins.

Pregnant with twins? Relax. It's going to be great. from hdydi.com

Hopefully these tips and suggestions will help you organize your thoughts and figure out how to prepare for your upcoming bundles of joy. Most of all, DON’T PANIC! Soon, you will find yourself saying you “wouldn’t have it any other way”.

Ambereen lives in Canada with her husband and Boy/Girl twins. They survived the first 3 years of raising twins and lived to blog about it. Check out her blog at www.2cute.intiaz.com or tweet her at @2cuteblog.

Twin-Z Nursing Pillow

Twin Z Pillow Review - Doyle Dispatch

A few months ago, I discovered a wonderful website called Tomoson.com where bloggers can apply to review items. Based on your qualifications, you may receive the items that you applied for. Well, there are lots of cool gadgets, new products, books, and items to try and “win,” and I’ve been really fortunate to be selected to review the Twin Z Pillow!

Now, I will preface this post by saying that my twins hadn’t been born yet when I wrote this, so my review will be based on what I know so far. I did not receive any compensation for my review, other than the free product.

When I first heard about the Twin Z pillow, I was a little hesitant. All of the MOM (Moms of Multiples) sites and groups recommended the My Brest Friend Twins nursing pillow, as that is the leader on the market. As these are our first babies, I suffer from “First Time Mom-itis,” which is defined as wanting only what is best for your child(ren), no matter the cost or hassle. Still, when the Twin Z pillow popped up on Tomoson’s site, I applied to review it (hey, free is free!), and then I scoured the internet for information about it. What I found surprised me. I saw review after review of it, comparing it to the My Brest Friend Twins pillow… and the Twin Z came out waaaaaaaaaay ahead. So, why was My Brest Friend’s nursing pillow the leader in the market? My thought is that it has to be tied to marketing, advertising, and product placement in stores.

Score Count: 1 (for previous reviews)

When I found out I won the Twin Z pillow in yellow, I was overjoyed! I was even more shocked when I received it less than a week later. I love a company that has such amazingly fast shipping, as I also suffer from I-Want-It-Now Syndrome.

Score Count: 2 (+1 for quick shipping)

Now came the actual product. I was so happy that when I opened up the box, the pillow was already inside its own travel bag. It looks like great water-resistance material with a nice drawstring top. I can imagine that this will be handy for traveling and storing, to protect the pillow itself.

Twin Z Review - Doyle Dispatch

Score Count: 3 (+1 for a travel bag)

We then had to put the cover on the white pillow. The cover was a super-soft yellow minky fabric, although there are lots of different colors that you can choose for the covers on their website. You can also order extra covers for $35.99, which we will be doing. Adding the cover was a two-person job. You had to start at one end of the pillow and stuff-and-pull, stuff-and-pull. It was a really tight fit, and I couldn’t have done it without Tim’s help as well. We then found the holes where the straps weaved through, got them out, and velcro-ed the pillow cover closed. It was a tight fit, but it was perfect. I can see why they made it so tight, as it made sure to keep the shape of the pillow.

Twin Z Pillow - Doyle Dispatch

Score Count: 5 (+1 for fabric, +0 for adding the cover, +1 for look when finished

Next came trying it out! Again, I am still twincubating until the fall/winter, so I can’t actually try out breastfeeding the twins on the Twin Z, but I want to say how much I love it already. There are 4 uses for the Twin Z pillow: breastfeeding, bottle feeding, tummy time, and sitting up support. After actually seeing how sturdy the pillow is, I have no doubt that I will be using this pillow for every single one of those purposes.

Twin Z Pillow - Doyle Dispatch

The pillow is absolutely huge, and it is shaped like the letter M. Each of the “legs” is incredibly sturdy, yet it also can be manipulated and moved into different positions to accommodate the different uses. The clip helps keep it in its different positions. For breastfeeding or holding both babies, you would push the center “leg” up and use it as a back rest. I am actually sitting in it just like that as I write this, and it is heaven for my sore lower back! If you want to make sure the arms stay where you want them, you can clip the arms together. This is how I picture using the pillow the most, while I try to breastfeed both twins at once. With the “legs” clipped together, it brings your arms up to a good breastfeeding height, but with it unclipped, it puts the arms a little lower. I personally find it more comfortable to have my arms a little higher. I guess we will see what I like better with babies in my arms in a couple of months.

Twin Z Pillow - Doyle Dispatch

Score Count: 7 (+1 for breastfeeding options, +1 back support)

Unfortunately, I don’t have any babies to demonstrate the 3 other uses for the Twin Z, but I do want to show you some pictures from their website to illustrate how it can be used.

Twin Z Breastfeeding

The Twin Z used for bonding with the babies. Can’t you imagine a child using this as support to hold their new buddies?

Twin Z Bottle Feeding

Bottle feeding with the Twin-Z. This gives a great view of the backrest and the support that you would get.

Twin Z Bottles

This is how I imagine I would use the Twin Z to bottle feed the babies. This is shown without the “legs” clipped together. If the twins are smaller, you can clip the legs together to make sure there are smaller holes (so they don’t fall through).

Twin Z Tummy Time

Tummy time with the Twin Z!

Score Count: 11 (+1 tummy time, +1 bottle feeding option, +1 newborn/preemie size adjustment, +1 sitting up support- not pictured)

While the My Brest Friend Twin retails for $78, the Twin Z sells for $99.99 (which includes one cover). While the starting price is a little more, I just love love love the additional uses for the pillow after breastfeeding is over. I think that the additional $21 on the Twin Z is well-spent, given the additional purposes.

Score Count: 12 (+1 for affordability due to versatility)

So the final Score Count is 12/13, with the only negative being how you apply the cover to the pillow. Overall, I would highly recommend the Twin Z to a M.O.M. I absolutely LOVE the options available, and I feel like the different uses far outweigh the other options on the market.

It is also important to note the following about the Twin Z:

  • Made in the USA
  • Hypoallergenic
  • Foam Free
  • Lead Fee
  • No Chemicals Added
  • No Flame Retardants

If you want more information, please watch this video to showcase the Twin Z:

You can purchase the Twin Z pillow on their website: http://www.twinznursingpillow.com/, as well as see other pictures of the pillow in action. Like the Twin Z and just want more? Like Twin Z on Facebook.

6 thumbs up, Twin Z!

I received one or more of the products mentioned above for free using Tomoson.com. Regardless, I only recommend products or services I use personally and believe will be good for my readers.

*Part of this post originally appeared on Dory’s blog “Doyle Dispatch.” To read more posts about Dory’s pregnancy and nursery decorating on her blog, you can see the list here.*

Foodie Friday: Suck-Swallow-Breathe

Prematurity Awareness Week 2013: How Do You Do It?

World Prematurity Day November 17In the United States, 1 in 9 babies is born prematurely, 1 in 10 in Canada. Worldwide, over 15 million babies are born too soon each year. While not all multiples are born prematurely, a multiple birth increases the probability of an early delivery. Babies born prematurely, before 37 weeks gestation, are at a higher risk for health complications in infancy, some of which can have long-term effects. Full-term infants are not all free from their own health complications, of course.

In honor of November’s Prematurity Awareness Month, led by the March of Dimes, How Do You Do It? is focusing this week’s posts on The Moms’ experiences with premature deliveries, NICU stays, health complications, special needs, and how we’ve dealt with these complex issues.


Almost all preemies have difficulty with feeding, and my boys were certainly no exception. In order to eat, a baby has to be able to suck (at the breast or bottle), swallow, and breathe. But not at the same time, of course, and trying to coordinate that is very difficult.

Mr. D was born with the ability to do all three. He never required oxygen support, could generally swallow what was in his mouth (although he did need “reminding” from time to time), and could hold onto a pacifier, bottle, or my nipple like a pro. What he couldn’t do was figure out how to do all three in such a manner to ingest enough milk to live…especially when he’d rather be sleeping.

