My wife has delivered twins on 15/08/33 and now they are 45 days old. She cannot produce breast milk as her age above 40 years. Babies taking milk powder every day but now both babies are doing loose motion after taking milk powder. What shall I do? Breast milk is very less in quantity and babies now feeling difficult to digest milk powder. Tried emfanil a, lactodex, zerolite, nanpro. Please suggest.

Dr. Ajit KumarPediatrician22yrs exp

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Try to continue breast feeding with full confidence and determination Try to express her milk either manually or use manual/Electric breast pump and feed them with Spoon/Paladai Stop giving formula with bottle, give with Baby feeding cup, Spoon or Paladai Almost all formula milk has more or less same problem. You can prevent Diarrhoea with strict hygiene: Hands, Utensil, water etc Stick on any single brand formula milk but try your best to avoid using Formula. I can assure you that if mother is confident, determined and cheerful regarding her breast feeding, she will produce enough milk for her both babies as per our literature, all mother with twin babies produce sufficient milk for their twin babies. hindering factor for lactation: feeling of failed, irritated with babies hunger cry, Nipple Confsion (Baby who are fed with bottle, has developed nipple confusion, they forget to Suck mother nipple and happy to feed on bottle nipple Conclusion: Try Direct breast feeding as much as long as possible, avoid Bottle/Pacifier, Use Spoon, Feeding cup or Paladai for Expressed Breast Milk or Formulla Milk 

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