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    • Addressing Problems
    All Women
    Suspected Difficulty in Obtaining Adequate Food

    1. Refer mother to food assistance programs such as WIC and food stamps. (See Tab 10.)

    Postpartum Anemia

    • Check for postpartum anemia if there was unusually heavy blood loss at delivery. If detected, start a therapeutic dose of iron of 60 to 120 mg/day. At a different time of day, give 15 mg of zinc and 2 mg of copper as part of a vitamin/mineral supplement. Recheck hemoglobin or hematocrit at the mother's 6-week postpartum visit.

    Special Support for Mothers of Twins or Triplets

    • Provide assistance with strategies for nursing two infants.

    • Provide practical suggestions for achieving high nutrient and energy intake with the resources available.

    • Refer the mother to a support group*

    • Assist the mother in enlisting support from others. Arrange for a home visitor.

    *  

    National Organization of Mothers of Twins Clubs, Inc., 402 Amberwood Lane, Rockville, MD 20853; The Triplet Connection, P.O. Box 99571, Stockton, CA 95209.


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