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An exercise to do before babies are born

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What financial help and practical support can I get if I'm expecting twins, triplets or quads? Having twins and multiples can be more expensive, even when compared with families who have the same number of children born at different times...there's a lot of equipment to buy all at once, there's rarely hand-me downs, childcare costs are high....all this and more can take it's toll financially, emotionally and physically, particularly in the early months and years.
Practical Help for Parents
Unfortunately. the government do not provide any statutory entitlement for additional support in the home for families with multiple birth children and this is something Tamba is continually raising awareness about and trying to get redressed. However. if you are expecting multiples. especially triplets or more, or you already have other children, it is worth contacting your local Social Services department to see if any help can be arranged.

Other sources of free help include the charity Home-Start. which has trained volunteers who can help families with pre-school age children for a couple of hours a week. You can also visit their site at http://www.home-start.org.uk/

You may also like to consider NNEB students final year nursery nurse students are always looking for placements. but cannot be left in sole charge of the babies. Visit www.cache.org.uk to find out the course nearest to you. Nannies and maternity nurses can be arranged through local agencies but you are strongly advised to take up thorough references. The cost for a maternity nurse for twins is around 800-850 a week. and for triplets it's about 1.000 a week. For a Nanny expect to pay around 7 per hour although this covers multiple children.

You can also opt for an independent mid-wife who offer midwifery care outside the NHS. For more information on their services you can visit their site at http://www.independentmidwives.org.uk/

You may also be able to get FREE Maternity Nurse help with your twins/triplets through a company called BabyEm, who have qualified Maternity Nurses looking to gain work experience with babies 0-3 months for a placement between 2 days-2 weeks. Contact Emma Dewey, Director BabyEm on 0208 986 9008 or visit their website http://babyem.co.uk/source-a-trainee-maternity-nurse-for-free/
Financial Help

Despite popular misconceptions. UK parents of multiples are not entitled to additional benefits or grants from the government. In fact, Tamba believes the current system actually penalises families with twins or more and is campaigning for change.

State support provided to families through tax credits will be limited to two children so children born after April 2017 won't be eligible for any support. The only exception is if further children are the result of a multiple birth. So, if you have one child and your next pregnancy results in twins, triplets or more then you may still qualify. However, if you already have two children then you won't be entitled to any extra benefit.

If you're on a low income and/or receiving certain benefits. you could receive the Sure Start Maternity Grant. which is a one-off payment to help with the costs of a new baby. You receive 500 for each baby. and it doesn't have to be repaid. This grant must be claimed within 3 months of the babies' birth. So, even though you will be incredibly busy when your twins or triplets arrive, it is important to apply for child tax credit as soon as possible, and if you are entitled to the higher rate, you must then claim the Maternity Grant as soon as you can.

In January 2013, rules on Child Benefit changed and not all parents will now be entitled to this. If the twins or triplets are your first children. the first-born will receive the higher rate and the second and subsequent children, if only younger by a couple of minutes, will get the lower rate. On 7 January 2013 the Government amended the rules for higher earners and those with a partner earning 50,000 or more can either choose to not claim the benefit or they will be expected to repay some of it through a tax charge levied of 1% for every 100 earned in excess of 50k. Anyone earning 60,000 or above would have to repay all of their benefit.

For more information on benefits go to www.gov.uk or ask your local Citizen's Advice Bureau.

The Inland Revenue has information and guidance about tax and National Insurance contributions (NICs) on Employer-supported Childcare. Here you will find information and guidance about the new tax and NICs exemptions on childcare or childcare vouchers provided by employers. There are also links to guidance about tax credits and other Government departments and organisations. http://www.hmrc.gov.uk/childcare/
Childcare Costs
The typical cost of a full-time nursery place for a single two year old averages 110 a week. more than 5,700 a year and for a childminder it's around 90 a week. Nearly three-quarters of multiple birth families get no discount on their childcare costs and for triplets the costs can be as high as 2500 per month.

Looking for more information on The Financial Cost of Raising Twins and Multiples

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Lazy Grace Tel: 01669 621272 Email: info@lazygrace.com Web: www.lazygrace.com

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Practical Help & Financial Factsheet for Families with Twins, Triplets or More. | Financial Help & Advice | Twin Tips | Resources Centre | Twins UK

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What financial help and practical support can I get if I'm expecting twins, triplets or quads? Having twins and multiples can be more expensive, even when compared with families who have the same number of children born at different times...there's a lot of equipment to buy all at once, there's rarely hand-me downs, childcare costs are high....all this and more can take it's toll financially, emotionally and physically, particularly in the early months and years.

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Resources

Are they Identical?
Zygosity Determination

Zygosity determination means finding out whether twins, triplets or more are genetically identical (monozygotic - arising from one egg and one sperm) or non-identical (dizygotic/fraternal - from two separate fertilised eggs). This process is known as zygosity determination.

The MBF works with NorthGene, a company offering DNA services with accredited UK based laboratories that offers a zygosity testing service to find out whether multiples are identical. For further details of this service please contact the MBF at mbf@bcu.ac.uk
Visit Northgene's website

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Resources Zygosity determination means finding out whether twins, triplets or more are genetically identical (monozygotic - arising from one egg and one sperm) or non-identical (dizygotic/fraternal - from two separate fertilised eggs). This process is known as zygosity determination.

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Find your local group here

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Joining a twins and multiples club can be a great source of support for parents of twins, triplets and multiples. All the clubs listed are registered with Tamba.

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The Bright Sky app provides support for those experiencing domestic abuse as well as those concerned about friends and family members

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do read all 4 pages - they're short!

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Comparatively little research has been conducted into the sleep and night-time care of twins and multiples, compared to the large amount of data for singleton babies. What research has been done is summarised here, beginning with a review of the evidence relating to co-bedding twins.

For advice on getting infants to sleep, and sleep safety for multiples, see the Twins Trust website. We have worked with them to produce guidance on the sleep of twin / multiple infants and SIDS.

▸ Click for twin co-bedding research

▸ Click for research on twin sleep patterns

▸ Click for research on twin parents' sleep and tiredness

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Twins Comparatively little research has been conducted into the sleep and night-time care of twins and multiples, compared to the large amount of data for singleton babies. What research has been done is summarised here, beginning with a review of the evidence relating to co-bedding twins.

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Mums expecting twins aren't always encouraged to consider breastfeeding; but twins, and even triplets, can be breastfed exclusively. Only a few women won't have enough milk for their babies. Milk supply works on the principle of supply and demand. Breastfeeding tells a mother's body to produce more milk in response to her baby's (or babies') needs. With two babies, more milk is removed from the breasts, so more milk is made. The best way to make sure you establish a good supply is to feed your babies often in the early weeks and to ask someone knowledgeable to help you check that they are attached and breastfeeding correctly.

During the first few days and weeks, babies send signals to your milk supply and may sometimes feed more frequently. This frequent feeding is sometimes perceived as a sign of a lack of milk but, if feeds happen responsively, milk supply will swiftly increase, and feeding will settle into a pattern again. Your babies' weight gain and their nappies will reassure you that they are getting the milk they need.

