A qualitative investigation of experiences of breastfeeding twins and multiples

Background
Research has found that twins and multiples are less likely to be breastfed than singleton babies. Exploration of the experience of breastfeeding twins and multiples from parents’ perspectives is limited, and we know little about the experiences of those who breastfeed twins and multiples and the possible barriers they face.

Aim: The aim of the research was to explore experiences of breastfeeding twins and multiples in the UK from the perspective of birthing parents.

Methods
A qualitative online survey was carried out (n = 94), followed by online semi-structured interviews (n = 18). The data were analysed using reflexive thematic analysis.

Findings
Four themes were developed from the data: (1) “It's one of the things I'm most proud of in my life” (2) The importance of support: “it definitely takes a village with twins” (3) Barriers and the pressure to formula feed: “all they wanted to do was stuff ‘em full of formula” and (4) The dynamic experience of breastfeeding twins.

Discussion
Many of the participants were able to feed their babies in part due to sheer determination and the refusal to give up when met with challenges. Breastfeeding was an important part of their identity as a mother, however mental health was often impacted by their experiences, as well as the challenges they faced when seeking support.

Conclusion
Breastfeeding twins and multiples is a challenging yet rewarding experience. Our findings indicate that further training and support is needed to enable healthcare providers to support parents of twins on their breastfeeding journey.