Newborn Care: What to Expect When You’re Expecting Twins

Newborn twins postpartum doula

Are you expecting twins (or more?) and unsure of what to… expect? At Buddha Belly, we’ve had the honor and pleasure to support dozens of families of multiples with their pregnancies, labors, births and postpartum lives. Here is some insight from our experienced doulas.

When expecting twins your ideal birth plan is probably going to need to be adjusted.

Twins mean hospital birth, at least in Florida, as licensed home birth midwives and birth center midwives are not able to legally attend a multiples birth. Depending on your medical team, you may have more medical interventions than you would prefer, such as pushing in the operating room, induction before reaching your full-term, or cesarean birth if your baby closest to your cervix isn’t in a “heads-down” position.

Breastfeeding may look different, but IS possible.

Perhaps you’ll tandem feed your twin babies. Maybe you’ll feed them at the breast one at a time. You might exclusively pump breast milk and then feed your babies from a bottle. It could be that your babies will be fed a combination of breast milk and formula. Or you’ll feed your babies at the breast using supplemental nursing system. An experienced lactation counselor can help you figure out how to meet your objectives. Remember, HOW you feed your babies doesn’t determine if you’re a good mother.

It really is twice the work.

Seems like a no-brainer, right? Until it’s 3am, and one baby has woken the other, and they’re both hungry. They both get fed, then they both spit up. Wardrobe change! And diaper change. Now swaddle, rock and pat until they finally fall asleep. This process may take anywhere from 1-2 hours! An hour later they wake up hungry again. In the very early days, this can easily take two people. This is where a postpartum doula can be a lifesaver for day time or overnight support.

And it’s twice the amount of things!

Expecting twins means two car seats (and a car that accommodates both). A stroller for two. Two baby carriers. Two times the clothes, diapers, blankets, swings, socks, burp cloths… the list goes on and on. For most new parents, that means very little financial wiggle room to discover you don’t LIKE that car seat or stroller or that different brands of diapers work better for each baby (yep, they have different fits and construction from brand to brand.) We recommend minimizing prenatal purchases to the bare necessities and only buying more once the babies are in the world and you’ve had a chance to discover your true needs.

Of course, your experiences may not be exactly the same. From our perspective, life with two babies is an unpredictable adventure in exhaustion, work and love – twice the love, twice the sweet smells on baby heads, twice the gummy, open mouth kisses only a parent could love, twice the snuggles.

If you are are expecting twins or more we’d be happy to help you develop your birth plan, postpartum plan and provide doula support at any stage of your twins journey.

Want to learn more about how a birth doula can support you when you are expecting twins? Read our blog A Doula For Twins.

About Amy Lewis

Amy is the co-owner of Buddha Belly. She is passionate about assisting women through life's most challenging transitions and nurtures a lifelong commitment to women in serving mothers as a doula. She is certified by ProDoula as a labor doula, postpartum and infant care doula and postpartum specialist. She was certified by the Healthy Children Project and the Academy of Lactation Policy and Practice as a lactation counselor and is a birth, newborn and breastfeeding educator. > keep reading