This week I’ve been in touch with my OB-GYN, a medical supply company, and my insurance company to get the ball rolling on ordering a breast pump. I thought that this would be a good point for me to stop and reflect on my thoughts about breastfeeding.
With two little ones on the way, one being delivered by me and one by our surrogate, even things like breastfeeding are complicated. My biggest concerns at this moment include 1) supply – will I produce enough for two babies? and 2) timing – specifically, the babies are due five weeks apart so is it appropriate for me to breastfeed the second baby immediately upon her birth considering that she won’t get colostrum but instead will get the more mature breastmilk that her older sister has developed a taste for?
I’ve talked to our surrogate about some of these concerns and she is going to help us out while we’re in Utah with supplying colostrum and breastmilk for baby girl number two. We are incredibly grateful for this offer, and are definitely planning to take her up on this! This will hopefully solve the initial problem of supply and timing. The plan is for her to pump the liquids rather than directly breastfeed the baby, for a couple of reasons. The most obvious reason is that the baby will not be in proximity to her after we all leave the hospital, and we don’t want our surrogate to have to wake up for any nighttime feedings while in the hospital either. The more delicate reason is that we are sensitive to avoiding any maternal bonding that may occur from our surrogate directly breastfeeding the baby.
Once we leave Utah, we could have our surrogate pump and ship her breastmilk to us. She has indicated an interest in pumping regardless of our wants/needs, so the breastmilk will either go to us or to someone else in need. But at this time, we are thinking that we will try to get baby number two to transition to my breastmilk when we leave Utah. The main reason for this is simply expense – it ain’t cheap to ship breastmilk halfway across the country on a regular basis!
Now I will admit that thinking about supplying enough breastmilk for two babies on my own once we get home to Chicago is overwhelming and anxiety-inducing. I simply do not know if I can do it. For starters, one of the reasons for my past infertility issues is that I have pretty severe PCOS (polycystic ovarian syndrome). Unfortunately, throughout my pregnancy I’ve been reading that PCOS highly correlates with difficulties breastfeeding. Lucky me!
I’m also worried about getting any sleep or rest if I breastfeed both babies. With both of them in very different stages of development in the early weeks, it seems likely that one will be waking while another is snoozing, and vice-versa. I think that at the very least, I will resort to a great deal of pumping rather than direct breastfeeding in order to allow myself some rest while Mr. Starfish attends to his share of feeding shifts.
In the end, I’ve decided to give this whole breastfeeding/pumping thing a hearty attempt. I’ve read the same advice and studies as every other mother-to-be out there and feel that I have to at least try. But I also am trying not to put a whole lot of pressure on myself to make this work. This is uncomfortable for me to admit, because I’ve always been an over-achiever who strives to do everything exactly as prescribed by experts.
My attempt at this more relaxed attitude is one that I attribute to my infertility journey. For over three years, I cursed my body for failing to do things as natural as ovulating, conceiving, and becoming pregnant. At times, I had a very unhealthy relationship with my body over these failures. Due to that struggle, the thought that my body may possibly fail me once again, this time to breastfeed, doesn’t seem far-fetched to me. While I’ve partially recovered from my body’s hurdles in becoming pregnant, it is really important to me that I don’t fall into these patterns of body battles and ugly thoughts once again. And I especially don’t want to be mentally battling my body and its limitations while I could instead be spending that mental energy on my two new baby girls.
Maybe when the time comes, this crazy body of mine will surprise me and milk will spill out of me with ease. Heck, my body has surprised me a heck of a lot over the past year and I’m sure it could do it again! But in the more likely scenario that my body again struggles, I’m done fighting and hating and cursing my body. That is not the kind of example that I want to set for my girls regarding their own bodies, and I’ll be striving to be grateful for the positive surprises that my body delivers to me rather than the negative.
wonderful kiwi / 23653 posts
Wow, I must say, your surrogate is amazing and has such a big heart to want to keep pumping regardless so someone’s needs can be met!
I totally understand that uncertainty and anxiety surrounding breastfeeding. I hated that I just won’t know how it goes until I get there, being a planner. I am totally cheering you on!! I know what you feel is tripled since you will have two and at different times… I def think a healthy mindset is just to try your best and really keep reminding yourself that anyway that are fed is the best way!
pomelo / 5228 posts
Wow, sounds complicated! I’d suggest talking to an ibclc to help you figure this out, and maybe put the colostrum in a SNS for baby 2 so she gets used to the breast and helps stimulate your supply.
grapefruit / 4361 posts
I struggle(d) with PCOS, IF, and loss. Thankfully and surprisingly, my body handled pregnancy very well, and breastfeeding has been pretty successful as well. It has helped me heal from the “body battles” and appreciate my body for what it can do. I hope the experience is the same for you!
nectarine / 2436 posts
This is going to sound a little hokey, but when I was pregnant, I visualized myself breastfeeding with ease. I thought exclusively positive thoughts and convinced myself it would work and it did! Perfectly!
grapefruit / 4291 posts
Have you thought about getting in touch with an IBCLC before your babies arrive? Talking through your goals and potential roadblocks with a pro, and formulating a plan might really help you achieve your goals! Good luck!
blogger / pear / 1563 posts
This sounds like a good plan! I hope that breastfeeding really works out for you! And if it doesn’t there are other ways to healthily feed your babies.
guest
I would really recommend going to an La Leche League meeting while you are pregnant and talking through your concerns with a leader. I have found LLL invaluable to my breastfeeding journey.