D’s challenges were fairly typical for preemies. Eating is hard work. So hard, in fact, that a twenty-minute rule is placed on both breast- and bottle-feeding in most (all?) NICUs: the baby gets 20 minutes to eat all he can, and then is weighed (if breastfeeding) or the amount remaining in the bottle is examined, and the rest of the required meal is poured down the feeding tube. I wanted to breastfeed, but was told we could only attempt it twice a day, as it’s even more work to extract milk from a breast than it is from a bottle.

The first time I breastfed Mr. D, he took me by surprise. He did really great! The lactation consultant warned me that many babies take one or two good feeds from the breast, and then begin to struggle. That was the case for him: he could extract a few drops of colostrum, especially when I pretty much hand-expressed it into his mouth, but once my milk came in, it was beyond him. He would latch on, and then fall asleep.

Suck-swallow-breatheHe didn’t fare much better with the bottle. I was taught how to hold him, how to stroke his cheek or under his chin to “remind” him to swallow, how to burp him, how to tickle his feet when he was nodding off…and he would still only swallow a few milliliters. He would sometimes become fearful of the liquid in his mouth, and hold his breath until I sat him up and helped him to dribble it all out. But mainly he would just look up at me, with an expression of what felt like disdain on his face, and then close his eyes. He held onto the nipple (mine or the bottle’s), but that was it. That was all he wanted to do.

The nurses told me it often happens like a switch—nothing, nothing, nothing, BOOM: eating! That wasn’t the case for Mr. D. Instead, he’d take a few more milliliters each day, most days. What was exceedingly frustrating to me was that, as his weight (from his oral plus tube-feedings) increased and his IV-nutrition was tapered off (to end abruptly when he yanked out his second scalp IV and they couldn’t find better access), his required intake went up, too. He was supposed to eat 23 mls, and would manage 19, and I’d go home to pump in triumph, only to return to discover they’d raised his goal to 26.

But he did improve. He kept getting so close. I felt like we were nearly there. Feeding was the only thing keeping him in the NICU, and I wanted him home.

He developed reflux. My pediatrician tells me “100% of babies have reflux”, and I don’t doubt her. Mr. D’s was worse than some, which again is common with preemies. That muscle at the top of their stomach (cardiac or esophageal sphincter) is as weak as their other muscles, and is forced into doing its job way too soon. One of his day nurses asked me if there was a history of milk intolerance in my family. Yes, there is: I was allergic to milk protein for my first few years of life. She suggested eliminating dairy from my diet, in case Mr. D had the same problem. I did. We also began fortifying his breast milk with soy formula rather than the special preemie formula. (Breast milk has about 20 calories, and it is very common to add formula to it to boost that to 22, 24, or even 27 calories for premature babies, as their tiny stomachs can’t hold enough volume to give them their necessary caloric intake.) I don’t know that it made much difference, but I was willing to try anything.

On his tenth day of life, he pulled out his NG-tube for his tenth (estimated) and final time. He wasn’t meeting his goals, but they decided not to replace it. He did well, getting closer and closer. On his thirteenth day, we were told we could take him home the following day: Valentine’s Day.

At 6 am on V-Day, I got a call from the neonatologist. She was just coming on shift having been gone a few days, and she didn’t think we should take Mr. D home. “He simply won’t grow on this,” she said, referring to his intake and reflux. I asked her if she was planning on re-inserting his feeding tube. No, she was not. Then why? What could they do for him that we couldn’t do at home? “He simply won’t grow,” she insisted. We reached an agreement: if Mr. D could eat all 55mls of each of his day feedings that day, and I agreed to take him to his pediatrician in two days instead of three, I could take him home. She strongly implied that she disagreed with this, but not enough to rule it out.

Challenge accepted, I thought. For each meal, I stripped an irate baby down to just his diaper. There was no way I was letting him get warm and comfy. I did not alert the nurses to his small spit-ups during burping. I twice emptied the remaining 2-3 mls of milk into the burp cloth at the end of his 20 minutes. And he got to come home with us that evening.


Mr. A could neither suck nor swallow nor breathe at the start. He did take early breaths on his own, but with much effort. The NICU staff quickly determined that he could not maintain his breathing, and gave him surfactant and intubated him. Once extubated, no one was surprised that he could not suck. He actually had the reflex, and would happily gnaw on a Soothie if it was held in his mouth. His cleft soft palate, however, left him with the inability to form negative pressure in his mouth. As such, he could not draw liquid from a nipple, nor could he hold his own pacifier in his mouth by sucking merrily to sleep. In order to assess his ability to swallow, the neonatologists had the nurses perform what I have since learned is a very outdated “test”—they poured sterile water into his mouth. They assured me that, if inhaled, it would not cause any problems, as it was sterile and a very small amount. The first time they “tested” him, the liquid slowly dribbled out of his mouth. He could not swallow. They repeated the “test” two days later, and he “passed”—the water went down somewhere, and they assumed it went down his esophagus. He was cleared to begin oral feeds.

I was introduced to a variety of bottles and nipples, all specially designed for babies with clefts. I was a bit dismayed to realize most of the nurses had no more familiarity with these “feeding systems” than I did. Essentially, they all worked the same way: a nipple was placed into A’s mouth and he chewed on it and the nipple released milk due to compression. Some of the bottles were squeeze bottles, so that I could force extra fluid into his mouth.

It was a disaster. I was too naïve to realize how large of a disaster it truly was. Only once did Mr. A take in over 10 mls (two teaspoons). Feeding him generally went like this: hold him in a specific way (hands angling his jaw upwards, entire body elevated to at least 45 degrees, while trying to support his head and body but not of course cradled in my arms), introduce nipple, watch him struggle, watch him desaturate (often followed by heart rate decelerations), fearfully yank the nipple out of his grey-blue lips, let him recover, repeat. At the end, measure remaining milk and discover only a handful of milliliters to be missing, and then pour the remainder down his feeding tube while snuggling him to sleep.

After a few days, I told the nurses I no longer wished to feed him by mouth. I was terrified. I could feel, somehow, that his desaturation and bradycardia events were different than Mr. D’s episodes of breath-holding. I hated feeding him, he hated eating, I feared I would kill him. The nurses told me I didn’t have to do anything I wasn’t comfortable doing, meaning they would continue to do his feedings for me. That wasn’t entirely what I meant, but I was too insecure to argue. And so he struggled along for a few more days, with me or my husband holding him while the nurses fed him. I came to accept his “behavior”—after all, he was gaining weight and showed no ill signs. So I resumed the feedings.

When he was transferred to the children’s hospital, he was evaluated by their feeding and development expert. I wasn’t there (we were not forewarned of it, or I would have been!), and came to his crib an hour later to be informed by the nurse that he was no longer to eat by mouth. Ever. He would need a surgically placed tube going directly into his stomach. I was irate. He had been, I thought, showing signs of improvement. And here some lady looked at him once, did not even give him a chance to truly try, and ruled out eating for the rest of his life? I made the staff aware of my displeasure, and they promised me she would speak to me. She didn’t, not for some time.

Mr. A was eventually given a swallow study: he sat in a car-seat-like chair, being fed radioactive barium mixed with breast milk to various consistencies: pudding, nectar, thin. X-ray-like machines videotaped the entire event. And there it was in black and white: Atticus was drowning. The milk went up his cleft palate and into his nasal cavity, and from there it entered his trachea and lungs. What remained into his mouth also largely ended up in his lungs. He was unable to cough to protect himself. My baby boy had silent aspiration.

