Multiples

Poll: Did/do you EBF, FF, EP or mix of all?

I really really hope this isn't a controversial question, as it is not meant to be.  I've tried to search the multiple boards for similar questions, but did not find any.  You more experienced ladies on the board can tell me if this question is a recipe for disaster and I'll delete it.

It's still early, but I've been thinking a lot about it.  How did you ladies feed your multiples?  I really am open to any option that works for our family but just get so overwhelmed thinking about it.

I'm just wondering what worked for other MoM's??

*P/SAIFW* TTC since 1/08 Clomid, 2 IUIs, 4 IVFs, FET 7 losses Baby Birthday Ticker Ticker

Re: Poll: Did/do you EBF, FF, EP or mix of all?

  • My girls were in the NICU for 5 weeks, so I started pumping right away.  They let me try to breast feed once they hit 34 weeks, and we were doing a combination of bottle feedings (with breast milk) and me breast feeding.  Once I got home, though, the breast feeding just got to be too much (and I was so anxious about knowing how much they were getting!) so I decided to do a combination of EPing and FF.  It's worked out great so far - pumping on a regular basis is a bit of a pain, but since the girls are getting 3 bottles of formula a day I am able to freeze some breast milk as well.  You just have to find what works best for YOU and your babies!  
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  • I think your question is just fine here. I've seen it blow up on other boards, but people here usually understand the complications of preemies, supply issues, logistics, etc.

    I wanted to breastfeed, but I had supply issues with my singleton, so I was skeptical I could do it. I had much better information this time on effective pumping and supplementing, etc., but I also had years of bottle feeding behind me, so I wasn't as afraid of formula this time. My babies were small and one was IUGR, so I agreed to supplement in the hospital, and tried to pump to help my supply make up for it. I decided to give it at least 6 weeks, and focus on pumping and breastfeeding as I was taking it easy at home after my c-section. At two months, my lactation consultant wasn't very encouraging that I could turn things around either, so I stopped the pumping and started exclusively formula feeding. Works fine for us now, but I would love to not be spending $500 a month on formula for my hungry babies!
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  • I did try to BF. I ended up pumping about 1/2 of their supply and feeding formula for the other half for the first 3 months. Once I went back to work we went to all formula.
  • We made it to 3 months with a combination of BF and pumping. I had a few days of EP because of mastitis and I realized how much simpler my life was not being tied to a pump or baby for up to an hour (we have an older child too). You do what you can at the time. We are now GF and I feel so much less stressed, plus I feel I can safely start training for marathons again without risking production issues. If I had twins I might have made it longer, and with a singleton I would have gone at least 9 months like I did my son. But you do what makes you sane. :)
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  • I don't think its controversial at all!  There is actually a nice mix here of MoMs who have done these exclusively and in combination with each other, so you should get lots of perspectives. 

    I did a mix of pumping and breast feeding for the first two months.  My twins were born at 32w5d and never quite learned how to breastfeed properly.  For the first two months, I would breastfeed them individually and then give them pumped milk to supplement. 

    By the time they were 3 months old, they overtook my supply and they were not improving with their nursing skills (one wouldn't latch properly and one would camp out there for an hour for comfort).  I started EP and giving them all breast milk by bottle and then one feeding per day would be formula.

    By 4 1/2 months, I increased their formula to 2 bottles per day.  They began sleeping through the night around this time, so they were only eating 5 times per day.

    By 5 1/2 months, I started weaning them off breast milk...they are 6 months now and are completely on formula (and solids). 

    Hope tis helps!!

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  • My plan was to BF by direct as well as pumping and supplement with formula when needed. In actuality, I was only able to BF 2 weeks, I was producing zilch and pumping zilch. We went exclusively FF when the girls were 3 weeks old
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  • It took about 3 days for my milk to come in and even then I was getting only drops at a time.  My girls were FF in the nicu and I gave them what I could get from pumping, but I didn't get much so it wasn't worth it after about two weeks and I went to all formula.

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  • I can't understand why this Q would be controversial...