"I found out at an antenatal scan that I was expecting twins. I asked if I could breastfeed them and was told that I would have to give bottles as well. This upset me as I'd really enjoyed breastfeeding my other two children. The twins were born at 36 weeks (though I nearly had them earlier than that). They never had bottles. I'm glad I found out in advance that it's possible to breastfeed twins."
How can I breastfeed two babies?
Confidence and the belief that it can be done are important. Attend a breastfeeding support group or workshop while you're pregnant to increase your confidence and find out where to get support locally. If you have any questions after your babies are born, you'll know who to ask. Perhaps you can be put in touch with someone who has breastfed twins (or see the Facebook group mentioned below).

"The twins were our first children and I thought I'd like to try to breastfeed. I read a little and a friend invited me to watch her breastfeed her baby. Most of the mums I met at a twins' club hadn't tried, but I decided to give it a go. Our babies were born at 37 weeks after a straightforward labour and the hospital staff were generally encouraging. I wish I'd known a bit more about growth spurts though and how to let the babies increase my milk supply at these times. I also wish I had known about antenatal hand expressing."

Twins can be fed separately or together. Many mums find that they do both in different situations and when their twins are at different stages of development. Feeding babies together can be a good way to establish a plentiful milk supply quickly and can save time. While mum and each baby are still learning about breastfeeding, it may be easier to spend some time feeding separately. As the babies grow and their head control develops, it will be easier to breastfeed them together. Later still, the babies will be able to position themselves. Decisions like when to swap breasts and which positions work best, will vary from family to family.

"Don't be afraid to ask for help positioning the second twin in the early days, so you can have a go at feeding two babies together."

Rugby hold, Parallel and Crossover holds
Breastfeeding cushions designed with twins in mind are more likely to enable a mum to tandem feed and even feed hands-free. However, some mums find they prefer to use V-shaped or normal pillows or cushions or use positions where no cushions are needed. If you have someone to assist you in the early days, they can help you position a second baby after the first one has started feeding.

"After a couple of weeks, I got the hang of feeding lying down and that made things a lot easier at night. When they were a little older, I managed to find a way of feeding both lying down. You get inventive about using different positions and doing things like answering the phone while breastfeeding."

"Our girls are now 17 months old and I'm still enjoying breastfeeding them. Now they are toddlers, I tend to feed them separately, but I used to do a mixture of breastfeeding separately and together."

What if my babies are born early?
Twins are more likely to be born early than single babies. If babies are born early, their mother's milk will be different to full-term milk and have specific advantages for pre-term babies. Breastmilk reduces a baby's chances of becoming ill and some conditions can be particularly serious in a pre-term baby. If twins are born very early, they may need to be fed by tube or special cup until they are able to breastfeed. Expressing breastmilk for premature babies will mean a mother is making a valuable contribution to her children's welfare, especially as hospital staff are responsible for other aspects of their care. Donor milk can also be an option.
Won't I be too tired to breastfeed?
Tiredness is sometimes given as a reason not to breastfeed twins, but there's no evidence that breastfeeding in itself is tiring. In fact, breastfeeding mums can make the most of opportunities to sit or lie down. It's important to eat a balanced diet and to rest when your babies sleep.

Once breastfeeding is established, it gets easier to go out or travel with twins, because breastmilk is available immediately and at the right temperature. Imagine the sheer number of bottles to be washed, sterilised, made up with hot water then cooled down for bottle-fed twins, and the cost of formula.

Breastfeeding involves the release of specific hormones that help a mother to feel relaxed. This is particularly beneficial for mums of twins who are likely to have an even busier time than other mothers. Also breastfeeding will help your uterus (particularly enlarged after having twins) to contract back to its pre-pregnancy shape and size and will help you lose weight more quickly.

If families feed their babies at the same time, they may choose to wake the other twin at night to minimise the number of night feeds. Breastfeeding at night can be done lying down and can help to establish a good supply of milk.
But my family and friends want to help
Grandparents or others might ask if they can help by giving a baby a bottle, but if bottles are introduced early on, this may make breastfeeding more difficult to establish and reduce a mother's milk supply. Dummies may also mean the demand on your milk is reduced so the supply reduces. However, some mothers of twins do find that expressing breastmilk can be useful and allows someone else to feed the babies occasionally.

There are lots of other things that family and friends can offer to do to help parents of newborn twins e.g. cuddling a baby, changing a nappy, offering mum a drink or sandwich, helping at bath time if needed, or hanging out washing. The support and encouragement of friends and family is an important aspect to breastfeeding twins successfully.
More information:

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Many new mums worry about whether they will have enough milk, but in fact there are very few women who don't have enough.

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What is the best pushchair, pram or buggy for your twins, triplets or quadruplets? Read our parent's guide to help narrow your search for twin prams, double buggies, tandem pushchairs, twins travel systems, triple strollers, quad or 6-seaters that suits your lifestyle. We also guide you on the best twin prams with car seats and carrycots, otherwise known as travel systems, whether it's a side-by-side or tandem you're looking for and can advise which are suitable from birth (for newborns) and which will take a toddler on a buggy board.

Broadly, travel options for twins and multiples fall under one of the following categories :

Twin Prams (Traditional/Modern Side-by-Side)

Double Buggies (Side by Side)

Tandem Pushchairs (Front and Back / Inline)

All Terrain Pushchairs (ATPs) / 3/4-Wheelers

Triple Prams / Buggies / Strollers (SBS/Tandem)

Strollers (Umbrella)- Single / Double / Triple

Quad Pushchair (Front & Back / Side by Side)

Pushchairs & Prams For Twins, Triplets & Quads!

You might be lucky enough to be having twins, triplets or quadruplets or you may have an expanding family and require a pram or pushchair that will be flexible for your needs. Whatever the case. your pram and buggy needs are going to be slightly different depending on your circumstances and lifestyle. Please also refer to our useful Checklist for information on questions to ask yourself when considering the purchase of a pushchair (this terms can refer to either pushchairs. buggies. prams or strollers).

Some pushchair manufacturers are beginning to really think about the needs of twins. triplets and the growing family. For multiple children. you can get tandem. twin. triple and quad buggies. prams and pushchairs and we have outlined the main aspects of each type below (this does not cover single pushchairs apart from strollers and special needs)

A Twin Pram generally has a traditional baby carriage design that is both sturdy and stylish and many twin prams are built with extra features to ensure they last. They typically convert from fully reclining prams for newborns to upright buggies for kids up to around 4 years old. Various features on double prams include carrycots, extra-large wheels, large metal storage baskets, suspension, dual wheel brakes and so on.

More recent designs have options for forward or rear facing seating. also referred to as pusher-facing or parent-facing seating. Most have independent reclining seats and generally convert from a newborn twin pram to a more versatile toddler twin buggy. A traditional, vintage style, double pram may be very eye-catching and become a family heirloom but is unlikely to fit in the boot! There are a few Triple Prams that offer the comfort, style and convenience you need with triplets, twins and/or siblings and multiple children of different ages. These triple prams are generally in the tandem style with one child behind the other and they usually offer both forward and rearward facing positions.