I felt awful. Guilty, guilty, guilty. If I’d held my ground at the first hospital, if I’d truly listened to my instincts, we would have stopped feeding him by mouth weeks ago. He must hate me. He must fear me. My job was to keep him safe, and here I was, endangering him every three hours on the dot. And my pride, my pride at what I thought was improvement and my wrath at the feeding therapist, who had told me what I had been unable to believe, as if my wishing could make those drops of milk enter his stomach safely. “He was took 13 ccs!!” I had argued, over and over, his record amount so strong in my memory. Almost half an ounce, I was forced to admit, almost half an ounce of my milk flooding into his lungs.

It did not occur to me until almost a year later that who I should have been mad at, instead of myself, were the doctors and nurses at his birth hospital. I was in over my head, but so ignorant I had no idea. They should have known. They should have recognized what I felt in my heart and what led me to ask to stop: this was not normal preemie behavior. None of this was typical. And they didn’t. True, the most challenging preemies are probably passed off to the children’s hospital sooner than my Mr. A was, but watching for signs of aspiration is not a difficult art, and it’s one that should be taught to and remembered by everyone working with sick babies.

Mr. A got his G-tube placed when he was negative-one-week, adjusted. His feeding plan was changed to reflect that, while he was not to eat by mouth, certain exercises could be done to help stimulate his oral-motor skills. Feeding has continued to be one of his biggest challenges, but I am happy to end this by saying that we are now very close to replacing one of his 5 daily tube-feedings with an entire meal eaten by mouth. And as for Mr. D, he is an avid eater, and above the 90th percentile in both height and weight. The suck-swallow-breathe struggles are behind us all.

From the Archives: Infant Feeding

Link Party Button #milkingitI wanted to take this opportunity to highlight the variety of posts here on How Do You Do It? on the subject of infant nutrition, whether breast milk, formula, or some combination. Obviously, there have been several posts over the past several days, but there’s a larger body of wisdom and experience that The HDYDI Moms have gathered here over the years.

Breastfeeding

WBW-Button-150

Expressed Breast Milk (EBM)

Breast Milk and Formula

Formula Feeding

Feeding Tube

We don’t actually have any posts on long-term NG-tube feeding on HDYDI yet, but we have a couple of post-NICU feeding tube mamas in our ranks. If you have questions, please let us know.

Weaning

Infant Feeding in General

Phew. Is anyone else emotionally worn out from the heartfelt intensity of the breastfeeding posts here and elsewhere over the last few days? I cried writing my own post and cried again reading the others. It was cathartic, but it hurt like crazy.

Feeding our infants strikes me as being representative of motherhood in general. We put every part of ourselves into being the best moms we can be, but we never feel that we’re doing quite enough. Or maybe that’s just me.

Do you have other online infant feeding resources to share? Please tell us about them in the comments.

Working Mom Nursing Twins

World Breastfeeding Week 2013 Blog Carnival - NursingFreedom.org and The San Diego Breastfeeding CenterWelcome to the World Breastfeeding 2013 Blog Carnival cohosted by NursingFreedom.org and The San Diego Breastfeeding Center!

This post was written for inclusion in the WBW 2013 Blog Carnival. Our participants will be writing and sharing their stories about community support and normalizing breastfeeding all week long. Find more participating sites in the list at the bottom of this post or at the main carnival page.

***

My twin daughters had my breastmilk as part of their diet until they were 7 months old. They were preemies, born at 33 weeks gestation, and both spent time (16 and 21 days) in the NICU before they were stable enough to be released to us. I work full time and returned to my job when the girls were 11 weeks old and not quite 5 lbs each. My (now ex) husband is a soldier and deployed to Iraq when J and M were 5 months old for a 15-month tour. He was also gone for the first 3 weeks after the babies were home, thanks to pre-deployment training out of state.

b_134016When I describe my nursing situation like that, it seems like a victory that I was able to keep it up for 7 months. Don’t be fooled, though. Even now, 6 years after my daughters stopped nursing, I feel the dull ache of failure when I think of our breastfeeding experience. Objectively, I know that my 7-year-old daughters are healthy and smart and funny and sweet. It didn’t harm them in any way that I can see that I only breastfed for 7 months. I know I did everything I could. I know that, on balance, I’m a good mother. Still, my daughters’ 7 months of breastmilk and high-calorie formula feels like a personal failure. My goal had been 12 months of exclusive breastfeeding.

While pregnant, I had been under the impression that nursing, because it was a natural instinct, would be easy. In retrospect, “natural” and “easy” rarely go together. I should have known better. After all, what’s more natural that raising your child? And what’s harder? There are plenty of new moms for whom breastfeeding is easy. I wasn’t one of them.

It also wasn’t so hard for me that it wasn’t worth pursuing, as it was for some of my friends: the friend whose baby’s lactose intolerance meant that he couldn’t gain weight on breastmilk; the friend whose baby never once latched properly; the friend whose baby was so premature that her body didn’t even interpret it as a live birth and never produced milk at all. We all have our own stories and our own set of challenges.

Two Babies

Ah, the twin thing. I had enough breasts to go around, so that was a plus. My aunt-in-law’s successful breastfeeding of her triplet daughters 12 years before my girls were born was a huge inspiration for me. It also gave my husband a surprising degree of insight into what might work for us.

Let me say this loud and clear. Moms of multiples, if you want to breastfeed, it’s worth a shot. You may be a natural (pun intended), like Wiley. It may not work out. Either way, it’s the rare MoM (that’s Mothers of Multiples to those of you not in the know!) who regrets trying to breastfeed her multiple infants.

I tried tandem nursing, simultaneously breastfeeding both babies, but it didn’t really work for me. When the girls first came home, they didn’t have the muscle tone to hold their heads up, so I needed one hand to support a body and another to support the associated head. When my husband was home, I could sit in his lap and use his arms to support the second baby, but it wasn’t practical on my own. Instead, I’d let one baby feed in my arms while the other nestled in my lap.

b_202337Prematurity

My daughters’ early birth and subsequent NICU stay were the biggest challenges to establishing breastfeeding. My water broke–or rather “J’s water broke”; M’s amniotic sac had to be ruptured by the doctor–nearly 2 months before the girls’ due date. I had to have an emergency C-section, delivering 3 lb 9 oz and 3 lb 6 oz babies. They hadn’t yet put on the baby fat that allows full-term newborns to regulate their own body temperature and provides them the calories to carry through until mom’s milk came in.b_074835Instead of the newborn suckling I had anticipated, my babies were fitted with feeding tubes. Instead of their first meal being colostrum, it was high calorie formula. Those calories in the formula come from corn syrup.

I began to run a fever shortly after delivery, so I didn’t get to see my daughters until about 36 hours after their birth. Both my husband and I had been loud and obnoxious about our desire to get breastmilk to our babies. The hospital staff provided me with a breastpump and associated accessories. I began pumping when the babies were a few hours old and pumped every 3 hours for the time they were in the hospital. 16 days of round the clock pumping was the only thing I could really do to mother my babies. I was no medical professional and they required medical care, but pumping made me feel a little less helpless. I was still grieving the drug-free vaginal childbirth and chubby newborns I’d imagined I’d have.

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Photo Credit: Just Multiples

About a day after the babies were born, the pumping bore fruit. A tiny golden drop of colostrum clung to side of one miniscule bottle into which I was pumping. A maternity ward nurse delivered it to the NICU for me, where the nurses poured liquid formula into the bottle, washing every speck of colostrum into the girls’ next meal. They split the enriched formula between my babies. From that point on, any milk I could produce got magicked into my teeny ones by feeding tube.

Only once in the 16 days both my daughters were in the hospital did I have the opportunity to breastfeed. The lactation consultant was available during M’s feeding time, and she worked with me on a successful latch. M had already been exposed to the doll-sized NICU bottles and had been sucking impressively. We had just got the hang of it when a NICU nurse gently pried M from my arms. We couldn’t afford to let her use her energy on suckling. She needed to focus on the growing that she didn’t get to finish in utero.