I think having the surrogate express colostrum for the second baby is a great idea – you don’t want to miss out on that goodness.
I’m currently tandem feeding my 2 year old and 3 month old. I had no idea a human could produce so much milk! I also know a lady who exclusively breastfeeds her triplets. I’m sure LLL could point you in the direction of some other twin moms who breastfeed and some good books. I have found it really helpful to go to meetings and meet moms who are going through similar things to me, and I would imagine it’s even more useful if you are a mom of multiples.
Here’s a link to your local LLL website so you can see if there are meetings that would be easy to get to: http://lllofil.org/content/il-groups-map
apricot / 298 posts
Jumping on the bandwagon to also suggest talking to an IBCLC about your concerns before your squishes arrive! Your OB or your hospital may be able to recommend one. Remember that IBCLC is the only certification available for a lactation consultant – it doesn’t take credentials to call yourself a lactation consultant, or a lactation specialist. I’m sure there are plenty of good non-certified lactation consultants out there, just something to keep in mind as you are looking.
guest
My advice from nursing a 17 month old (and counting!) is to prepare as much physically and mentally before babies arrive as possible. Take classes, see a LC for your unique situation, stock up on a few supplies. Most importantly prepare mentally that it will be your #1 and only job. Breastfeed. That’s it and know that you will be able to do little else around the house. That sounds rough but if you mentally prepare for it you won’t be surprised when you have a baby or 2 attached to you all hours of the day. I don’t have experience nursing 2 babies but in my solo experience I wouldn’t rely to much on the pump. If you can. Also be sure to get as much help in the first few days/weeks as possible. Make sure you know of an LC in your area; we found one at our pediatrician. When you need one, you will need it asap. Many moms have nursed twins exclusively or along with formula, if they can… you can too!
cherry / 188 posts
As a fellow PCOS mom who struggled with breastfeeding, it sounds like you’re on exactly the right track here. Lots of well-intentioned people will tell you that “anyone can breastfeed with the proper support” but that’s just not true. It’s like saying anyone can conceive without medical intervention if they just try hard enough.
Breastmilk is lovely and wonderful, but so is formula. It’s easy to forget this when one is in that post-partum haze and struggling so hard against your own body’s limitations. It took me a long time to realize what you say here – “And I especially don’t want to be mentally battling my body and its limitations while I could instead be spending that mental energy on my two new baby girls.” Hold on to that! It’s so easy to get swept up in the “everyone can nurse! All you need is a lactation consultant! And the right flanges and maybe a nipple shield and a hospital grade pump and power pumping around the clock and oatmeal and beer and black market domperidone mail ordered from the Czech Republic…” and all of a sudden, you’ve spent the first precious weeks and months of your child(ren)’s life driving yourself insane and hating your body and crying all the time.
Remember that formula is an awesome substitute for breastmilk, but there is no substitute for a happy, healthy mother. And read this article so that you know better in case anyone tries to convince you that breastmilk is some sort of magical unicorn-tear elixir that’s worth sacrificing your mental health over. (Cause, spoiler alert, it’s not.) http://fivethirtyeight.com/features/everybody-calm-down-about-breastfeeding/
Wishing you so much luck. Never forget that YOU get to set your own goals and YOU get to say when enough is enough. You may have a wonderful easy breastfeeding journey – and I really hope you do! (Studies seem to indicate 33% of women with PCOS have a normal supply and another 33% actually have an oversupply, so certainly you may be just fine!) But if you don’t, remember all of the things you wrote here. So true and so important.
blogger / apricot / 431 posts
I think you are having a great attitude going into this. There is so much that you can’t plan out completely of what will happen exactly. The best is to prepare and be ready (like you are doing) and then do your best to make it work and not be do hard on yourself. Wishing you all the best as the due dates come closer and closer.
blogger / cherry / 174 posts
I have PCOS and went through infertility issues too. I put too much pressure on myself to breastfeed. It’s awesome you’re open to doing whatever works best for your two babies.
blogger / nectarine / 2600 posts
Wow thats so nice of your surrogate. I have blogged a ton about my breastfeeding journeys and in the end you got to do whats best for you and what you can manage and live with and not care about what others say or think because it doesnt matter, what you do is best and thats it.
hostess / wonderful persimmon / 25556 posts
You sound like you have planned for whatever happens and that is great! I didn’t even think about the babies being at different development stages for a while. Oh my goodness!! I love that your surrogate is going to pump for you. She sounds like an amazing woman.