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Recommendations for enhanced support include evidence-based breastfeeding of multiples practices, multiples-specific breastfeeding education for HOM families and health professionals, and establishment of an HOM breastfeeding consultation network. Equally important are coordinated breastfeeding care, development of a breastfeeding plan in partnership with parents, avoidance or minimization of maternal-infants and infant-infants separations, and added assistance to parents when the infants\u2019 discharges are staggered. 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