Breastfeeding twins takes patience and determination, but if you possess these qualities (and a sufficient milk supply), I strongly encourage you to go for it! Here are some tips to keep in mind:
Tandem nurse. Breastfeeding twins is time-consuming, so learn how to nurse both babies at the same time. It can be difficult at first to place both babies in positions to breastfeed, especially when they still need head support, so ask for help in bringing your babies to you. Position pillows under each arm to bring your twins up to your level.
Get support. Seek out mothers who have successfully nursed twins. (You can find them through a local multiples group or online support group.) Contact the La Leche League, a lactation consultant or another breastfeeding resource if you're having problems. Make your preference for breastfeeding known to your doctors and the hospital before giving birth so they will support you.
Be organized. When you're sleep-deprived, it's hard to remember when you last nursed, which baby nursed on which side (you'll want to be sure to alternate them) and how long they nursed. Keep a log with this information, plus a record of wet and soiled diapers. This may be especially important if your twins are premature and your doctor wants to make sure they're getting proper nourishment. It's also helpful for other caretakers.
Take care of yourself. For optimum milk supply, drink plenty of fluids (especially water), eat healthy foods and get as much sleep as possible (easier said than done, I know). Don't try to keep up with cleaning and cooking. You're the only one who can nurse your twins—anyone can do the housework. Check with your physician before taking any medications that might be passed on to your babies.
Be persistent. When you're dealing with the hormonal seesaw of emotions that follow childbirth, it's easy to get frustrated or tearful. Wallow for a bit, but don't give up! It takes a while before breastfeeding becomes second nature. Give yourself and your babies an adequate adjustment period. If your twins are preemies, they may have difficulty sucking and swallowing. Don't be distressed if you have to pump your breast milk exclusively until your babies are ready for the breast.
Get the best breast pump you can afford. An industrial-strength double pump will express milk most efficiently and quickly, saving a tremendous amount of time. Pumped breast milk can be refrigerated or frozen for later use, allowing others to help you feed your babies.
Breastfeeding twins is a huge commitment, but it's well worth the time and effort when you consider the rewards: the best nourishment for your babies, a great bonding experience with your twins and the convenience of not having to prepare formula. But if you find that you've become a 24-hour milk machine, talk to the pediatrician about using a combination of breast milk and formula so that others can help out. Your babies will still benefit from breast milk, but you'll reap the rewards of more rest and help!