    For us, first it was a combo of BFing and pumped milk, and then they were EBF for a while. When I started work again it was back to a combo of BF and pumped milk. At about five months old my supply started to dry up and despite every attempt imaginable to get it back I started phasing in formula. By the time they were seven months old they were exclusively formula fed.

    So my answer to your Q is all of the above. 

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  • My girls got 6 oz formula/day each from the time they were 8 weeks old (it was less prior to that, but I can't recall exactly how much) until they were 6 months old.  At 6 months I dropped a couple nursing sessions and replaced it with formula bottles.

    I was never able to make enough to EBF them, but as you can see, my supply definitely increased b/c I never had to increas the amount of formula after 8 weeks.

    Edit- meant to add in the beginning that I BF them.....otherwise if you read too quickl it looks like my children survived on half a bottle for 6 months! LOL 

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  • Definitely a mix.  Per the NICU, they needed two feedings of Neosure a day.  I was BF too, but they would get tired before they were full.  Feeding on demand was too much with both of them.  I switched to EP at three weeks, and it was so much better for me.  I could at least keep track of how much they were eating.

    My supply didn't quite keep up with their growing, but I was able to pump and FF for almost six months.  Once my supply dropped below 50% of what they were getting, we went to all formula.  I'm totally fine with how it all worked out.  I did the best I could while keeping my head above water.

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  • Totally not controversial, at least not over here.  I've never, ever seen a flame war or judging about how another MoM feeds her babies. 

    I tried to BF in the hospital but DS had a bad latch and wouldn't wake to eat and DD was tiny and super hungry and couldn't quite get latched. I realized that I'd have to BF, pump to build supply and then try to sleep somewhere in there.  It took about a day for me to realize I did not have what it took for that and went straight to formula. Best decision I made.  I was a mess after the babies were born and in a rare moment of clarity, I was able to see that I did not need the pressure of BFing on top of everything else. No regrets.  The babies are happy and healthy and I am emotionally healthier for not giving myself even more to stress about in the early days. 

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  • For the first few days in the NICU until my milk came in the boys got formula.  For every feeding starting at birth I would put them each to breast for 5-10 minutes and then before they got too tired we would supplement with a bottle.  As soon as my milk started coming in we mixed BM and formula to get enough.  By day 4 we did not have to use formula anymore, just BM.  During this time I pumped every 2 hours.  By the time they were 2 weeks old we no longer had to supplement with bottles, I just breastfed them.  If I am going to miss a feeding I pump while I am gone and they have a bottle of BM.  They are almost 7 months old now and they have not had any formula since day 3 in the NICU.  We are now starting to introduce some rice and oatmeal cereal, which I mix with BM.  I hope to breastfeed until they are atleast 1 year old, and longer if possible.  My boys tripled their birth weight by 5 months and are jumping up the growth curve in all areas.  My babies would much rather have the breast than a bottle or solids, so I just follow their lead as much as possible.
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  • DW started pumping immediately as one of our girls was IuGR and in the nicu. Both were quite small and got some formula in the hospital int her milk really came in. We've been super lucky she's had a great supply and EPing is working well. Neither baby latches well,so they only BF for comfort once in a while. Its been working well but pumping is time consuming. We will probably add some formula when she goes back to work since she wont have as much time to pump.
  • My girls were 32 weekers and I wasn't even allowed to try to BF until they were a month old. By then, they wanted nothing to do with it, even with multiple LC visits. I EPd and had to supplement a teaspoon of Neosure (preemie formula that adds extra calories) in the breastmilk bottles. When they were about two months old, I wasn't keeping up with them, so I ended up having to supplement an ounce or so of formula.

    I EPd for a full year. By the end, I was only able to do half breastmilk and half formula.