Twin Prams and Triple Prams provide the traditional cosy and comfortable environment for your babies but they are a lot larger than most twin pushchairs or triple buggies and weigh a lot more too! Great for parents who walk a lot of the time but you will need a large car for most double or triple prams and be sure to measure your doorways too to ensure it will fit.

Twin Prams / Triple Prams generally allow you to:

Have a very comfortable environment for your babies first few months

Many convert from a pram to a more versatile twin pushchair

Great for walking or shopping but may have difficulties with doorways

Heavier and bulky so measure doorways and check boot if it needs to travel

Some limitations on using car seats and/or hard-bodied carrycots

Twin pushchairs or double buggies generally have two front-facing seats side-by-side and most are suitable for newborn twins and toddlers or children of differing ages. They usually have adjustable seats with lie-flat position that operate independently, with a range of up to four or five reclining positions, swivel front wheels for manoeuvrability and shopping basket. They generally have four sets of wheels and are suitable for most everyday activities around town although not recommended for off-road use (see ATP All Terrain Pushchairs for 3-wheeler / 4-wheeler twin buggies suitable for town and country).

Twin Buggies or Double Pushchairs generally allow you to:

Move twins or different aged children out and about from newborn to 4 years old

Independently adjust the seats, fully recline both seats for newborn twins

Suitable for everyday activities like shopping or walking around town

Can be quite compact, generally will fit most doorways and into family cars

Many more with options to fit car seats and/or carrycots onto the frame

ATPS (or 3 / 4-wheelers) are popular with families who enjoy country walking or live in rural areas rather than towns. Take particular advice if you are looking to run/jog with your baby as not all pushchairs are suitable (you will generally need a fixed wheel for rough terrain, so the buggy is more manageable on uneven surfaces). ATPs have excellent manoeuvrability and look for both swivel and fixed options on the front wheels as these are generally considered more versatile (fixed wheel for rougher terrain, swivel for smoother surfaces). ATPs are generally very robust and can be bulky than a standard twin pushchair (remember to check your doorways and car boot to ensure it will fit). Some are more difficult than others to fold but some have quick-fold (some even one-handed) mechanisms - a much needed innovation in the twin buggy market!

Some three/four wheelers have larger but softer, air-filled tyres and unlike the ones with gel, foam or solid tyres, they may puncture occasionally, so make sure you know how to deal with a pushchair tyre puncture. Soft tyres do provide much better suspension if out and about and are best for rougher terrain. And if you're going to be using your three-wheeler buggy on buses and trains, check out its back wheel width because some cannot get through the inner doors on train carriages or down thee aisle of a bus (although you will probably need to fold it when travelling by bus unless the wheelchair space is free). Many models have removable front or back wheels which help fit the bulky of this type of pushchairinto your car, home or public transport.

These stylish twin buggies are generally suitable for newborn babies although check carefully as some only partly recline and may only be suitable from 3-6 months. Most new models recline far enough to use from birth so are suitable for twins. Some are compatible with carrycots and/or car seats which can provide more flexibility.(Note: It is recommended that you should not leave a baby in a car seat for more than 2 hours as this may affect their postural development and their breathing as they are in 'crunched up' position).

The more popular development is for 'modular' twin buggies where car seats or carrycots fit onto the base frame of the buggy and effectively convert it into a flexible travel system or cosy twin pram when the babies are small. As they grow the buggy can then be used with the seats, which are generally suitable from 6 months - approx 3 years old. There are a growing number of pushchairs and prams for twins that offer both a twin car seat and twin carrycot option and most of these are currently tandem style.

Generally speaking, three-wheeler buggies will be more expensive than a standard twin pushchair but the costs are falling as they become more popular. Adding optional extras like carrycots and car seats will add to the price but may provide you with the flexibility you require as well as the comfort for your babies.

Tandem pushchairs usually have two multi-directional seats (both forward-facing and rear-facing seats) but this choice is more limited for triplets. They are suitable for children of differing ages and twins. They have adjustable seats positions that operate independently although the front seat may have a lie-flat option, it may be restricted in the recline due to the one behind but the rear generally has a lie-flat seat. They usually have swivel front wheels for manoeuvrability and one or two shopping baskets. Adding one or more baby car seat converts some models to a travel system although choice is limited. They are narrower than a twin or triple buggy but are significantly longer so you really do need to check its size when folded and remember the weight will increase as your children grow.

Tandem pushchairs generally allow you to:

Move twins or different aged children from newborn to around 3 years

Some allow forward and rear facing configuration of seats.

Some have "stadium seating." one baby is higher up so both can enjoy the view.

Attach optional car seats or carrycots designed to fit onto the frame

Triple pushchairs and buggies are a fairly recent addition to the pushchair family - but with the number of multiple births on the increase. triple pushchairs are a welcome addition to the range. Pushchairs for three children are available but brands are very limited.

Triple Strollers are very popular with Nurseries and Childminders as well as the family with three toddlers but there are few Triple Pushchairs that are made for newborns triplets. All guidelines for standard pushchairs apply but most triple buggies have a weight limit of 50kg and recommend use up to the age of 4 years. They are wider than a double pushchair and can be difficult to manoeuvere around town although generally are manufactured as umbrella folding type as this makes them relatively lightweight and more compact for travel.

Durability. weight and pushchair robustness are key as well as ensuring children have room to grow. And check the guarantees available for these triple pushchairs as they're going to be working hard for you.

Strollers are lightweight but robust in design for added freedom of movement. Some models are suitable for newborns if the stroller fully reclines flat. Newborn babies should not be put into strollers that do not recline flat. From 3 months, babies can be put into a partly reclining stroller like and from six months baby can cope with one that does not recline but think hard about the comfort factor.

Sometimes called "umbrella" strollers (named for their hooked handles). they have the advantage of portability. Lightweight strollers are less sturdy than full-size baby strollers so you should avoid hanging shopping on the them but they are also very affordable. so having one in addition to a sturdier model won't break your budget.

Strollers are lightweight. folding and easily transportable. Most have swivel front wheels for manoeuvrability and some have adjustable seat positions. For twins/siblings use stroller connectors to make a quick double stroller. perfect for travel and short trips and a fraction of the cost.

There are a huge number of strollers to choose from dependent on budget. Most strollers fold up into really small packages so are suitable for travelling and take up less space in the home and car. Strollers are:

Lightweight yet robust.

Easy to operate - check out if the wheels can lock or swivel

Many models have lie-back adjustments

Available in single. twin or triple designs (although limited selection for triple strollers)

Stroller Connectors can link two strollers together. good for short trips & travel with twins.

Pushchairs for quadruplets are a rarity in the UK but we have a couple of tandem/side by side style options like the T4 Quad Jogger which will take two newborn-3 yrs children plus two toddlers on a specially designed front-mounted double seat - a flexible option when you need to add space for four children. The amazing 'kiddy bus' will take four or even six babies and children (optional baby sling seats required). These multi-child transport options are very popular with Nurseries and Childminders as well as larger families. Pushchairs for quadruplets are rare in the UK but the Kiddy Bus allows parents and carers to get out and about easily. The Turtle Kiddy Bus has room for four or six children aged 0-4 years.

