TWINS are more likely to be born premature, have low birth weight, and face a higher risk of infections. Under such circumstances, exclusive breastfeeding during the first six months is critical for their survival and healthy growth. However, caring for two newborns simultaneously places heavy physical and emotional demands on mothers, often making exclusive breastfeeding difficult. A new study conducted by AIIMS Bhopal, in collaboration with AIIMS Bhubaneswar, reveals that only 4 percent of mothers of twins in Kodinhi, Kerala, India’s famous “Twin Town,” were able to exclusively breastfeed their babies for the recommended six months.

 

Nearly 70 percent of mothers reported significant fatigue, while concerns about low milk supply and the logistical challenge of handling two infants emerged as major obstacles. Despite these challenges, many mothers showed remarkable dedication, continuing breastfeeding for one to two years. Some mothers adopted tandem breastfeeding, feeding both babies together to manage the demanding schedule.

 

The study highlights that even when exclusive breastfeeding is difficult, extended and simultaneous breastfeeding provides significant health benefits for twins, particularly in building immunity and promoting growth. Kodinhi, a small village in Kerala, has attracted worldwide attention for its unusually high twin birth rate. Home to around 400 pairs of twins, it holds the highest twin birth rate in India and the second highest globally. Researchers are keen to study the village to understand both the biological and social factors behind this phenomenon, and to learn lessons for improving maternal and child health in high-twinning regions.

 

The study, led by Dr Geeta Bhardwaj, Assistant Professor at AIIMS Bhopal, in collaboration with Dr M V Smitha of AIIMS Bhubaneswar, emphasises the need for healthcare providers to offer practical and empathetic support to mothers of twins. This includes teaching twinfeeding positions, providing emotional encouragement, and promoting any amount of breastfeeding, rather than focusing solely on rigid targets.

 

Positive reinforcement, the researchers note, plays a key role in boosting a mother’s confidence and helping her continue breastfeeding despite challenges. Commenting on the study, Prof. Dr Madhabananda Kar, Executive Director of AIIMS Bhopal, said that the research sheds light on the real-life struggles and remarkable dedication of mothers of twins.

 

He added that such evidence-based studies are essential for shaping responsive maternal and child health policies and for building a supportive healthcare environment for mothers and newborns. The findings from Kodinhi also serve as a valuable guide for hospitals, health workers, and families, showing that even partial or tandem breastfeeding can make a meaningful difference in the lives of twins.