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  • I primarily BF but they do get one bottle of formula before bed. Owen was having trouble gaining so we supplemented from the start. They BF 5-6 times a day, just started getting one serving of solids and get 6 oz of formula.
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  • I gave the babies the colostrum in the hospital, but quickly figured out that BF was not going to work for me.  I EFF from there on out and it has worked out well.  In the early days, it allowed DH and I to have a shift system for taking care of the babies.  This ensured that we both got a block of sleep between 5 - 6 hours each night.  As a result, I have mostly good memories of the early days and I'm grateful for that.  The babies have thrived on the formula and are growing like crazy.
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  • My girls got some formula the first 2 days while we were at the hospital. My milk came in on the 3rd day and I've been EBFing since. Its still early but its going really well. I'm even been pumping and have 30+ bags of frozen milk already!
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  • I EBF'd for about 6 months.  We gave formula once in a while at that point.  I rarely pumped from the beginning, mostly when we were going out of the house.  I EP'd starting at about 8 months (and gave more formula) and was done by 9 months.
    ~Crystal~ SAHM to Sam (5), Hugh (3), Mary & Grace (22 months) : )
  • I did a combo of everything because I had supply issues--BF during the day followed by a bottle of BM or formula, depending on what I had.  At night they just got bottles of something.  I also pumped a couple times at night and then during the day when I went back to work.
    2004-Started TTC; Nov 2007-Lap with endo removed; Jan 2008-Ectopic (mtx); April 2008-IVF #1 (bfp, twin girls); March 2011-FET (cp); June 2012-IVF #2 (bfp, singleton, EDD 3-19-12)

    ***Twin fraternal girls born at 35w6d in 12/2008***

  • We did a combo. We breastfed and then would supplement with formula, trying to help with the juandice. If I was going to be away, I would pump and they would get that plus formula.

    I breastfed my daughter for 7wks before she got too frustrated with it. I breastfed her brother for 9wks before my supply just tanked. I even tried to pump to get it back just wouldnt happen.

  • I EBF.  I EBF my son and it's definitely much harder with twins because when they're little and hungry, it's hard to make one wait (and I couldn't tandem well at the beginning)  There were times the first few months where I'd walk by formula in the store and look longingly at it.

    It's much easier now. They're fast eaters, they're more easily distracted by toys while the other is eating.

    BUT, I still have a hard time to fit in pumping.  It gets my supply out of whack, and I don't have a spare boob to pump like I did with a singleton.  It would take two pumping sessions to get enough for one feeding, and I have a hard time fitting that in the day and have to plan ahead.  This part would probably be easier if I were working just b/c I'd be pumping what they ate instead of extra.  

    Anyway, I have a very small stash in the freezer for them, but I sometimes give them formula if I'm going out somewhere (I SAH, so this isn't often.)  So I guess technically I do a mix.  Formula makes my gassy baby REALLY gassy and uncomfortable, though, so I try to at least pump enough for him.

  • I EBF'd my twins until I went back to work when they were 11 weeks old, then I EP'd for another 2 months or so.  I just weaned 2 weeks ago, and now they are straight formula.  I couldn't keep up with their milk demands-- I was pumping approx 70oz/day, and it still wasn't enough!
  • image07may07:

    I really really hope this isn't a controversial question, as it is not meant to be.  I've tried to search the multiple boards for similar questions, but did not find any.  You more experienced ladies on the board can tell me if this question is a recipe for disaster and I'll delete it.

    It's still early, but I've been thinking a lot about it.  How did you ladies feed your multiples?  I really am open to any option that works for our family but just get so overwhelmed thinking about it.

    I'm just wondering what worked for other MoM's??

    Thanks for asking this question!!  I've been trying to figure out what would work for me - so all the responses have been incredibly helpful!