Children and their gear make quite a load. so we have focused on the ergonomics of manoeuvring the Kiddy Bus around. The Kiddy Bus is made of plastic and aluminium. which keeps it extremely light and makes the vehicle very easy to push. The front wheels swivel. which makes it easy to manoeuvre and change direction. This also means there is no need to lift the Kiddy Bus to turn corners. The children get in and out via the side opening. Its fun for children. and saves adults the strain of repeated heavy lifting. The children sit in pairs opposite each other, making it easy to chat with their siblings or friends.

A great advantage for people who have a large family or provide child care services. It is also extremely useful for outings to places like the park. theme parks. the zoo and gardens - The Turtle Kiddy Bus - For a safe, easy ride !

Looking for a Twin, Triple or Quad Pushchair? Then why not take a look in our Take Us Out section in our online store. We have a great choice of pram, buggies and strollers for twins, triplets and quads!

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Lazy Grace Tel: 01669 621272 Email: info@lazygrace.com Web: www.lazygrace.com

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Buying Guide - Twins, Triplets & Quad Prams & Buggies | Twins Tips | Resource Centre | TwinsUK

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What is the best pushchair, pram or buggy for your twins, triplets or quadruplets? Read our parent's guide to help narrow your search for twin prams, double buggies, tandem pushchairs, twins travel systems, triple strollers, quad or 6-seaters that suits your lifestyle.

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Information for parents expecting triplets & more

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Although not everyone agrees with swaddling babies, many cultures have used this practice throughout history, as it is thought that the feeling of being 'contained' or held within the blanket can help babies to feel settled or less fretful and can also help them to sleep.

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Facebook Group

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A group for a multiple mum moan or two!! ;) Please note: If you are a business and you do not have multiples yourself, please do not request to join. However, multiple parents with businesses are...

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Tamba's changed its name!

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Twins Trust (previously Tamba) helpline

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Twins Trust - We support twins, triplets and more...

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Supporting you through every milestone of your journey with twins, triplets or more. From being pregnant with twins, triplets or quads through to parenting twins, triplets or quads, we are here for you.

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Support in your home

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Home-Start UK is a leading family support charity. Thousands of volunteers offer vital support and practical help to families and children facing challenges around mental and physical health, isolation, disability, post-natal depression, money problems and more.

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Follow three mothers as they share their tips on the joys and challenges of feeding twins.

The rest of the DVD can be viewed by clicking through the links below. While they work very well as stand-alone films, From Bump to Breastfeeding is best viewed as a whole:

From Bump to Breastfeeding

From Bump to Breastfeeding extra films

Latest

Most read

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At Best Beginnings we believe in the power of collaboration to create and provide quality-assured and evidence based information for families. All of our content is co-created with parents and healthcare professionals and vetted by external Healthcare bodies and parents. Read more

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Follow three mothers as they share their tips on the joys and challenges of feeding twins. Vimeo Video http://www.vimeo.com/11739595 The rest of the DVD can be viewed by clicking through the links below. While they work very well as stand-alone films, From Bump to Breastfeeding is best viewed as a whole: From Bump to Breastfeeding 1.

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It is unusual for multiple pregnancies to go beyond 38 weeks, so if you are expecting a twin birth or more than two babies you will need to consider your options early.

Vaginal delivery of more than one baby

People often assume that if you are expecting more than one baby they must be born by caesarean section. In fact, almost half of all twins are born vaginally and the process is similar to having a single baby.

If the first baby is in a head down position, it's usual to consider having a vaginal delivery. However, there may be other medical reasons why this would not be possible. For example, if you have had a previous caesarean section, you're usually not recommended to have a vaginal birth with twins.

If planning a vaginal delivery, it is usually recommended that the mother has an epidural for pain relief. This is because if assistance with delivery is needed, it's easier and quicker when the mother already has an epidural in place.

If you have a vaginal birth, you may need an assisted birth, when a suction cup (ventouse) or forceps are used to help deliver the baby.

Caesarean section for multiple births

If you are expecting more than one baby, you may choose to have an elective caesarean section from the outset of your pregnancy. Alternatively, your doctor may recommend a planned caesarean section later in the pregnancy as a result of potential complications.

Your babies' positions may determine whether they should be delivered by caesarean section. If the presenting (first) baby is in a breech position (feet, knees or buttocks first) or if one twin is lying in a transverse position (with its body lying sideways), you will have to have a caesarean section.

Some other conditions might also mean you will need a caesarean section, for example if you have placenta praevia (a low-lying placenta) or if your twins share a placenta.

If you have previously had a very difficult delivery with a single baby, you may also be advised to have a caesarean section with twins.

Even if you plan a vaginal delivery, you may end up having an emergency caesarean section. This could be because

the babies become distressed,

the cord prolapses (when the cord falls into the birth canal ahead of the baby),

you have high blood pressure,

the labour is progressing slowly,

an assisted delivery doesn't work.

In very rare cases, you may deliver one twin vaginally and then require a caesarean section to deliver the second twin if the baby becomes distressed. This occurs in less than 5% of situations when twins are born.

Special care

As multiple pregnancies are generally less likely to carry to full term, parents expecting more than one baby should be prepared for the possibility that their babies may come early and spend some time in a neonatal intensive care unit. These can sometimes be quite upsetting places to begin with, and parents can think their babies look small and vulnerable amongst all the technology. It may be a good idea to try to visit the neonatal intensive care unit on a hospital tour during your pregnancy to prepare yourself for the possibility that your babies may spend some time here.

Although the thought of having premature babies may be worrying, studies have shown that premature multiples mature more quickly than single babies born at a similar time and multiples are often better equipped for early starts. Some premature babies may only need a short stay with little medical treatment.

Further information

Our support line offers practical and emotional support with feeding your baby and general enquiries for parents, members and volunteers: 0300 330 0700.

We also offer antenatal courses which are a great way to find out more about pregnancy, labour and life with a new baby.

The Twins & Multiple Births Association (Tamba) provides support and information to parents expecting twins, triplets or more babies. They publish a Healthy Multiple Pregnancy Guide, which is available free on Tamba's website if you register.

NHS choices also provide information on delivering twins.

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It is unusual for multiple pregnancies to go beyond 38 weeks, so if you are expecting a twin birth or more than two babies you will need to consider your options early. People often assume that if you are expecting more than one baby they must be born by caesarean section.

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what to take to your birth

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When should I pack my twin hospital bag?

Try to get your bag packed by the start of the third trimester, just in case. Though 37 weeks is considered full-term for twins, they do sometimes arrive ahead of schedule.

What should I pack for labour?

If both your twins are growing well and there are no other concerns, you may be able to give birth vaginally.

Your obstetrician will probably recommend a planned birth (NCCWCH 2011a), which means you need to be ready to have your labour induced.

