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Updated: Aug 19, 2026

A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
Published on: September 22, 2023
Duration of breastfeeding for mothers of twins
Elizabeth G Damato1, Donna A Dowling, Elizabeth A Madigan
1Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Ave, Cleveland, OH 44106-4904, USA. egd@case.edu
Objective:
To describe the incidence and duration of breastfeeding for mothers of twins and identify factors that affected this duration.
Design:
Secondary analysis of data from a larger longitudinal predictive study of maternal attachment in mothers of twins.
Setting:
Paper and pencil questionnaires once during pregnancy and twice in the first 6 months postpartum.
Participants:
123 women recruited from a national support group for mothers of twins.
Main Outcome Measures:
Mothers' Information Tool, Edinburgh Postnatal Depression Scale, Rosenberg Self-Esteem Scale, and the Index of Breastfeeding Status.
Results:
110 (89.4%) of the sample initiated breastfeeding or initiated a milk supply by pumping. Percentage of breast milk feedings at time 2 predicted whether or not a woman was still breastfeeding at time 3 (odds ratio = 3.63, p < .001).
Conclusion:
A high percentage of breastfeeding initiation was found despite the increased care burden that has been described for mothers of twins. Mothers who continued to breastfeed at time 3 provided a high percentage of the twins' milk feedings as breast milk. The results suggest that mothers who are able to persist with the difficulties of establishing a milk supply for twins and feeding two infants are able to continue providing a high percentage of the infants' feedings as breast milk.
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