Twin and Triplet Nutrition Tips

Baby, baby, baby...

Is it possible to breastfeed twins or triplets? Yes! And, it's worth the effort. Breast milk delivers the nutrients and antibodies babies need in an easy-to-digest form. Breastfed babies are at lower risk for respiratory tract, gastrointestinal and ear infections. They also are at lower risk for eczema, diabetes, obesity and Sudden Infant Death Syndrome, or SIDS. There are other benefits to breastfeeding, too. There's minimal cost compared to formula, plus breastfeeding provides bonding time for mom and baby.

The American Academy of Pediatrics recommends exclusive breastfeeding until about 6 months of life. After that, breastfeeding is encouraged as solid foods are introduced throughout the first year.

Nursing multiples is demanding. Healthy moms who breastfeed have higher calorie and fluid needs. But it can be a struggle for new moms to take time for themselves. Make healthy eating simple by stocking up on nutritious choices. Focus on fruits, vegetables, lean protein, low-fat dairy or soy milk and whole grains. Also include foods rich in iron, calcium, vitamin D and folate.

For optimal brain development, breastfeeding mothers should get adequate omega-3 fatty acids, particularly docosahexaenoic acid, or DHA. Choose fatty fish that are lower in mercury, like salmon or sardines, twice a week. If you don’t eat fish, it’s possible to get omega-3 fatty acids from plant-based sources. Ask your health care provider if an omega-3 supplement might be right for you.

How does breastfeeding work when there are two or three little ones to feed? Accepting help can make it easier:

• Find a lactation consultant. Lactation consultants specialize in breastfeeding support and can help with a variety of concerns. A lactation consultant can help you determine if your baby is latching correctly, assist with breastfeeding positions and help develop a feeding schedule.
• Get the first and second babies on the same schedule. Expressing, or pumping, milk in advance can help to make feedings go smoothly. Try pumping breast milk in advance and having a partner or family member bottle feed expressed breast milk to one child while you nurse the other two.
• Accept help from a partner. Your significant other can take over the role of changing diapers, soothing and playing with the babies. This allows mom time to rest and focus on feeding her children.

Notes on Nursing Premature Multiples

It's not uncommon for multiples to arrive a little early. Premature babies may have digestion issues, and breast milk is easier on their tiny tummies. But, preemies often have trouble latching on and sucking properly. If your babies struggle to breastfeed, you may need to pump milk to prevent your supply from decreasing. And providing expressed breast milk still offers nutritional benefits to your child. When the babies are older, they may be able to breastfeed directly.

Whether you're feeding one, two, three or more babies, never underestimate the power of a team! A support network can make all the difference. Health care professionals, partners, family members, friends and neighbors can be great resources.