Here's what you'll need to pack:

Dressing gown. This will be useful if you end up pacing hospital corridors in late pregnancy or early labour. You'll also need one on the postnatal ward. Hospitals can be very warm, so a lightweight one may be better.

Backless slippers or flip-flops. These will be easy to get on and off.

Socks. Believe it or not, your feet can get cold during labour.

A couple of old nighties or big T-shirts to wear in labour. You may want to swap to a clean one, as labour can be messy.

Massage oil or lotion if you would like to be massaged during your labour. Bear in mind that lower back massage may be tricky if you are being monitored.

. This can help you to get into comfortable labour positions. Check whether the hospital has the right size for you. If not, take your own. Bring a pump so your birth partner can inflate it for you.

Lip balm. Your lips can dry out quickly on a warm labour ward.

Snacks and drinks for while you are in labour. Isotonic sports drinks can help to keep you going (NCCWCH 2014), or you could bring glucose tablets and just sip water.

Things to help you relax or pass the time, such as a book, music or other downloads. Remember the charger for your phone or device.

Hairbands or a clip. If you have long hair, you may want it tied up.

Pillows. The hospital may not have enough to make you really comfortable.

TENS pain relief machine, if you are planning to use one.

What should my birth partner pack?

Water spray or a hand-held fan, to cool and refresh you while you're in labour.

Comfortable shoes. They may be pacing the corridors!

A change of clothes. Your birth partner may not get the chance to have a shower for quite a while!

Digital camera, if you prefer it to your phone for taking pictures and video.

Money for parking.

Snacks and drinks. You don't want a dehydrated, hungry birth partner looking after you!

What should I pack for after the birth?

You're more likely to have a caesarean section than if you were expecting one baby (NCCWCH 2011b, Redshaw et al 2011). You may want to prepare for this by packing for a longer stay on the postnatal ward. Here's what you'll need:

Information about how to get breastfeeding started, which you may have had at your antenatal classes. These may be leaflets or guides you can access or download on your phone. The Multiple Births Foundation has a free guide to breastfeeding twins, triplets and more.

Nursing bras. Bring two or three.

Breast pads.

Maternity pads. Bring a couple of packs.

Nightshirt or T-shirt. Front-opening shirts are useful in the early days of breastfeeding.

Toiletries. Decant these into smaller bottles, or buy travel versions, to save on space. Choose unscented toiletries so your babies can smell your skin, as this can help with bonding.

Towels, hairbrush, toothbrush and toothpaste.

Big, old or cheap knickers. Disposable knickers can come up small, even in bigger sizes, and tend to be less comfortable. Big cotton pants or men's pants can be useful if you have a caesarean, as they won't rub your wound. The NCT sells stretchy knickers that are comfortable to wear over your scar.

Arnica cream. Although there's only limited evidence that it works (Leu et al 2010), some women say that arnica cream helps to reduce bruising. Don't put the cream on broken skin.

Eye mask and earplugs, to help you sleep on a brightly lit, noisy ward.

A going-home outfit. You'll need loose, comfortable clothes to wear while you're in hospital and for the journey home. It will take a while for your tummy to go down, so you'll need your maternity clothes when you get home.

Wrap or shawl, to have around your shoulders if you get cold. It can be difficult at first to twist around to get a cardigan or jumper on.

Fibre-rich snacks to ease constipation. If you are recovering well, you should be able to eat and drink as soon as you feel like it (NICE 2011, 2014).

Chewing gum. This may help your digestive system get back to normal after a caesarean (Hochner et al 2015, Short et al 2015).

Peppermint teabags or peppermint water. These can help to soothe the pain of trapped wind, which you may have after surgery (Chippington Derrick et al 2004).

V-shaped pillow to give you extra support when breastfeeding. You can buy pillows specially designed for breastfeeding twins.

See our caesarean hospital bag article for more packing tips.

What will my babies need on the postnatal ward?

Packing for two babies can mean you end up with a hospital bag overflowing with clothing and nappies. Not only that, but you may be unsure about how long you and your babies will be staying in hospital after the birth.

Be aware that hospitals can be short on space. Leave some items in another bag in the car or at home, for your birth partner to bring in when you need them.

Your babies will probably sleep in your hospital room with you, in a cot beside your bed. Your babies are likely to be smaller at birth than a single baby, so get a mixture of clothing, including some early baby vests and sleepsuits. Nearly new sales, such as those run by the NCT, are great places to pick up cheap newborn clothes. Find a sale near you.

For each baby, you'll need:

Between 10 and 15 sleepsuits and vests. Newborn babies get through a lot of clothes!

Nappies. You'll need a lot so you may as well put a pack of newborn nappies in. Your babies may need size 0 or size 1, so you could put half of one size and half of the other in one pack and leave the rest in the car.

Plenty of muslin squares, for mopping up milk that your babies may bring up (possetting).

Several pairs of socks or booties, unless all the sleepsuits have built-in feet.

A couple of hats.

One outfit for the trip home (all-in-one stretchy outfits are easiest).

Jacket or snowsuit for winter babies.

Baby blankets. Although hospitals are very warm, your babies may need a blanket each if it's chilly outside when you leave.

Baby car seats. Some hospitals won't let you leave by car without one. If you're going home by taxi, a car seat isn't legally required, but your baby must travel in the back.

What will my babies need in the neonatal unit?

If one or both of your babies do need special care, most hospitals will provide them with all the clothing, hats and nappies they'll need.

If one or both of your babies are unable to breastfeed in the first few days after the birth, they can still benefit from your expressed milk. You can hand-express to begin with, then most hospitals have manual or electric breast pumps that you can borrow.

In case you can't have your babies skin-to-skin with you straight away, bring in a piece of cloth that's been next to your chest. Your babies will be comforted by your smell. Ask the neonatal staff if you can leave it next to your babies (McAslan Fraser 2012). Some units provide cloths for this very purpose that you can swap between you and your babies.

Find out more about looking after your babies on a neonatal care unit and what to expect in the first few months.

References

Chippington Derrick D, Lowdon G, Barlow F. 2004. Caesarean birth: your questions answered. London: The National Childbirth Trust

Hochner H, Tenfelde SM, Abu Ahmad W, et al. 2015. Gum chewing and gastrointestinal function following caesarean delivery : a systematic review and meta-analysis. J Clin Nurs 24(13-14):1795-804

Leu S, Havey J, White LE, et al. 2010. Accelerated resolution of laser-induced bruising with topical 20% arnica: a rater-blinded randomized controlled trial. Br J Dermatol 163(3): 557-63

McAslan Fraser E. 2012. Expecting twins, triplets or more: the healthy multiple pregnancy guide. Tamba (Twins & Multiple Births Assocation). www.tamba.org.uk [Accessed November 2015]

NCCWCH. 2011a. Multiple pregnancy: the management of twin and triplet pregnancy in the antenatal period. National Collaborating Centre for Women's and Children's Health, NICE Clinical guideline. London: RCOG Press. www.nice.org.uk [Accessed June 2016]

NCCWCH. 2011b. Caesarean section. National Collaborating Centre for Women's and Children's Health, NICE Clinical guideline. London: RCOG Press. www.nice.org.uk [Accessed June 2016]

