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Summary
This session addresses a critical gap in lactation education and clinical practice: the lack of consistent, evidence-based guidance for supporting breastfeeding in families with twins during a time when multiple births remain significantly higher than historic norms. While twin families face unique challenges—such as increased cesarean rates, delayed lactogenesis, early separation, NICU admissions, and complex feeding plans—many lactation providers and perinatal professionals report limited training specific to multiples. This presentation fills that gap by offering practical, research-backed strategies that strengthen provider confidence, improve feeding outcomes, and ensure systems-level support that meets the needs of today’s growing multiple-birth population. Learning Objectives Understand trends in multiple births in the U.S. Identify challenges and solutions for breastfeeding twins. *Apply evidence-based strategies to support twin families.

Speaker
Ashley Norris, IBCLC, CD (DONA) — Founder of Monadnock Perinatal Ashley Norris is the heart and soul behind Monadnock Perinatal, serving the Monadnock Region of New Hampshire and surrounding communities with compassionate, evidence-based care. A mother of four—including identical twin boys—Ashley brings personal experience with vaginal and cesarean births, tandem feeding, pumping, and home and hospital settings to her work.

She holds certifications as an IBCLC (International Board-Certified Lactation Consultant), Birth Doula, Postpartum & VBAC Doula, Placenta Preparation Specialist, Babywearing Consultant, PAIL (Pregnancy & Infant Loss) Advocate, and Cloth Diaper Advocate.

Ashley’s professional journey began in 2017, when she supported friends and family during labor after the birth of her first child. By 2019, after her second child, she began formal training to make birth work her full-time calling. At Monadnock Perinatal, Ashley offers a full suite of services — including birth and postpartum doula support, placenta encapsulation, lactation consultations, and childbirth education (in-person and virtual). Her lactation care is deeply informed by her own feeding challenges, including early weaning, overactive let-down, reflux, bottle refusal, and feeding multiples. Beyond clinical care, Ashley and her husband Jake live on a little homestead, raising livestock and growing their own food — a lifestyle that reflects her holistic, grounded, and self-sustaining philosophy. She also brings a sense of adventure and resilience to her work, fueled by her longtime passion for demolition derbys. Ashley is deeply committed to being a guiding, knowledgeable, and nonjudgmental presence for families — especially those navigating multiples, cesareans, VBACs, or complex lactation challenges — and she truly loves being part of the community she supports.