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Managing Twins in the Early Months

By Jan Murray


Finding out you are having more than one baby at the same time creates all sorts of emotions, questions and physical changes for both you and your partner. But take heart, many parents have enjoyed the journey and have thrived amidst the chaos.


Once you are all home from hospital, there is no one way to do things when parenting multiples. Every baby, every parent and every family environment is individual and you do what is best for your family at the time. However, there are some basic tips and techniques that can help with the unique challenges you face. For example, if your babies are different weights or one has a health concern and the other doesn’t, you would usually need to feed them at different times or in different ways for a while. If your babies have different temperaments that require different settling techniques, you will learn what technique works best. Managing these issues in the early days is easier with an extra pair of hands but if you don’t have anyone to help, make it easy for yourself by using gadgets such as swings, a light stroller for moving the babies around in the house, dummies and rockers. Carry slings are a wonderful investment, even with twins. Wear an unsettled twin or when two adults are available, use two slings and go for a walk.

Low birth-weight babies (as multiples often are) may have difficulty regulating their temperature and have minimal subcutaneous fat layers to keep them warm. Therefore, ensure rooms are warm (around 24°C) and that you have plenty of suits and bedding made of natural fibres. Synthetic materials trap in heat and can cause overheating.


Buy plenty of nappies! Your babies will need nappy changes every two to five hours. You could be looking at a hundred to a hundred and twenty nappies per week or 5,000-6,000 per year. In fact, why not put in a request for packs of nappies or reusable nappy pants and liners (in a variety of sizes) for your baby shower?

Large swaddling wraps of 100 per cent cotton are an excellent tool for establishing good sleeping patterns during the early months. Your babies will generally be happy sleeping together in the same cot or ‘co-sleeper attachment’ until around four months old but you can have them in separate bassinettes from day one if you choose. Have them sleep in your bedroom, or close by, in the early months as you will be up several times feeding overnight. Avoid the babies developing cranial flat spots by changing what side of each other they sleep on or sit on when in the stroller.

When breastfeeding, you may need to support and position babies on a pillow while they are small. A pillow will also take the strain off your wrists, arms, back, and shoulders. It is usually easier to master the art of breastfeeding one baby at a time before trying tandem feeding, which is where both babies feed at the same time. A couch, bed or floor provides the most space for this type of feeding. Some babies swap breasts and some stay on the same side. With multiples it is best to seek professional lactation advice during the early days of feeding as good attachment and feeding comfort is vital for the ongoing success of breastfeeding.

Bathing twins in the same bath is impossible to perform safely on your own. If you are bathing them alone, the easiest and safest spot would be on the floor or a large dining room table or kitchen bench (before they can roll),and have all the bathing items at your fingertips. You could bath babies one after the other at the same time each day or every few days. You could also bath one baby at a time after different feeds each day or on alternate days. Your personal hygiene is also important but some days you may not get a shower and actually end up staying in your pj’s all day! Other days you’ll get organised and grab a shower before your partner goes to work or during the babies’ first morning sleep.

You are your babies’ first and most important teacher but don’t worry if you feel you don’t have time. Attending to their needs with your gentle touch, warm smile and soothing voice says a lot but if it all becomes too difficult, seek professional advice from your GP. Your babies need you to be healthy.


The first months home from hospital are going to be tough. Parenting multiples can be an overwhelming responsibility so there will probably be crying from you as well as your babies. Join the local Multiple Birth Association for support and accept any offers of help. Don’t just say thanks for the offer. Pin offers of help down to a time and action something straight away. Employ help if you can and give yourself time to adapt.

For more information ‘Twins & More’


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This article was brought to you by Jan Murray, Private Child Health Consultant who is an internationally renowned expert in her field. Jan encourages parents in the area of infant sleep, nutrition, activities and family balance. Jan publishes regular ezine and blog articles to provide free parenting tips, tools and resources to educate and support those caring for young babies and children.

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