I never got to even try to nurse J in the hospital. She had a hard time remembering to suck on her bottle, and had to have her feeding tube reinserted after it had been removed to make way for exclusive oral feeding. That’s why she ended up being hospitalized 5 days longer than her sister. She needed to be able to take 1 oz (31 mLs) of formula by mouth, 8 meals in a row, to be released from the NICU.b_152911Another challenge my preemies presented was their size. They were simply too small to reach from my breast to any pillow. I tried stacking three pillows, but they were wobbly. I used pillows to rest my arms, but I wasn’t going to trust them with my babies.b_235012J and M’s prematurity-related weakness was another challenge. Their sucks were incredibly weak. Once we got home, I discovered that it took them each about 45 minutes to get a full meal. By some miracle, the babies switched to the breast easily. Finally, a round peg for a round hole!

At the pediatrician’s recommendation, my daughters supplemented their diet with two meals daily of high calorie formula and infant vitamin supplements. I still pumped for the feedings while holding the babies’ bottles. I froze the milk.

Work

We settled into a routine. Nurse M for 45 minutes. Nurse J for 45 minutes. Do as much as I could in 90 minutes: change diapers, play with the babies, eat, do minimum necessary tasks around the house, go grocery shopping, shower, bathe the girls, sleep. Then nurse for another 90 minutes. I got a lot of reading done, let me tell you!

My 11 weeks of maternity leave came to an end, much to soon. I was grateful to get back to the world of adult challenges and conversation, but leaving the babies in the care of strangers was terrifying. Those strangers are now members of our family. My daughters attend the same school as their infant room teacher’s daughter. I bought my house to ensure that they’d be at the same school.

At work, I took three 15-minute breaks, morning, noon and afternoon, to pump. I didn’t produce anywhere near the quantity of milk that I did when I pumped on one side while nursing on the other. The girls’ formula intake went up.

I’d leave my expressed breast milk in the refrigerator at daycare, and the teacher would exhaust the breast milk before resorting to formula.

I was extraordinarily fortunate to have an understanding boss and supportive work environment. The guys at work rearranged our office assignments so I could share an office with a female coworker who was unbothered by breastfeeding. I could pump at my desk without having to pause my work.

It also helped that my boss was the mother of two. Her youngest was only 4 months older than my babies, so we were pumping simultaneously and both constantly eating ravenously. We both stored our milk in the office refrigerator. My boss turned out to be a font of parenting knowledge and gave me many a breastfeeding pointer.

I started taking fenugreek supplements. I looked at photos of my girls while I pumped. I watched videos of them. I brought the onesies they’d worn the day before to work with me in the hope that the smell would trigger my body to produce more milk. Nothing seemed to help a whole lot. I couldn’t get more than 4 oz in 15 minutes when I pumped exclusively. When I had a baby to one breast and the pump to the other, it was a different story. The milk  came gushing. I tried several floor model pumps at the local breastfeeding store. It wasn’t the machine. It was me.

War

My husband left for Iraq for the second time when our babies were 5 months old. My extra pair of arms for tandem feeding was gone. The extra person who could latch the babies on for midnight feedings without waking me was gone. We could no longer change diapers at the same time. He couldn’t fix me a sandwich while I bathed the babies. Plus, he was getting shot at. He would miss our daughters’ first words, first steps and first hugs. When he finally got to come home, our girls didn’t recognize him, unable to equate the strange big man in their house with the photo we said goodnight to.

b_153107At 5 months of age, J (actually in my lap in the photo above) was a Daddy’s girl. Daddy knew how to swaddle her. Daddy knew how to burp her. Daddy knew how to make her laugh.

Within a few weeks of Daddy’s departure, J went on nursing strike. I’d bring my breast to her lips and, instead of opening her mouth and latching, she’d angrily turn away. I am completely convinced that she was protesting Daddy’s absence.

One day, after I’d broken down in tears in her office, my boss suggested that I take a few days off to try to reestablish breastfeeding with J. “Spend a few days skin-to-skin with her,” she said, “and see what happens.” I’d exhausted my vacation time during maternity leave, but my boss assured me that I could make it up. I could just do my work in the middle of the night while I was nursing instead of going on leave without pay.

I took three days off, I think. I took M into daycare and kept J with me, separating the girls for the first time since the NICU. I spent my time alone with J shirtless, holding her every second that I didn’t have her on the changing table for a clean diaper.

I tried a nipple shield. I tried latching J on in her sleep. I tried starting her on a bottle and then quickly switching to the breast. I tried the football hold and the cradle and the cross-cradle and side-lying. I tried singing and silence and white noise. I tried rocking and reclining and lying down and standing and walking. I’d already been taking fenugreek for months and constantly smelled like brunch.

One thing worked. If I sat in the bathtub with J, the water slightly warm, she would breastfeed. As soon as her little bottom touched the water, her head turned toward me, her mouth open, and the magical latch would just happen. If I lifted her out of the water, even for a second to get myself to a more comfortable position, she would break the latch and turn away again.

I kept up my attempts to break J’s nursing strike for another month. I dutifully sat in the tub with her, her sister in a bouncer beside the tub, morning and night. I didn’t quite have the reach to hold J in the water and comfort M at the same time, so we never managed the whole 45 minutes in the water. Besides, the water cooled and the sound of the water refilling the tub made both babies unhappy.

After a long frustrating month, I quit trying. I’d already gotten into the habit of nursing M on one side and pumping for J on the other.

A month later, M started fussing when I offered her the breast. I’d already been through the wringer trying to fight J’s wish to move on from nursing. I didn’t have any fight left in me.

So, at 7 months old (5 months corrected), M, J and I ended our breastmilk journey.

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Life After Breastfeeding

Today, J and M are 7 years old. They’re smart and curious bookworms. They’re outgoing and popular. They’re healthy and happy. They’re loving and kind. They’re more than okay. They are the kind of people I want to get to know and be friends with when they’re adults and they absolutely adore each other.

wpid-Photo-Jul-20-2013-1137-AM.jpgI have no reason to believe that an additional 5 months of breastmilk would have improved their lives. There’s an irrational part of me, though, that just can’t let it go.

Sadia (rhymes with Nadia) has been coordinating How Do You Do It? since late 2012. She is the mother of 7-year-old monozygotic twins, M and J. She lives with them and their 3 cats in the Austin, TX suburbs and works full time as a business analyst. She co-parents at a distance with her soldier ex-husband and his teacher wife. She decided to retire her personal blog, Double the Fun, when the girls entered elementary school in order to better protect their privacy, and was delighted to have the opportunity to keep a foot in the blogosphere through HDYDI. She also blogs at Adoption.com and Multicultural Mothering.

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World Breastfeeding Week 2013 Blog Carnival - NursingFreedom.org and The San Diego Breastfeeding Center Visit NursingFreedom.org and The San Diego Breastfeeding Center for more breastfeeding resources and WBW Carnival details!

Please take time to read the submissions by the other carnival participants. Below are a list of links for today’s participants; you can find a complete list of links (updated throughout the week) at our main carnival page:

(This list will be updated by afternoon August 5 with all the carnival links.)

