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Journal of Human Lactation
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A Case Report of Breastfeeding Quadruplets: Factors Perceived as Affecting Breastfeeding

Chris Auer, BSN, RNC, IBCLC

University Hospital, Inc., c/o 234 Goodman Ave., Cincinnati, OH 45267 USA.

Karen Kerkhoff Gromada, MSN, RN, IBCLC

College of Nursing and Health, University of Cincinnati.

The number of higher-order multiple births in the United States quadrupled between 1970 and 1994. The number of women choosing to breastfeed their higher-order multiples also has risen. In this report, a mother of quadruplets identifies factors and interventions she perceived as having a positive or negative impact on breastfeeding. Maternal motivation coupled with a mother's personal approach to breastfeeding quadruplets may be key factors in shaping breastfeeding outcomes, such as in this case where one quad weaned at 12 months and the remaining three breastfed for 21/2 years. With increased discussion of this select population, lactation consultants and other health professionals will be able to develop breastfeeding care plans which reflect this population's unique needs and concerns from the prenatal through postpartum periods.

Key Words: quadruplets • higher-order multiples • preterm infants • breastfeeding support • maternal pacing

Journal of Human Lactation, Vol. 14, No. 2, 135-141 (1998)
DOI: 10.1177/089033449801400213
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This article has been cited by other articles:


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K. A. Szucs, S. E. Axline, and M. B. Rosenman
Quintuplets and a Mother's Determination to Provide Human Milk: It Takes a Village to Raise a Baby--How About Five?
J Hum Lact, February 1, 2009; 25(1): 79 - 84.
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E. G. Damato, D. A. Dowling, T. S. Standing, and S. D. Schuster
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J Hum Lact, August 1, 2005; 21(3): 296 - 304.
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L. G. Leonard
Breastfeeding Higher Order Multiples: Enhancing Support During the Postpartum Hospitalization Period
J Hum Lact, November 1, 2002; 18(4): 386 - 392.
[Abstract] [PDF]