Engorgement will not go away... and other problems...
I am a mother to twin boys, two weeks old today. I was not planning on breastfeeding due to a very unpleasant experience with it with my first DS. I had toe curling nipple pain the entire time I tried to feed him and we never figured it out.. then weaning.. then about a year of guilt. I figured I didn't need to go through that again.
However, the little voice inside my head said to give it a try this time around. So, I have. The boys were born 3 weeks early and one of them lost 20% of his body weight in the first 5 days. He actually seemed to latch well but he needed nutrients and ended up in the NICU with low blood sugar and hypothermia. The other latched well but it was super painful. I think we have worked it out and the healthier twin seems to nurse ok.
Meanwhile my LC wanted me pump for 15 minutes 8 times per day until we sorted out their latches, let them get a little bigger. Also she encouraged me to put them to the breast as much as possible. Well, needless to say there has been lots of stimulation but not too much milk removal. I have a hospital grade double pump and I know it is not removing even half of what is there. I am in an ugly cycle now of engorgement with low grade fever, which leads me to pump or hand express, which is probably leading to more engorgement.
I feel like I am starting to turn a corner in that I have a baby who can eat at the breast, seems satisfied and another that will probably figure it out if given enough time. However, I am so uncomfortable. Plus, between pumping and feeding I am getting no sleep. Plus, I've noticed that my pumped milk is more watery and I am afraid that we are never really getting to the hind milk because there is so much milk there. Add to that the nipple trauma of twins trying to feed on an engorged breast plus pumping.
I know this is complicated but I would appreciate any ideas. I am afraid to put a baby to the breast for fear they will just cause more engorgement...