NCCWCH. 2014. Intrapartum care: care of healthy women and their babies during childbirth. National Collaborating Centre for Women's and Children's Health, Clinical guideline, 190. www.nice.org.uk [Accessed June 2016]

NICE. 2011. Caesarean section: understanding NICE guidance. National Institute for Health and Clinical Excellence. www.nice.org.uk [Accessed November 2015]

NICE. 2014. Care of women and their babies after birth. National Institute for Health and Care Excellence. www.nice.org.uk [Accessed November 2015]

Redshaw M, Henderson J, Kurinczuk JJ. 2011. Maternity care for women having a multiple birth. Oxford: NPEU. www.npeu.ox.ac.uk [Accessed September 2015]

Short V, Herbert G, Perry R, et al. 2015. Chewing gum for postoperative recovery of gastrointestinal function. Cochrane Database of Systematic Reviews (2): CD006506. onlinelibrary.wiley.com [Accessed November 2015]

Tamba. 2012. Tamba twins & multiples healthcare survey: making progress. Twins and Multiple Births Association. www.tamba.org.uk [Accessed June 2016]

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Try to get your bag packed by the start of the third trimester, just in case. Though 37 weeks is considered full-term for twins, they do sometimes arrive ahead of schedule. If both your twins are growing well and there are no other concerns, you may be able to give birth vaginally.

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NICE Guidelines for twin & triplet births

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NICE Guidelines for twin & triplet births

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Multiple pregnancy: antenatal care for twin and triplet pregnancies

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This guideline has been updated and replaced by NICE guideline 137

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baby wearing video

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Twins and Multiple Births Association (Tamba)

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Breastfeeding peer support (Facebook group)

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Breastfeeding peer support (Facebook group)

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NHS advice

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Find out how to stay healthy during a multiple pregnancy through diet and exercise, plus how to tackle common twin or triplet pregnancy niggles.

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How do I get my twins to sleep at the same time?

Getting both of your crying babies to sleep at the same time, and to remain asleep, is no mean feat. But there are ways to make it easier for them - and for you.

Try to put both of your babies down to sleep at the same time. It stands to reason that if your babies nap or go to bed at different times, they'll each wake up at different times.

One of your babies may sleep for longer and wake less often than the other, but you could still try putting them to bed at the same time. Your wakeful twin may be influenced by her sibling, and settle to sleep for longer (Tamba nd).

To get their routines in line, as soon as one baby cries to be fed, you could wake the other one so that you can feed them both at the same time (NHS 2014, Tamba nd).

If your two babies have very different sleeping patterns, you may prefer to create individual sleep and feeding routines for them (Tamba nd). Choose whichever approach suits you and your babies.

Should my babies sleep in the same cot?

What you experience in hospital may influence what you do at home (Ball 2006, Tamba nd). Some hospitals put twins together in the same cot and others will give twins separate cots.

The advantage of having your babies together is that they'll be comforted and soothed by being near each other. Putting twins in the same cot may also help to regulate their body temperatures and sleep cycles (NHS 2014) and make it easier for you to look after them (Ball 2007, ISIS 2015).

Put your babies to sleep on their backs, next to each other and side by side if they are newborns (Tamba nd).

Once your twins are a few weeks old, you can move them so that their heads are at the centre of the cot and their feet are at opposite ends of the cot (The Lullaby Trust nd). This will stop them from getting too hot (The Lullaby Trust nd).

If you decide to do this, ensure each twin has their own blanket, which is firmly tucked in. An alternative is to use a baby sleeping bag for each twin so you don't need to worry about tucking in.

Experts agree that the safest place for your babies to sleep is in the same room as you until they're six months old, including during daytime naps. This helps to reduce the risk of sudden infant death syndrome (SIDS) (ISIS 2015, NHS 2015b, The Lullaby Trust nd).

If your twins sleep in the same cot, it may be easier for them to sleep in the same room as you for longer (Ball 2006). If your twins were premature or had a low birth weight, it's very important to follow advice on reducing the risk of SIDS, as premature and low-birth-weight babies are more vulnerable (NHS 2015b, Tamba nd, The Lullaby Trust nd).

You shouldn't put twins together in a Moses basket, small crib or carry cot. These are too small for two babies, and your babies may obstruct each other's breathing or get too hot if they're squashed together (Tamba nd, The Lullaby Trust nd).

When your twins are able to roll over, you may want to move them to separate cots (The Lullaby Trust nd). You could put the cots together so that they can still see and touch each other (NHS 2014).

Will swaddling help my babies to sleep?

Swaddling may help your babies to drift off. Some parents swear by swaddling to help their twins settle more easily. One benefit of swaddling twins is that both babies can enjoy the security and comfort that swaddling brings, especially if you can't hold and cuddle them at the same time. So it could be worth a try, although some babies enjoy it and others don't.

Only swaddle your babies while they're small. Once they can move around or roll over it's safer and less frustrating for them if they aren't restricted. To swaddle, wrap each baby in a cotton sheet. Allow enough room for them to move their hips and knees freely, and to bend their hips up and outwards (IHDI nd).

If you swaddle your babies too tightly, with their legs pressed together and straight down, they may develop problems with their hips (hip dysplasia) (IHDI nd, NHS 2015a).

Watch this video about how to swaddle to learn more.

When should I start a bedtime routine?

It's common for newborns to be night owls. Premature twins may be particularly hard to settle at night, because they've got used to the round-the-clock bustle of special care (ISIS 2015). But letting your babies sleep when they want and for as long as they want, is important in their first few months.

Some parents feel that about three months old is the right time to take steps towards a routine (NHS 2014). You may decide to wait longer if your twins were premature (Tamba nd), as they may need to catch up a bit.

Once you feel that your babies are ready for a bedtime routine, get some help to start it off. It will be much easier to keep things running smoothly if you have an extra pair of hands. Encourage your babies to wind down with a warm bath, followed by a feed in a dimly lit room. Hopefully, this will help your babies to feel soothed and dozy (Galland and Mitchell 2010, Tamba nd).

Try not to let them nod off at this stage. If they do nod off, wake them gently. It may go against your instincts to wake your sleeping babies, but try to keep the bigger picture in mind. After their feed, try something relaxing, such as:

Put your babies in their cot. Hopefully, they'll be ready to fall asleep without more feeding or rocking (Tamba nd).

Once you've started a bedtime routine, stick to it every night, including weekends (Galland and Mitchell 2010, NHS 2014, Tamba nd). If you're consistent, your babies will begin to understand the signals that it's time to settle down (Tamba nd, Galland and Mitchell 2010).

Which crying baby should I tend to first?

If one of your babies cries a lot and the other is calmer, you may be tempted to tend to your crying baby first. Before you focus on your noisier baby, make sure your quiet one is happy and settled too.

Try not to worry about one baby waking the other. Most twins and triplets don't appear bothered by their sibling's crying, even when they're in the same cot (NHS 2014, Ball 2007).