  • An Unexpected Formula-Fed Attachment — Kyle (of JEDI Momster and) writing at Natural Parents Network, exclusively breastfed three healthy babies. So when she was pregnant with her fourth, she assumed she would have no breastfeeding troubles she could not overcome. Turns out, her fourth baby had his own ideas. Kyle shares her heartfelt thoughts on how she came to terms with the conclusion of her breastfeeding journey.
  • It Take a Village: Cross Nursing — Shannah at Breastfeeding Utah shares how cross-nursing helped her baby in their time of need, and how that experience inspired her to create a community of cross-nursing and milk-sharing women.
  • Random little influences and Large scale support communities lead to knowing better and doing better — amy at random mom shares how her ideas and successes involved with breastfeeding evolved with each of her children, how her first milk sharing experience completely floored her, and how small personal experiences combined with huge communities of online support were responsible for leading and educating her from point A to point D, and hopefully beyond.
  • Mikko’s weaning story — After five years of breastfeeding, Lauren at Hobo Mama shares how the nursing relationship with her firstborn came to a gentle end.
  • My Milk is Your Milk — Lola at What the Beep am I Doing? discusses her use of donor milk and hhow she paid the gift back to other families.
  • World Breastfeeding Week 2013 Blog Carnival – Celebrating Each Mother’s Journey — Jenny at I’m a full-time mummy lists her experiences and journey as a breastfeeding mother.
  • Working Mom Nursing Twins — Sadia at How Do You Do It? breastfed her twin daughters for 7 months. They made it through premature birth and NICU stays, her return to full-time work, her husband’s deployment to Iraq, and Baby J’s nursing strike.
  • So, You Wanna Milkshare? — Milk banks, informed community sharing and friends, oh my! So many ways to share the milky love; That Mama Gretchen is sharing her experience with each.
  • Milk Siblings: One Mama’s Milk Sharing Story (and Resources)Amber, guest posting at Code Name: Mama, shares how her views on milk sharing were influenced by her daughter receiving donor milk from a bank during a NICU stay, and how that inspired her to give her stash to a friend.
  • Humans Feeding Humans — Krystyna at Sweet Pea Births shares ideas on how we can celebrate all the different ways modern mommies feed their babies. While we are comfortable with the breastmilk-formula paradigm, she proposes that we expand our horizons and embrace all the different ways mamas feed their infants.
  • When Breastfeeding Doesn’t Go As Planned — MandyE of Twin Trials and Triumphs shares the challenges she faced in feeding her premature twins. She’s still learning to cope with things not having gone exactly as she’d always hoped.
  • Taking Back My Life By Giving Away My Milk — When Amanda Rose Adams‘s first child was born, he was tube fed, airlifted, ventilated, and nearly died twice. In the chaos of her son’s survival, pumping breast milk was physically and mentally soothing for Amanda. Before long her freezer was literally overflowing with milk – then she started giving it away.
  • The Tortoise and the Hare — Nona’s Nipples at The Touch of Life discusses why we care about breast milk and formula with everything inbetween.
  • Finding My Tribe of Women Through Milk Sharing — Mj, guest posting at San Diego Breastfeeding Center shares her journey breastfeeding with low milk supply and supplementing with donor milk using an at the breast supplemental nursing system. She shares the impact milk sharing has had on her life, her family, and how it saved her breastfeeding relationship. Her article can also be found at her blog:
  • Human Milk for Human Babies — Sam at Nelson’s Nest shares her perspective on milk-sharing after an unexpected premature delivery left her pumping in the hopes of breastfeeding her son one day. Sam’s milk was an amazing gift to the other preemie who received it, but the connection was a blessing in the donor mom’s life too!
  • Sister, I Honor You — A mother feeding her baby is a triumph and should be honored, not criticized. Before you judge or propagate your own cause, go find your sister. A post by Racher: Mama, CSW, at The Touch of Life.
  • Every Breastfeeding Journey Is Different, Every One Is Special — No two stories are alike, evidenced by That Mama Gretchen’s collaboration of a few dear mama’s reflections on their breastfeeding highs, lows and in betweens.
  • Quitting Breastfeeding — Jen W at How Do You Do It? share a letter she wrote to her boys, three years ago exactly, the day she quit breastfeeding after 9 months.
  • A Pumping Mom’s Journey — Shannah at Breastfeeding Utah shares about her journey pumping for her son, who was born at 29 weeks.

Normalizing Breastfeeding for Older Kids

World Breastfeeding Week 2013 Blog Carnival - NursingFreedom.org and The San Diego Breastfeeding Center

Welcome to the World Breastfeeding 2013 Blog Carnival cohosted by NursingFreedom.org and The San Diego Breastfeeding Center!

This post was written for inclusion in the WBW 2013 Blog Carnival. Our participants will be writing and sharing their stories about community support and normalizing breastfeeding all week long. Find more participating sites in the list at the bottom of this post or at the main carnival page.

***

American culture has relationship with the female body that I struggle to comprehend. The female image is constantly sexualized in the media and in day-to-day life. You don’t have to look far to run into the virgin-whore dichotomy. There’s a whole lot to me, though, that has nothing to do with sexuality.

Being a mother involves a very physical, but completely non-sexual, relationship with our children. We grow our children inside our bodies and feed them from our breasts. We deal with pee and poop. We snuggle and we patch up cuts. My hope for my daughters is that they can enjoy their bodies in all ways, not only sexually, throughout their lives.

I spent my childhood in the United Kingdom and Bangladesh, and I think those cultures impacted my own body image and my perspective on the human body in general. In Bangladesh, a Muslim country, the female body is generally far more covered than in the West. However, the body is functional. Breastfeeding is done in public, without apology, without shame, and without judgment. Mothers who blush at the thought of a man catching sight of their hair think nothing of covering their breast with only the head of their baby.

Woman breastfeeding

Photo credit: The Financial Express

The UK is comfortable with the female body in a different way. I remember being surprised by the number of American women who were uncomfortable changing in front of other women when I first came to this country. Nudity is more of a taboo in this country colonized by Puritans than it is in the Old World.

It’s easy to teach kids values that our entire society shares. They learn that saying “Please” and “Thank you” is expected and respected everywhere. Sharing is an important skill in all environments. Honesty is valuable, but so is being careful of others’ feelings. It’s a little more challenging to teach children values that are more controversial. I honestly have some trouble wrapping my head around breastfeeding being controversial, but it is. In our culture’s sexualized model of the female form, people see breasts as sexual organs instead of unglamorous food factories.

When my 7-year-old daughters ask to hear stories about their infancy, I include mention of the fact that they were nursed to 7 months of age. They must have been about 2 years old the first time they asked me why I had breasts and Daddy didn’t. I told them it was because I’d needed my breasts to feed them. It was like my belly being able to stretch to grow them. When we went to a museum recently that displayed machinery used in commercial dairy production, I told my daughters that these contraptions were upsized versions of the pump I used to collect milk for them when they were babies.

My girls were about 3 when our neighbour across the road had her second child. My J sat next to her on the couch a few days after the beautiful baby was born and watched her nurse, craning to see how everything fit together. I was grateful that my friend indulged her curiosity. A couple of times, my daughters have run up to coo at a stranger’s baby in the middle of a meal, and I ask them to wait: “Baby’s drinking milk from Mommy’s breast, so let’s not distract them right now.”

I breastfed my daughters when we were out and about, unashamed. I was discreet. I didn’t try to tandem nurse in public, for instance, and I’d turn away from onlookers to latch a baby on. I kept a printout of Texas and federal (my ex-husband is a soldier, so we were frequently on federal land) breastfeeding laws in the diaper bag, just in case I ever needed to defend my right to nurse my babies, but it never came up. I pumped at work and stored my milk in an unassuming bag in the fridge. I happily answered questions from new moms and moms-to-be on how I made breastfeeding work with twins and a job.

I have continued to talk to my daughters about breastfeeding in the hopes that they will someday become mothers and choose to breastfeed. Even if they choose not to, I want them to be supportive of women who make the choice to breastfeed, just as I want them to be supportive of women who choose to formula-feed, to be childless, or to adopt an older child.

My biggest reason to teach my girls that breastfeeding is normal is this: I want them to feel comfortable in their bodies as they venture out into the world. I want puberty to feel a little less scary, and I hope that they will always carry themselves with the confidence that they have today.

As often happens when we try to buck societal expectations, I may have gone a little too far. The other day, my daughter M had a serious question for me. She’s at summer camp with kids from kindergarten to 5th grade, and she had noticed something.

