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Losing Supply?
By Jane Squires, RN, IBCLC

Janes SquiresQ. I had twins a month ago. I am breastfeeding exclusively. For the first three weeks, I had plenty of milk. Then I got the stomach flu with vomiting and diarrehea. Three days later I am having trouble having enough milk for both of my babies. My breasts feel empty and soft. I've been drinking lots of water, and my appetite is finally back today.

A. A very common occurence in breastfeeding, and one that concerns most mothers is they fear they do not have enough milk. This is almost never the case. Usually by week three or four the initial fullness of the breasts/engorgement has gone down, and your breasts appear empty and soft. Also at this stage the babies are going through their first or second growth spurt, and want to eat more often to help increase your milk supply.

So how can you tell if your babies are getting enough?

  • 6-8 wet diapers in 24 hours.

  • 2 or three full diapers (stools) not just smears in 24 hours.

  • Consistent weight gain. You can call your health care provider and ask for the babies to have a weight check, or you can contact a local IBCLC (lactation consultant), and work with her.
From your description it sounds as if everything is on the right track. What I would suggest for you is nourish yourself (EAT), keep water with you and drink to thirst, feed the babies and rest.

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