If one twin does keep waking the other, and they share a cot, separating them may help (NHS 2014). Don't use rolled-up blankets or towels to separate your twins, as these could pose a smothering risk (ISIS 2015).

Ideally, move your babies into separate cots (NHS 2014). But if you haven't the space in your bedroom for two cots, you could use a cot divider that's specifically designed for the job (NHS 2014).

Another option is to put two cots in the room next to yours, and take it in turns with your partner, or a helper, to sleep in the same room as your twins (The Lullaby Trust nd).

Alternatively, you may be able to fit in a cot-bed (Tamba nd). Or you could try a crib or large Moses basket as a second sleeping space (The Lullaby Trust nd).

When will both my babies sleep through the night?

Some babies manage to sleep through occasionally, from about six months (Henderson et al 2010, NHS 2015c). Most babies are about a year old by the time they regularly sleep through all night (Henderson et al 2010, ISIS 2015).

Identical twins tend to sleep through the night at similar ages (Touchette et al 2013). Fraternal (non-identical) twins' sleep habits may be more varied.

If your babies were born prematurely, they may be more restless and wake more often for night feeds (Asaka and Takada 2010, ISIS 2015).

As your babies grow, teething or growth spurts may disturb their usual sleep patterns.

There are different sleep strategies you could try to help your twins to sleep, according to their age or their corrected age, if they were premature.

Choose the method that best suits you, your partner, and your babies. Options include comforting your baby with cuddles, safe swaddling or, from about six months of age, sleep training.

If it seems to be taking forever to get your twins to sleep through the night, try not to despair. Some research shows that twins may be most open to your efforts to help them self-settle and sleep better at 18 months than when they're babies (Touchette et al 2013). So all the good work you're doing now should pay off in time.

Last reviewed: September 2016

Next review: September 2019

References

Asaka Y, Takada S. 2010. Activity-based assessment of the sleep behaviors of VLBW preterm infants and full-term infants at around 12 months of age. Brain Dev 32(2):150-5

Ball H. 2006. Caring for twin infants: sleeping arrangements and their implications. Evidence Based Midwifery 4: 10-16. www.rcm.org.uk [Accessed September 2016]

Ball H. 2007. Together or apart? A behavioural and physiological investigation of sleeping arrangements for twin infants. Midwifery 23: 404-412

Galland BC, Mitchell EA. 2010. Helping children sleep. Arch Dis Child 95(10):850-3.

Henderson JM, France KG, Owens JL, et al. 2010. Sleeping Through the Night: The Consolidation of Self-regulated Sleep Across the First Year of Life. Pediatrics 126(5):e1081-e1087. pediatrics.aappublications.org [Accessed September 2016]

IHDI. nd. Hip-healthy swaddling. International Hip Dysplasis Institute. hipdysplasia.org [Accessed September 2016]

ISIS. 2015. Twins. Infant Sleep Information Service. www.isisonline.org.uk [Accessed September 2016]

NHS. 2014. Twins and sleep. NHS Choices, Health A-Z. www.nhs.uk [Accessed September 2016]

NHS. 2015a. Developmental dysplasia of the hip. NHS Choices, Health A-Z. www.nhs.uk [Accessed September 2016]

NHS. 2015b. Reduce the risk of sudden infant death syndrome (SIDS). NHS Choices, Health A-Z. www.nhs.uk [Accessed September 2016]

NHS. 2015c. Helping your baby to sleep. NHS Choices, Health A-Z. www.nhs.uk [Accessed September 2016]

Tamba. nd. Getting your twins, or more, to sleep! Twins and Multiple Births Association. www.tamba.org.uk [Accessed September 2016]

The Lullaby Trust. nd. Safer sleep for twins. The Lullaby Trust, Factsheet 8. www.lullabytrust.org.uk [Accessed September 2016]

Touchette E, Dionne G, Forget-Dubois N, et al. 2013. Genetic and environmental influences on daytime and nighttime sleep duration in early childhood. Pediatrics 131(6):e1874-80. pediatrics.aappublications.org [Accessed September 2016]

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Helping your twins to sleep at the same time

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Getting both of your crying babies to sleep at the same time, and to remain asleep, is no mean feat. But there are ways to make it easier for them - and for you. Try to put both of your babies down to sleep at the same time.

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What financial help and practical support can I get if I'm expecting twins, triplets or quads? Having twins and multiples can be more expensive, even when compared with families who have the same number of children born at different times...there's a lot of equipment to buy all at once, there's rarely hand-me downs, childcare costs are high....all this and more can take it's toll financially, emotionally and physically, particularly in the early months and years.
Practical Help for Parents
Unfortunately. the government do not provide any statutory entitlement for additional support in the home for families with multiple birth children and this is something Tamba is continually raising awareness about and trying to get redressed. However. if you are expecting multiples. especially triplets or more, or you already have other children, it is worth contacting your local Social Services department to see if any help can be arranged.

Other sources of free help include the charity Home-Start. which has trained volunteers who can help families with pre-school age children for a couple of hours a week. You can also visit their site at http://www.home-start.org.uk/

You may also like to consider NNEB students final year nursery nurse students are always looking for placements. but cannot be left in sole charge of the babies. Visit www.cache.org.uk to find out the course nearest to you. Nannies and maternity nurses can be arranged through local agencies but you are strongly advised to take up thorough references. The cost for a maternity nurse for twins is around 800-850 a week. and for triplets it's about 1.000 a week. For a Nanny expect to pay around 7 per hour although this covers multiple children.

You can also opt for an independent mid-wife who offer midwifery care outside the NHS. For more information on their services you can visit their site at http://www.independentmidwives.org.uk/

You may also be able to get FREE Maternity Nurse help with your twins/triplets through a company called BabyEm, who have qualified Maternity Nurses looking to gain work experience with babies 0-3 months for a placement between 2 days-2 weeks. Contact Emma Dewey, Director BabyEm on 0208 986 9008 or visit their website http://babyem.co.uk/source-a-trainee-maternity-nurse-for-free/
Financial Help

Despite popular misconceptions. UK parents of multiples are not entitled to additional benefits or grants from the government. In fact, Tamba believes the current system actually penalises families with twins or more and is campaigning for change.

State support provided to families through tax credits will be limited to two children so children born after April 2017 won't be eligible for any support. The only exception is if further children are the result of a multiple birth. So, if you have one child and your next pregnancy results in twins, triplets or more then you may still qualify. However, if you already have two children then you won't be entitled to any extra benefit.

If you're on a low income and/or receiving certain benefits. you could receive the Sure Start Maternity Grant. which is a one-off payment to help with the costs of a new baby. You receive 500 for each baby. and it doesn't have to be repaid. This grant must be claimed within 3 months of the babies' birth. So, even though you will be incredibly busy when your twins or triplets arrive, it is important to apply for child tax credit as soon as possible, and if you are entitled to the higher rate, you must then claim the Maternity Grant as soon as you can.