M: Mommy, can 5th graders have breasts?
Me: Yes, some girls’ breasts start growing around 5th grade.
M: 4th grade?
Me: Yes.
M: 3rd grade?
Me: I suppose so, but that seems really unlikely.
M: But they’re not married yet.
Me: Oh, honey! Breasts don’t wait to grow until you’re having a baby. They start to develop when you’re a big kid.
M: Oh! So they grow a little bit and a little bit and a little bit?
Me: Exactly.
M: What if they’re never going to be a mommy?
Me: A woman’s body grows, just in case.
M: Mommy, when do I get my bajymie?
Me: I don’t understand.
M: I mean, is it right when the baby gets in my belly? Because, you know, some babies come from their mommy’s bajymie. Only you had us from your belly because the doctor did that. (This is the 7-year-old interpretation of an emergency C-section.)
Me: Oh, I understand what you’re asking. No, you already have a vagina.
M: I do?! Where?
Me: It’s a hole between where you pee and where you poop. You’ve had it since you were born. In fact, even when you were inside my belly.
M: Whoa!

Well, I did say I was trying to get my kids to be comfortable with their bodies. M obviously understands the reproductive functions!

Are your children aware of breastfeeding? Do you feel awkward discussing it with them?

Sadia (rhymes with Nadia) has been coordinating How Do You Do It? since late 2012. She is the mother of 7-year-old monozygotic twins, M and J. She lives with them and their 3 cats in the Austin, TX suburbs and works full time as a business analyst. She co-parents at a distance with her soldier ex-husband and his teacher wife. She decided to retire her personal blog, Double the Fun, when the girls entered elementary school in order to better protect their privacy, and was delighted to have the opportunity to keep a foot in the blogosphere through HDYDI. She also blogs at Adoption.com and Multicultural Mothering.

***

World Breastfeeding Week 2013 Blog Carnival - NursingFreedom.org and The San Diego Breastfeeding Center Visit NursingFreedom.org and The San Diego Breastfeeding Center for more breastfeeding resources and WBW Carnival details!

Please take time to read the submissions by the other carnival participants. Below are a list of links for today’s participants; you can find a complete list of links (updated throughout the week) at our main carnival page:

(This list will be updated by afternoon August 3 with all the carnival links.)

  • Breastfeeding and NIP: A Primer — Rachel Rainbolt of Sage Parenting, featured today at NursingFreedom.org, uses her informative and candid voice to share with you everything you need to know to breastfeed successfully in public, from the practical how-to’s to handling the social stigma.
  • Lactivist Ryan Gosling — Breastfeeding mamas, the time is long overdue for a Lactivist Ryan Gosling. Fortunately, Dionna of Code Name: Mama has created some for your viewing pleasure.
  • In Defense of Formula — Amy of Mom2Mom KMC, guest blogging for Breastfeeding in Combat Boots, asserts that formula is a medical tool rather than a food. She examines how this perspective supports breastfeeding as normal and eliminates the negative tensions between breastfeeding and non-breastfeeding mothers.
  • World Breastfeeding Week 2013 Blog Carnival – Breastfeeding Tips & Tricks — Throughout her breastfeeding journey (since March 2009), Jenny at I’m a full-time mummy has shared countless tips and tricks on the topic of breastfeeding.
  • Nursing in the Wild — Meredith at Thank You Ma’am posts about how seeing other moms nurse can make all of us more comfortable with nursing in public.
  • Normalizing Breastfeeding — Sara Stepford of The Stepford Sisters confronts the social stigma vs. the reality of breastfeeding and opens up about the steps she takes to make herself and others more comfortable with the process.
  • Breastfeeding Alrik at two years old — This is where Lauren at Hobo Mama and her second-born are at in their nursing relationship, two years in.
  • Perfectly Normal — Stephanie from Urban Hippie writes about the way she and her family have done their part to try and normalize breastfeeding in a society that doesn’t get to see breastfeeding as often as they should.
  • Diagnosis: Excess Lipase — Learn about excess lipase and how to test if your expressed milk has it. That Mama Gretchen shares her own experience.
  • Redefining Normal — Diana at Munchkin’s Mommy reflects on how we can normalize breastfeeding in our society.
  • Nursing Openly and Honestly — Amy W. at Me, Mothering, and Making it All Work feels that the most socially responsible thing she can do as a mother is to nurse and nurture her children openly, honestly, and with pride.
  • Wet-nursing, Cross-nursing and Milk-sharing: Outdated? — Jamie Grumet of I Am Not the Babysitter shares a response to the Wendy Williams quote about milk sharing being akin to slavery, by giving a brief history of the wet nurse.
  • Tackling Mastitis with an Older Nursling — Much of the advice available for supporting recovery from mastitis seems to be aimed at mamas with younger nurslings. Juliet of Twisting Vines, posting at Natural Parents Network shares tips for dealing with mastitis while breastfeeding a toddler.
  • Milk in the eye — Gena from Nutrition Basics discusses how breastmilk cured her 3 year old’s case of pink eye.
  • Boobie Biter — Rachel Rainbolt at Sage Parenting offers guidance on how to survive and thrive a boobie biter with your breastfeeding relationship intact.
  • My take on breastfeeding advice — Diana at Munchkin’s Mommy shares her insights on nursing for both new moms and new dads.
  • My Top Five Breastfeeding Tips for Delivery Day: Think “A-B-C-D-E”Mothernova shares how her continued success at breastfeeding with her second child rests on a foundation of five key things she did to prepare for baby’s arrival, along with things she did when she and baby first met. Easily enough, these tips can be categorized as “A-B-C-D-E”: Access to lactation consultant, Baby-friendly hospital, Communicate your plan to breastfeed exclusively, Demand, and Expect to room in.
  • Breastfeeding Buddies: Twin Brothers Nurse while Living in the NICU — Twintrospectives at How Do You Do It? shares her 5 tips for learning to breastfeed multiples while in the NICU.
  • Breastfeeding on a Dairy-Free Diet: Our Journey and Our Tips — Finding herself nursing a baby with food allergies, Jenny at Spinning Jenny embarked upon a dairy-free journey with her son for eight months. Here she relates her reasons for making the decision to give up dairy in her diet, why it was worth it, and tips for moms on the same path.
  • Normalizing Breastfeeding in my Home — Shannah at The Touch of Life shares how she plans to help keep breastfeeding normal for her own children, even when her breastfeeding years are over.
  • A Year With My Nursling — The more you see and hear, the more normal it becomes, so That Mama Gretchen is sharing her heart on the last year of breastfeeding – the ups and downs, but mostly the joy of her priceless relationship with her son.
  • From Covered to Confident — Krystyna at Sweet Pea Births shares her personal NIP evolution: she started by covering up from neck to ankle while nursing in public. Eight years later, she has gained confidence and the ability to nurse without stressing about flashing a little skin. She shares her views on normalizing breastfeeding – what influenced her and how she hopes to help others.
  • Normalizing Breastfeeding for Older Kids — Sadia at How Do You Do It? hopes that openly discussing breastfeeding with her (now weaned) daughters will help her children feel comfortable with breastfeeding and their bodies in general as they grow.
  • Nursing in Public — Listen up, mammas. Those other people around . . . they don’t matter. It’s not about them. It’s about you and that beautiful baby. Nurse on, says The Swaddled Sprout!
  • How to Nurse a Teenager — Sarah at The Touch of Life declares: the purpose is to help normalize breastfeeding a toddler.

Breastfeeding Buddies: Twin Brothers Nurse while Living in the NICU

World Breastfeeding Week 2013 Blog Carnival - NursingFreedom.org and The San Diego Breastfeeding Center

Welcome to the World Breastfeeding 2013 Blog Carnival cohosted by NursingFreedom.org and The San Diego Breastfeeding Center!

