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Women can produce enough milk to exclusively breastfeed their infants for the first six months (and longer, hopefully!), whether they have one or more babies. The law of supply and demand works here. The more you breastfeed, the more milk you make. It has nothing to do with the number of babies breastfeeding or breast size. Women can produce enough milk for twins, triplets, and more without ever needing to supplement with artificial infant milk.
What you need to breastfeed successfully is support and encouragement. Some things you can do:
* Find a local breastfeeding support group (check your local phone book for a La Leche League International chapter), and begin attending their monthly meetings starting in your fifth month of pregnancy. This is not the same as joining a mothers of twins group. Breastfeeding support groups deal solely with breastfeeding, while a twins group addresses parenting issues.
* Purchase a good book on breastfeeding and another on nursing multiples. The two I recommend are The Womanly Art of Breastfeeding, 6th edition, by La Leche League International; and Mothering Multiples by Karen Kerkoff Gromada.
* Meet with or interview over the phone a local International Board Certified Lactation Consultant (IBCLC). It's worth the consultation fee to hire one privately to come either to the hospital or to your home to help with the babies' positioning and latch-on in the first few days after birth.
* Purchase a nursing pillow made specifically for twins. The pillow will free your hands and provide extra support when you nurse them together.
* Prepare a birth plan. If you're giving birth at a hospital, make it clear that you will be breastfeeding and that no bottles, pacifiers, artificial infant milk, glucose water, or artificial nipples are to be used. Request minimal mother separation from your babies after the birth, because it is important that you be able to breastfeed both of them within 20 to 50 minutes after birth.
If you must be separated from your babies for medical reasons, ask a nurse or lactation consultant at the hospital to bring you an electric breast pump with two sterile collection kits for double-pumping. You should begin pumping colostrum to give to the babies if you're unable to breastfeed them right away or if they're unable to feed because of prematurity or other difficulties.