Breastfeeding Twins can come naturally to some Moms and to others it can be an emotional struggle, positioning and latch can be difficult, supply issues and more. We asked our LA TLC Associate, Kate DiRienzo-Payne, to share her journey breastfeeding her fraternal twin boys and also included tips from one of The Pump Station‘s resident lactation consultants for any expecting or new MoM’s needing some support.

The truth behind breastfeeding Twins

Good intentions

When I found out I was pregnant I knew I wanted to breastfeed. I didn’t exactly know what that meant having twins but I was determined to have breastfed babies. In my birthing class they spent a good amount of time covering breastfeeding. We learned that babies come into the world equipped to not have milk for a couple days as your milk is coming in. They do not require a ton of milk, as their stomachs are so very tiny. The basic concept of supply and demand also applies to breast milk. My doula provided me with literature on breastfeeding twins and I watched numerous videos on tandem feeding and how to burp them both. I felt confidant and ready. Then I gave birth…to twins….

I was not prepared for the level of exhaustion I felt pushing two babies out nor was I prepared for what it really meant feeding two babies every 2 hours. Both boys had trouble latching on. One had a tongue-tie and the other kept testing positive for low blood sugar ending up in the NICU for about a day and a half. I couldn’t tandem feed, in fact I couldn’t even breastfeed my baby in the NICU at all because I was on another floor and feeding his brother. That stressed me out immensely and immediately started me on the path of guilt by motherhood knowing he was getting so much formula.

Then we got home

The lactation consultant at the hospital was great, she actually helped diagnose the tongue-tie and helped me pump colostrum to send up to the NICU. I went home from the hospital feeling a little better and with a renewed sense of resolve to keep on breastfeeding. It immediately went downhill once we got home. Breastfeeding just wasn’t working. They were still having issues latching, they were both losing more weight than their doctor was happy with and I was beyond stressed out. I tried to increase my supply, by drinking tea, taking herbs, eating lactation cookies a friend made for me but I knew it wasn’t enough.

So I made an appointment with a lactation consultant at The Pump Station and she was amazing. After an examination and watching me feed the boys she gave me some tips on positioning, however, after weighing them, told me it was clear I wasn’t producing enough for two babies. It was nothing I was doing but the way I was built. “Some women’s bodies make too much milk and some don’t make enough,” she said, “you need to supplement with formula.” She also gave me information on a supplement that would help increase my supply and it did, nevertheless I would still need to supplement. But more importantly she took away the shame I felt in feeling like I could not provide a natural method of feeding my babies. Instead helping me see I should be grateful we live in a time where there are alternatives to help mothers like myself. So for a year I breastfed and formula fed my boys. Looking back I wish I could have given myself a break, I was a new mom, with twins, doing the best I could.

You do what you can

So, I try to pay it forward to the expecting twin moms in my class. I always tell them ‘get ready because people are going to ask you if you breastfeed. It is probably the number one inappropriate twin question other than “are they natural?!”   Sometimes they ask out of curiosity wondering how you do it with two and other times there is judgment in their question’. Either way, I make sure to tell the moms – own your answer and be confident in the knowledge you are doing what is best for your babies.  And instead of us women judging or having a negative opinion of mother’s using formula lets put our energy in supporting our fellow twin moms and all moms.

An Expert’s Tips

Kelli Venaas, a registered nurse and lactation consultant with The Pump Station in Los Angeles, also a fellow twin mom to identical twin boys teaches a breastfeeding twins class. She has given us her top four tips on breastfeeding multiples –

  1. Make sure you have lots of help. I tell expectant parents in my classes to start during the last trimester lining up help from friends and family who are pro-breastfeeding. I recommend daily help for the first month at least. That means someone comes over to give you a shower break, do your dishes, bring you lunch, or give you a nap while they hold the babies every day, even if just for one hour.
  1. GET REST. Every day you need as many catnaps as you can get. If you aren’t good at taking short naps, then make sure you lie down several times a day with your feet up. Go to bed early when the babies take their longest stretch of sleep, and see if your partner can help with at least one nighttime feeding. Partners can help by getting the babies diapered and swaddled after you feed them, and you can get back to sleep immediately while he/she is settling the babies.
  1. Attempt simultaneous (aka tandem) nursing as soon as possible. The extremely rigorous feeding schedule of 2 newborns becomes much less daunting when you can satisfy them both at the same time. You will spend much, much less time breastfeeding and have a little more time for yourself in between feedings. It takes some practice and an extra pair of hands in the beginning, but keep trying at least once every day.
  1. Seek the help and advice of a professional lactation consultant at the very first sign of a problem. Do not wait until your nipples are bleeding or your milk is barely there to call someone. There is no shame in admitting you’re having trouble, because with breastfeeding multiples it would be quite a miracle to encounter no issues at all. Even if it’s just a gut feeling that something isn’t quite right, make the call. Even a brand new mom has that innate sense of her babies’ well being, and her gut is usually right.
[author] [author_image timthumb=’on’][/author_image] [author_info]Kate DiRienzo-Payne, TLC’s Prepartum Associate, has lived in Los Angeles for over 12 years. Living so far from her family in Boston meant she and her husband were going to be traveling the road to twins without the close-by support of their families. Kate set out on learning everything there is to know about twins – classes, pregnancy books, testing products to speaking with other twin moms for advice. Along with raising two happy, healthy, adventurous twin boys, she is focused on helping other twin moms in the Los Angeles area giving each other the personalised support they need. You can also follow her journey at and contact for more information on our LA services.[/author_info] [/author]

Are you pregnant with twins/multiples? Come join our Expecting Twins Classes all around the country – New York City (Manhattan and Brooklyn), Westchester, Connecticut, Florida (Miami and Orlando), Los Angeles, Boston and Houston. Click the classes tab on the Twin Love Concierge homepage for further details. Not located in these areas? We also offer cost-effective skype consultations – personalised to you and your family.