This post was written for inclusion in the WBW 2013 Blog Carnival. Our participants will be writing and sharing their stories about community support and normalizing breastfeeding all week long. Find more participating sites in the list at the bottom of this post or at the main carnival page.

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We all hear it. We all know it. “Breast is best.” Being able to breastfeed babies is something to strive for and many new mothers are bound and determined to be successful breastfeeding mommies. But it’s not always that easy.

What happens when you have more than one baby at a time, each demanding to be fed as newborn babies do? How do you balance the needs of twins, ensuring they are being well-nourished? How do you handle your own needs as a mom, such as getting enough sleep, managing your own diet when you are trying to balance the needs of multiple babies? How do you learn to nurse your babies if they are born premature and are living in a NICU? Each situation is challenging, but each of these needs can be achieved. I am telling you, because I have done it for three premature babies, including twins while in a NICU. I’m not going to lie. It’s not easy. You might shed a few tears. You might want to give up. People might try to talk you out of it. But I’m telling you now, it can be done!

While in the NICU for over three months with twins, I learned to nurse each of my babies when they were ready. Unfortunately we found ourselves in contact isolation for about 9 weeks of this time, all the while trying to learn to breastfeed and nourish my babies enough to be able to go home when they were ready and continue on with breastfeeding for as long as possible. Wearing gloves and gown while in isolation, I learned to work through the awkwardness of breastfeeding while in my isolation “get-up,” along with dealing with numerous wires and sticky things about my babies’ bodies. It truly was awkward, yet I wasn’t going to give up because of a rash of a bit of bad luck. The one thing that was natural and I could do for my babies, I was going to do.

Here are my 5 tips for you to try with the hopes that you will be successful while breastfeeding in a NICU and beyond.

Why Do You Want to Breastfeed?

First things first, ask yourself why you want to breastfeed. Is it for your own personal satisfaction and goal of providing for your children? Is it because you feel it is best for your children? Or is it because someone else told you that you should? If it is because you either want to gain something out of it such as the feeling of satisfaction of knowing you are providing nourishment for your babies or because you feel in your heart it is what needs to be done and you’re going to do it, then you’re on the right track. To be successful at breastfeeding babies, who are living in a NICU, when you are already under an enormous amount of strain and potential mental, physical and emotional stress, you have to be sure breastfeeding is important to you and you’re not doing it because someone else said so. If you are not mentally prepared to breastfeed, you’re headed for a rocky road.

Communicate Your Breastfeeding Goals to Others

Make sure you tell your babies’ NICU nurses, lactation consultant, and medical team your goal to breastfeed your babies when they are ready. Remember, because your babies have arrived early, they may not be able to start nursing immediately due to their size or health situation. Give it time and be patient. Begin using a breast pump as soon as possible and on a regular schedule, which you will expect to follow when the babies are ready to begin breastfeeding. Most hospitals will have you begin to get accustomed to an every three hour pumping and eventually breastfeeding schedule. Now is a great time to allow your body to what it was designed to do, which is produce milk for your newborn babies. If you find you are experiencing challenges with producing, consider being in a NICU a blessing in disguise. If you are struggling in the early days, you will have a bit of time to investigate and figure out how to have your milk come in. By being in the NICU you have access to the nursing team, as well as lactation consultants, which you wouldn’t have if you went directly home after the birth of your babies.

Use the NICU Resources

No one wants to be in the NICU. I know that. The way I looked at it though, is that it was a chance situation that put me in the NICU, surrounded by medical experts and a team of lactation consultants, occupational therapists and dieticians, so I was going to make full use of the medical team there to support me and my babies. Each of these experts has a different way of looking at the breastfeeding process. Your lactation consultant can discuss tips and tricks for positioning yourself and your babies for optimal comfort and breastfeeding success. An occupational therapist can also be brought into the picture to assess how babies are handling the “suck, swallow, breathe” process and make any necessary adjustments needed for your breastfeeding technique. The dietician may discuss your dietary needs, what’s best to eat while breastfeeding, as well as possibly discuss your infants’ dietary needs and possibility of higher caloric intake, which may depend on weight and rate of growth. These people are a quick phone call away and they will come to help you when you ask. Where else can you get a team of experts like this practically at your fingertips?

Find Your Comfort Zone

Each mother is different and thankfully there are different ways to breastfeed your babies. Figure out what works best for you by trying things out. Once again, since you are in the NICU, now is the best time to hammer out the best approach for feeding your babies. Having premature babies often means they are very small in size. It can be very uncomfortable in the early days when it comes to figuring out how to handle their little bodies and having the confidence that you are not actually hurting them as you move them around getting settled to breastfeed. It will take some time to get comfortable with these things. Ask the lactation consultant if they have a variety of nursing pillows for you to try. One mom of multiples might swear by nursing pillows made specifically for twins, while another mother might prefer a different style which fits her small premature babies on it. Some moms are quite content layering a few pillows across their lap and adjusting based on the babies’ needs for positioning. You may find your babies also have a preference for a certain breastfeeding hold over another. Once again, your time in the NICU allows you the unique opportunity for “practice,” as well as bedside coaching from the nurses and other staff involved in your babies’ care.

Before Discharge from NICU

The day you get to take your babies home will eventually arrive. Make sure you plan how you will transition yourselves from the NICU with constant access to experts to your own household, which will not have a 24 hour staff on call. How will you and your partner handle your breastfeeding schedule once you have brought your babies home? Will your partner be able to support your goal of breastfeeding by helping you keep on top of your feeding schedule and by helping you get up in the wee hours of the night to feed them? These are all important points to consider and prepare for before being discharged from the hospital. To help make a smooth transition from NICU to home, consider contacting your local multiples organization to see if they have a breastfeeding support person, or your local public health office and even your children’s pediatrician’s office. All of these organizations will know how to put you in touch with a lactation consultant or formal breastfeeding supports. Knowing that you can build your own “team” outside the hospital will hopefully help you keep on track with breastfeeding your babies until you are ready to wean them, whenever that day may be.

Landing in a NICU with your premature babies is not ideal, but take it is a chance to accept help you would not have received otherwise. Consider this your opportunity to get breastfeeding right. You are in a place with some amazing experts that you never would have had access to if you’d had your babies and went directly home. The NICU is likely a whole new world to you, so take the time to explore it and the unexpected opportunities it has available to you. I am confident I was able to successfully breastfeed my three children for 13 months and 9 months based on the fact I had supportive experts rooting for me and showing me the way from day one.

Carolyn (Twintrospectives) writes for How Do You Do It? and has three boys born premature, including fraternal twins. She is the proud mom of NICU Grads 2008 and 2010! Carolyn and her family live in Canada.

***

World Breastfeeding Week 2013 Blog Carnival - NursingFreedom.org and The San Diego Breastfeeding Center Visit NursingFreedom.org and The San Diego Breastfeeding Center for more breastfeeding resources and WBW Carnival details!

Please take time to read the submissions by the other carnival participants. Below are a list of links for today’s participants; you can find a complete list of links (updated throughout the week) at our main carnival page:

(This list will be updated by afternoon August 3 with all the carnival links.)

