A.W.
I nursed my twin boys for 8 months but I also used formula. Before the boys were born, I had my heart set on exclusively nursing, but it didn't work well for me or my boys. That's not to say that it can't be done, but it is different than nursing a singleton. If your friend would like to nurse her twins exclusively, I would first recommend that she meet with someone who has done it herself (nursing books don't offer enough information and advice on nursing twins). It's also essential that she has a significant other who will be able to help out with household chores; especially in the first few months, nursing twins is very time-consuming and she will need help in keeping the house running while nursing her twins. That said, what worked really well for me was alternating nursing and formula. I would breastfeed both my boys when they woke up in the morning. Throughout the rest of the day, I would alternate: I would simultaneously nurse one boy while I gave the other a bottle, then at the next feeding I would nurse the boy who had been bottle fed during the previous feeding. Whatever your friend ends up doing, the most important advice for her is to do what works best for her and her babies and not to let anyone else make her feel guilty about it. Please let her know that she is more than welcome to email me if she needs advice or someone to talk to.