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Journal of Human Lactation
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Breastfeeding Higher Order Multiples: Enhancing Support During the Postpartum Hospitalization Period

Linda G. Leonard, RN, MSN

School of Nursing, University of British Columbia, T 201 2211 Wesbrook Mall, Vancouver, British Columbia V6T 2B5, Canada

Higher order multiple birth (HOM) families require genuine and effective support in their quest to breastfeed their infants during the postdelivery hospitalization period. Evidence suggests that the impact of current policies and care practices on HOM breastfeeding requires careful examination. Recommendations for enhanced support include evidence-based breastfeeding of multiples practices, multiples-specific breastfeeding education for HOM families and health professionals, and establishment of an HOM breastfeeding consultation network. Equally important are coordinated breastfeeding care, development of a breastfeeding plan in partnership with parents, avoidance or minimization of maternal-infants and infant-infants separations, and added assistance to parents when the infants’ discharges are staggered. The recommendations are based on the author’s extensive professional experience with HOM breastfeeding and the HOM literature.

Key Words: breastfeeding • triplets • higher order multiples • postpartum policies • postpartum care

Journal of Human Lactation, Vol. 18, No. 4, 386-392 (2002)
DOI: 10.1177/089033402237914
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This article has been cited by other articles:


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 J Hum LactHome page
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?
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[Abstract] [PDF]