  • Breastfeeding and NIP: A Primer — Rachel Rainbolt of Sage Parenting, featured today at NursingFreedom.org, uses her informative and candid voice to share with you everything you need to know to breastfeed successfully in public, from the practical how-to’s to handling the social stigma.
  • Lactivist Ryan Gosling — Breastfeeding mamas, the time is long overdue for a Lactivist Ryan Gosling. Fortunately, Dionna of Code Name: Mama has created some for your viewing pleasure.
  • In Defense of Formula — Amy of Mom2Mom KMC, guest blogging for Breastfeeding in Combat Boots, asserts that formula is a medical tool rather than a food. She examines how this perspective supports breastfeeding as normal and eliminates the negative tensions between breastfeeding and non-breastfeeding mothers.
  • World Breastfeeding Week 2013 Blog Carnival – Breastfeeding Tips & Tricks — Throughout her breastfeeding journey (since March 2009), Jenny at I’m a full-time mummy has shared countless tips and tricks on the topic of breastfeeding.
  • Nursing in the Wild — Meredith at Thank You Ma’am posts about how seeing other moms nurse can make all of us more comfortable with nursing in public.
  • Normalizing Breastfeeding — Sara Stepford of The Stepford Sisters confronts the social stigma vs. the reality of breastfeeding and opens up about the steps she takes to make herself and others more comfortable with the process.
  • Breastfeeding Alrik at two years old — This is where Lauren at Hobo Mama and her second-born are at in their nursing relationship, two years in.
  • Perfectly Normal — Stephanie from Urban Hippie writes about the way she and her family have done their part to try and normalize breastfeeding in a society that doesn’t get to see breastfeeding as often as they should.
  • Diagnosis: Excess Lipase — Learn about excess lipase and how to test if your expressed milk has it. That Mama Gretchen shares her own experience.
  • Redefining Normal — Diana at Munchkin’s Mommy reflects on how we can normalize breastfeeding in our society.
  • Nursing Openly and Honestly — Amy W. at Me, Mothering, and Making it All Work feels that the most socially responsible thing she can do as a mother is to nurse and nurture her children openly, honestly, and with pride.
  • Wet-nursing, Cross-nursing and Milk-sharing: Outdated? — Jamie Grumet of I Am Not the Babysitter shares a response to the Wendy Williams quote about milk sharing being akin to slavery, by giving a brief history of the wet nurse.
  • Tackling Mastitis with an Older Nursling — Much of the advice available for supporting recovery from mastitis seems to be aimed at mamas with younger nurslings. Juliet of Twisting Vines, posting at Natural Parents Network shares tips for dealing with mastitis while breastfeeding a toddler.
  • Milk in the eye — Gena from Nutrition Basics discusses how breastmilk cured her 3 year old’s case of pink eye.
  • Boobie Biter — Rachel Rainbolt at Sage Parenting offers guidance on how to survive and thrive a boobie biter with your breastfeeding relationship intact.
  • My take on breastfeeding advice — Diana at Munchkin’s Mommy shares her insights on nursing for both new moms and new dads.
  • My Top Five Breastfeeding Tips for Delivery Day: Think “A-B-C-D-E”Mothernova shares how her continued success at breastfeeding with her second child rests on a foundation of five key things she did to prepare for baby’s arrival, along with things she did when she and baby first met. Easily enough, these tips can be categorized as “A-B-C-D-E”: Access to lactation consultant, Baby-friendly hospital, Communicate your plan to breastfeed exclusively, Demand, and Expect to room in.
  • Breastfeeding Buddies: Twin Brothers Nurse while Living in the NICU — Twintrospectives at How Do You Do It? shares her 5 tips for learning to breastfeed multiples while in the NICU.
  • Breastfeeding on a Dairy-Free Diet: Our Journey and Our Tips — Finding herself nursing a baby with food allergies, Jenny at Spinning Jenny embarked upon a dairy-free journey with her son for eight months. Here she relates her reasons for making the decision to give up dairy in her diet, why it was worth it, and tips for moms on the same path.
  • Normalizing Breastfeeding in my Home — Shannah at The Touch of Life shares how she plans to help keep breastfeeding normal for her own children, even when her breastfeeding years are over.
  • A Year With My Nursling — The more you see and hear, the more normal it becomes, so That Mama Gretchen is sharing her heart on the last year of breastfeeding – the ups and downs, but mostly the joy of her priceless relationship with her son.
  • From Covered to Confident — Krystyna at Sweet Pea Births shares her personal NIP evolution: she started by covering up from neck to ankle while nursing in public. Eight years later, she has gained confidence and the ability to nurse without stressing about flashing a little skin. She shares her views on normalizing breastfeeding – what influenced her and how she hopes to help others.
  • Normalizing Breastfeeding for Older Kids — Sadia at How Do You Do It? hopes that openly discussing breastfeeding with her (now weaned) daughters will help her children feel comfortable with breastfeeding and their bodies in general as they grow.
  • Nursing in Public — Listen up, mammas. Those other people around . . . they don’t matter. It’s not about them. It’s about you and that beautiful baby. Nurse on, says The Swaddled Sprout!
  • How to Nurse a Teenager — Sarah at The Touch of Life declares: the purpose is to help normalize breastfeeding a toddler.

The 4am Feed

I confess. I am lazy.

That’s the secret to my efficiency. For example, I’ve got the 4am feed down to a 20-minute science. It took some tweaking for the babies to cooperate, but now most days they do. Actually a lot of what I’m doing now is what I did with Toddler, only I had forgotten until I had to rediscover it all over again. So, if you must do a middle-of-the-night feed, here are some tricks I’ve found that work great for me.

First, not part of the efficiency thing, but greatly helpful to set your babies up for sleep, dim the lights down to one very low wattage bulb. I think mine is 10 watts. It sits in the corner of the room farthest away from the babies. The babies get a clean diaper, swaddled, then placed in their spots in the cosleeper. I sometimes play soft music from my iPhone for them (Pandora’s Lullabye station). Then…

1. Feed babies as much as possible before going to bed. In our case, babies load up before sleeping for good, often 6 ounces over a couple of feedings starting at around 9:30pm. They’re usually out by 11pm.

2. Before going to bed, get all bottles and pump accessories for the night/early morning ready. For me, this means putting nipples on and labeling all bottles. I usually have two bottles of formula made also, as backup. All pump flanges and bottles are clean and screwed together, ready to use.

3. Pump one last time and go to sleep at the same time as the babies. It’s tempting to watch a little TV or get things done while they’re asleep, but I’ve noticed they sleep better with me nearby and I really value my own sleep. I’m sometimes already drifting off while they’re still rustling to settle in.

4. Do not get up before they’re supposed to. If they loaded up on milk before going down, they don’t need to be fed until 4am. Usually all I have to do is replace the paci for the rustling baby and they’re back out before they can really wake up. Toddler never took a paci, so I would just jiggle her bassinet a little and she’d go back to sleep.

5. When the time does come to feed, pop a bottle in the mouth of the hungry one and prop it with whatever you have (I use their blankets). Then do the same with the other one, even if he/she is still fast asleep. They’re still swaddled, so no chance of waving arms knocking the bottles out. My babies will eat while asleep and keep sleeping afterwards without even waking up. I also no longer burp or change them (unless there’s poop) in the middle of the night.

6. While they are eating, pump. There’s a way to secure the flanges with the insides of your elbows by resting the bottles on your thighs, so that you can read your iPhone or reprop a bottle  when necessary. When I’m done, babies have finished eating and have probably also fallen asleep. All I have to do is retrieve their bottles. I leave the flanges on the bottles I just pumped, and everything is left on the nightstand until morning.

7. I can usually do this while still half-asleep myself. Sometimes I will get up to drink some water, pee, and read my phone for a bit in bed before sleeping again, but I can just as easily go right back to sleep. My babies will sleep until 9am, if I replace the paci for them a couple of times starting around 7am. I am usually up by 8ish to watch Toddler after Husband leaves for work, so I can get in a pump and have breakfast with her before they wake up.

Another plus to this is, they usually wake at the same time! That means the day starts off with them on the same schedule. It usually doesn’t stay that way, and I’ve given up imposing a strict togetherness, but sometimes they can stay within a half hour of each other all day.

I’m looking forward to them sleeping all the way till morning and taking regular solid naps (Toddler did it before she was their age), but I think this is as good as it gets for a middle-of-the-night feeding (for twins). But I’ll gladly take any other suggestions to streamline things even further!

lunchldyd is mom to an almost 3 yr old daughter and 4 month old b/g twins, taking whatever sleep she can get!