    Yes 

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  • We went straight to formula when they were born.  I was miserable nursing my older DD and started to resent my DH because I was the only one getting up at night.  I was a much happier mom in the beginning with the twins since we were more equal.
  • Tandem BFing didn't work for me. Home alone, (DH only had a week off) as well as latching probs, sleepy baby, ect... so I ended up EPing for 8 months. I really wanted to give them BM and this is what worked best for us. We transitioned to formula for 8-12 months. Good luck to you!
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  • I EPed for the 10 weeks they were in the NICU.  Now that they are home I do 50/50 of BFing and bottle feeding with BM which we have to supplement with Neosure (a special formula for preemies).  Once I can get them to tandem nurse by myself and they aren't killing my nipples, I will BF more often.
  • In the NICU I was allowed to BF 5-10 min, then FF Neosure. Both boys latched right on their first feeding but were sleepy eaters for a couple weeks. I also pumped every 3h around the clock. At home, we continued the triple whammy schedule (absolutely grueling- BFing, FFing & pumping EVERY feed) until Pedi gave permission to wean of FF at 4wks. EBF was hard but something had to give- the triple whammy wasn't sustainable for me. I EBF from 6-14wks which was intense because my boys are huge eaters. A LC helped me estimate that I was producing 75oz/day (!!!) at 14wks and the LOs were demanding more. We both questioned whether I could possibly produce anymore, so I decided to stop pushing myself and start 1 4oz bottle of formula a day. By 6mo, that bottle was 8oz and by 8mo it was 10-12oz, plus masses of solids. Today is their 9mo birthday and the last 2 BF of the day no milk let down :( ...So I think I'm done, but I am grateful that I was able to give them BM for this long. Success.
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  • I accidentally answered in the other thread instead, so I'm C&P my response here:

    My goal was to EBF both for a year.

    N wouldn't latch in the hospital (I was there for a week). I saw 2 or 3 LC's and tried a million tricks. He just wouldn't open his mouth wide. I got him incorrectly latched enough to give him some milk but he lost 12.5% of his body weight in a couple of days so I asked for a pump and syringe to feed him that way. 

    E latched and would nurse for a looooong time each time, but still lost about 11% of his body weight, probably b/c I was also pumping in between so N could eat and there just wasn't enough to go around. So, I started BFing him, then giving him some pumped milk as well. 

    We ended up giving them a small supplement of formula every day, in addition to me BFing E, attempting to BF N, and giving them everything I was able to pump out. 

    For the first month, I continued this cycle but gave pumped milk in a bottle instead. I still tried to latch N without success, and still switched between BFing E and giving him a bottle of pumped milk. They each got about 2-4oz of formula a day. I discovered that the more I pumped and the less I BF E, the less formula I had to give. I ended up pumping around the clock and was able to make enough to give them both EBM. 

    They haven't had any formula since 1 month, and now I EP. I will let E hop on the boob usually once a day or so just for comfort and to stimulate more of a supply. He definitely prefers the bottle now, though. I'm going to try to keep it up for another month, then transition to 50/50 and slowly wean off the pump. 
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  • It was a bit of a rough start for me.  The girls actually latched REALLY well from the get-go, but it took almost 6 days for my milk to come in.  The poor things lost almost 10% of their weight, and didn't have very many dirty/wet diapers.  We had to suppliment a bit of formula for the first week, and then I pretty much exclusively tandem BF until they were 10 weeks old. I started hating the afternoon sessions, because I don't think I was producing enough in the afternoon and they were always super fussy after they were done eating. I started pumping a bit and supplimenting at 10 weeks, and ended up switching to all formula at 12 weeks before I went back to work.  We're actually all much happier now, but I'm glad I was able to BF them for at least a few months!
  • It took six days for my milk to come in, and my girls lost over 10% of their birth weight, so I supplemented with about 1 oz of formula after every feeding for about the first three weeks.  After that, we got the go ahead to stop supplementing, and I was able to pump enough that I used pumped milk in their bottles during the weaning process.  I've been BF and pumping since then.  My girls started daycare this week, and they ate a lot more there than they were when my DH was giving them bottles.  I don't know if I'll be able to keep up with their demands now, but I'm happy with how things have gone so far.  Good luck!
  • Since boys were preemies, I was scared to EBF, so I pumped to be able to measure how much they were feeding, but it wasn't sufficient, so we supplemented with formula.  I was preE, and after giving birth, my BP increased even higher (very scary) so to limit my stress, I wouldn't pump all the time as needed, so it only lasted 6 wks.
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  • I EBF for the most part. There are some days that they get expressed breast milk in a bottle. They needed a little bit of formula at the beginning because my supply hadnt caught up to their needs yet. I EP for a good week or so (pumping every 2 hours) and then the LC helped me in the NICU getting the kids to latch. Those first couple of months were nuts. Between trying to get them BF, pumping, and giving them neosure in the BM. I am glad I stuck with it, because now it is so easy. My first goal was to nurse them until a year and now it is until 16 months so we can get through RSV season. 