In January 2013, rules on Child Benefit changed and not all parents will now be entitled to this. If the twins or triplets are your first children. the first-born will receive the higher rate and the second and subsequent children, if only younger by a couple of minutes, will get the lower rate. On 7 January 2013 the Government amended the rules for higher earners and those with a partner earning 50,000 or more can either choose to not claim the benefit or they will be expected to repay some of it through a tax charge levied of 1% for every 100 earned in excess of 50k. Anyone earning 60,000 or above would have to repay all of their benefit.

For more information on benefits go to www.gov.uk or ask your local Citizen's Advice Bureau.

The Inland Revenue has information and guidance about tax and National Insurance contributions (NICs) on Employer-supported Childcare. Here you will find information and guidance about the new tax and NICs exemptions on childcare or childcare vouchers provided by employers. There are also links to guidance about tax credits and other Government departments and organisations. http://www.hmrc.gov.uk/childcare/
Childcare Costs
The typical cost of a full-time nursery place for a single two year old averages 110 a week. more than 5,700 a year and for a childminder it's around 90 a week. Nearly three-quarters of multiple birth families get no discount on their childcare costs and for triplets the costs can be as high as 2500 per month.

Looking for more information on The Financial Cost of Raising Twins and Multiples

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Lazy Grace Tel: 01669 621272 Email: info@lazygrace.com Web: www.lazygrace.com

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Practical Help & Financial Factsheet for Families with Twins, Triplets or More. | Financial Help & Advice | Twin Tips | Resources Centre | Twins UK

# data[].attributes.attachment_link.description
What financial help and practical support can I get if I'm expecting twins, triplets or quads? Having twins and multiples can be more expensive, even when compared with families who have the same number of children born at different times...there's a lot of equipment to buy all at once, there's rarely hand-me downs, childcare costs are high....all this and more can take it's toll financially, emotionally and physically, particularly in the early months and years.

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including which pillow to buy

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So you have had the news that you are expecting twins. Once you've got over the shock it's time to think about the practicalities, and what you need to buy. Many mums wish to tandem feed their babies in order to save time and deal with two hungry babies! But are the twin breastfeeding pillows necessary? And if they are, which one is the best one to buy? They are not cheap so it is important to get it right. When you have the correct one they can make tandem feeding so much easier, especially in double rugby hold (one baby under each arm) but they can be used for other feeding positions too. If the babies are held at the correct height on the cushion you can actually feed hands free, meaning you can actually and drink your tea warm! But which one you buy is a very personal choice and often you need to think about your body shape before deciding. Your lap to nipple measurement (I bet you didn't think you'd ever be measuring that!) makes a lot of difference. And this depends very much on the length of your upper body, and how your breasts fall. If you are tall with perky, small boobs, you may find you need a lot of extra cushions to make some of the lower brands work. We did a survey on the Breastfeeding Twins and Triplets Facebook group to see if we could glean any useful information.

There are five main brands available. The first four are the traditional U shape, (listed from thinnest to highest) and the last one is M shaped.

Harmony Duo. (£79.95)

This feeding pillow has been a mainstay of the twin feeding world for a long time now. It has a breastfeeding side and a bottle feeding side. On the breastfeeding side there is quite a big slope from outside to inside which helps prevent the babies from rolling off. However this pillow is the lowest of all sloping from 15cm down to 11 cm on the inside. Many mums find they need to add extra cushions to raise it up high enough. It is also the smallest on the inside diameter of the U, so not so good if you're on the larger side. This pillow suits shorter mums, or those with droopier boobs. A lap to nipple measurement of 15-17cm seems to work best. Some find it's difficult to use as the babies get older as it is quite narrow. It comes with detachable back cushion and a wipeable surface, although this can be a bit sweaty in hot weather. You may find you need extra cushions behind as babies get longer.

My Brest Friend Twin Cushion. (Currently US import only)

This pillow is a little higher. It has a nice soft feel and is comfy for the babies. It is a little wider which makes it feel more secure and less likely for the babies to roll off. It also has quite a large inner diameter so is good for larger ladies. This pillow slopes from around 15cm on the outside to 12 cm on the inside and suits a medium height, or medium boobs. A lap to nipple measurement 17-21cm and a larger frame would probably suit this cushion. It has washable covers and comes with attached back cushion but you may find you need extra support behind as it's quite narrow.

San Diego Bebe Twin Cushion. (Currently US import only)

This is another sort of medium height feeding pillow. Lovely brushed finish and comfy for the babies. It is a slightly wider pillow so lots of room for bigger babies. You can use it with an "apron" attached for modesty, although sometimes the babies are not so keen to be covered up. It has washable covers and a back cushion that is removable. The pillow slopes from around 15cm outside to 12cm inside. Again this pillow would suit a medium height or medium boobs. A lap to nipple measurement of 17-21cm would suit this cushion.

Peanut and Piglet. (£85.00)

This is a firm high feeding pillow. It is still around 15cm high above the knees but is higher at the back and so keeps the babies more horizontal. Because of its firmness the babies are held at a slightly higher height, so this pillow suits taller ladies or small perky boobs. A lap to nipple measurement of around 22-26cm would suit this pillow. Taller ladies may still need to lift it a little.

**newsflash** Peanut and Piglet now have a petite version of their feeding pillow. This will be much more suited to the shorter-bodied or danglier-boobed mum!

Twin Z. (US import only)

It took me quite a while to work out how this M shaped pillow from the USA worked. So the official way of using it is to start with the cushion standing vertically in the W position, then fold down the two outer prongs, the middle "prong" of the M becomes a back support. Then the two outside prongs are where the babies lie. There is a strap to pull the two prongs together to prevent there being a big gap for babies to fall into. It is a fairly low pillow, 20cm at the back but only 12cm at the front. Unless you are short or have droopy boobs you will probably find you need extra cushions to raise it up. There are bootlegs available in the UK but they do not have the front strap to hold it together.

It is important to remember that all mums and babies are different and some cushions will not suit some situations. Some mums prefer to just use a V shaped pillow, or a beanbag style pillow or a combination of normal pillows from the bed. Others find they can still use a single feeding pillow. Other mums prefer to find other tandem feeding positions for which you don't need a pillow at all, like a double laid back position for example. Other mums just don't like tandem feeding or their babies don't like tandem feeding! So the point is am trying to make is that you don't really know what will suit you until the babies actually make an appearance.

There is also a very healthy twin breastfeeding pillow second hand market. So if you do buy the wrong one you will find you can sell it on very easily. Or if you would prefer not to risk so many pounds, then buy second hand in the first place and save money. Many pillows are barely used and are in great condition. There are often For Sale posts on Breastfeeding Twins and Triplets UK Facebook group, also on the TAMBA for sale forum for members, local twins clubs and of course auction and second hand websites. And if you don't get on with the pillows or don't get on with tandem feeding, they make a great support for babies learning how to sit up.

Kathryn Stagg, ABM Breastfeeding Counsellor, Nov 2017

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Specialist Twin Breastfeeding Pillows. Are they necessary and which one do I buy?

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So you have had the news that you are expecting twins. Once you've got over the shock it's time to think about the practicalities, and what you need to buy. Many mums wish to tandem feed their babies in order to save time and deal with two hungry babies!