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  • I ebf'd until 5 months knowing I wanted to wean at six months. At 5 monthsbi introduced one bottle of formula per week and they were EFF by 6.5 months.
  • My milk didn't come in until they were two days old, so the first couple of days were strictly FF. They didn't latch well so I was pumping day and night and after day 5 they were all BF from bottles. My supply kept up until about 9-10 weeks old, then they had a huge growth spurt and I was unable to produce the amount of milk they were taking at each feeding, so they went back to formula by 11-12 weeks old.
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  • I EBF'd - and rarely pumped.  I'm a SAHM, and the twins never took to bottles.   BFing came easy for us for the most part, so that was the main reason I stuck with it.  
  • As you can see, it totally depends on what works best for your family first and there are many ways of feeding your babies.

    I EBF'd my twin boys for 1 yr., rarely pumped, and usually tandem fed them so they would eat and sleep on the same schedule. If you tandem feed, if possible, here are a few benefits: done in less time, babies usually get a little more and keep building your supply, both bond with you and with each other and don't have to wait and can usually get more milk than if you pump bottles. I also SAH so it was the fastest, cheapest and easiest way to feed them. It may be much more challenging and you may want/need to use a mix of BM and F if you are working. No bottles saves so much time and cleaning plus they get your immunties and digest the BM easily. Know that you can make it work and it will be overwhelming in the beginning no matter what. But I think it's so worth it. Don't give up too soon if you want to BF.

     I also EBF'd my singleton daughters for 1 yr. each before the twins so I had lots of experience and knowledge which helped greatly in knowing how to get it done with the boys. I worked while my girls were babies though so I pumped while at work and EBF'd when I was home with them. Nursing them kept my supply up for when I needed to pump and I would only nurse them on the weekends to build it up. Your babies will increase your supply as they get older so it's important to nurse some of the time. I don't know how some EP unless it's only for a shorter time. I wanted to only give BM if possible. It was also possible because they were born with good sucking relexes and latched on very well right away which can be an issue if your babies are preemies.

    I think you can make anything work when you decide what's best for you and your babies and in your situation. I would advise you to take a class and read up as much as you can and also take advantage of any lactation consultants help in the beginning if you want to be successful in BFing. Also, if you will go back to work, invest in a good pump. It is worth every penny! Don't get upset if you need to supplement though with F. Good luck!

    Caroline Faith 1.10.06, Audrey Alexis 11.1.07, Noah James & Ethan Alexander 6.17.10
  • My twins are only 7 weeks but they are EBF. We had a medium rocky start, my milk took 5 daysnto come in (csection) and one of the boys had a somewhat lazy latch at the beginning and wasn't gaining as fast as the LCs wanted until about 5 or 6 weeks. They got some formula until my milk came in but none since. We are just starting to give a bottle of pumped milk from time to time and I will stay home with them for a year (my goal is a year). There were a few things that were key in getting to this point. -supportive husband and family. Even now I basically do nothing but care for the boys. In the beginning all I did was feed them, pump (to get my milk to come in) and sleep, my family did all the housework, and all the other baby care. I don't know if I could have managed otherwise. During the last growth spurt I literallybwould just spend the whole day/evening on the couch with them nursing. - eating and drinking tons all the time. I have water bottles all over the house. And I eat every time they wake up at night to eat - being stubborn :) the LCs wanted me to keep giving a bottle to supplement the more lazy latcher. I was comfortable not doing so because even though his weight gain was on the lower side, he was gaining, he had lots of wet diapers and he seemed satisfied after feeding. Finally at 5 or 6 weeks he got better at eating and his weight gain just took off. I'm convinced that if I had listened to them and continued with the bottles I wouldn't be EBF now, it was just too time consuming and I know he gets more from me now than he got from thenpump.
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