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About fran pitre

Welcome everyone! My name is Fran Pitre ... I'm the wife of a great guy, mom to 6 amazing kids who all happened to come in sets of two, I'm a graphic designer, published author of “TWINS x 3” (2019 Edition now available!), singer/songwriter, and clinical massage therapist. If you've come to this site looking for support, info and inspiration as a parent of twins, you've come to the right place!

Preparing for Twins: What You’ll Need!

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The twins will arrives soon, and you know you want to be completely prepared!

Some parents prepare with just the basic needs, and some parents prepare for the arrival of their baby(ies) by purchasing every possible pricey item, gadget, and trendy must-have out there! For most of us in-betweeners, however, who know that the arrival of their twins will mean being sensibly prepared, here are a list of items that I found met all of our needs, three times around.

Obviously, there are many varieties in terms of styles, features and price range, so I’m listing here the items from a general perspective. These aren’t in any particular order, just a checklist to refer to:

Vital Needs (Furniture/Equipment):

2 Cribs — Even if you co-bed your babies when their tiny, you’ll be surprised how soon they’ll need their own space!

1 Clothing bureau or dresser for folded clothing and blankets

2 Infant Car Seat Carriers — My favorite come with the snap in base for easy placement and removal from the car.

Contours Options Tandem Stroller

1 Double Stroller — These come in both front/back and side-by-side styles.

Pros and Cons of each style of stroller:

Front/Back: Advantages— ease in fitting through tight space. Disadvantages—Heavy, bulky, complicated to open and close, small and awkward to reach storage space beneath seats, and children will eventually kick each others’ seat and pull hair. I believe this is true because no one really likes riding in the back or backwards (in the case of the facing each other option in some front/back strollers).

Graco Twin Ipo Double Stroller

Side/Side: Advantages—lightweight, easy to open and close, generous and easy to access storage spaces under each seat, and babies/toddlers won’t conflict with each other as much side by side as they do front to back. Disadvantages—Oftentimes awkward maneuvering through tight fitting doorways, but most commercial structures have double doors or wide single doorways.

1-2 Baby Swings — In my book, this is a vital need if you plan to maintain your sanity some days.

2 High Chairs (or high chair/booster transition seats) with trays — They will be used as early as 4-5 months when solid foods are introduced. Many allow the seat to recline slightly for the baby who’s not sitting up yet.

2 Portable Cribs — “Pack ‘n Plays” are great for day or overnight trips for naps and night time because they fold down to (a bit heavy) but convenient to carry and pack. They also double as perfect bassinets since most styles feature a bassinet setting option.

2 Snugglies or Baby Slings for ease in baby toting.

1-2 Boppy Pillows for breast feeding or bottle feeding. There is an actual nursing pillow specifically designed for twins!

Not-so-vital furniture/equipment:

Changing table — Where you WILL need changing pads that can be placed on beds, couches, floor, etc., an actual table just for changing is optional. I never owned one, but these could come in handy if they were a combination changing table and dresser. Changing baby in a high place is much more dangerous than on a lower surface, so that may be a factor for you to consider.

Wipe warmer — I thought this would be a wonderful item to have so the wipe wasn’t so cold to baby’s skin. However, as soon as the wipe is removed from the warmer, it hits room temperature in a matter of seconds, and the biggest disadvantage is that the bottom 1/3 of the wipes in the warmer will dry out (and the bottom few actually may turn brown as they slowly “toast”.

Nursery diaper disposer unit — Save your money and just place the dirty diaper in a plastic grocery bag, and get it in the outside garbage can as soon as possible. You really don’t want to keep a dozen dirty/wet diapers piling up in one of those units that are not as odor-free as they claim!

Bouncy seats — Not a must-have, but I actually liked placing my babies in these so they were off the floor and I could move them from room to room. Once baby becomes active, his activity will bounce the seat and he’ll enjoy that!

Infant bath tub — As long as you have a water proof container, you don’t actually need a tub since it’s often easier to bathe baby in a disinfected sink or in the actual bathtub on top of a tub sponge to lay baby on.

Must-Have Accessories and Nursery Items:

Skip Hop Studio Baby Bag

1 Large Diaper Bag — Always-to-carry contents: diapers, wipes, rash cream, little bags for diaper disposal, 1 change of clothing for each baby, bibs/burp cloths, extra bottles for formula if you formula-feed, toys, hand sanitizer … see why it has to be a large diaper bag?

DIAPERS! — If you use disposable or cloth, be prepared to go through 6-8 diapers per baby per day on average. Yes, that’s a LOT of diapers!

Diaper wipes — Again, use disposable (preferably scent-free for baby’s sensitive skin) or soft cloths moistened in water only.

Diaper rash cream — Use this cream to treat rashes and/or to prevent irritation.

Plastic Diaper-Changing Pads

Simethicone Drops for occasional gasiness in baby’s tuummy.

Infant Acetaminophen (Tylenol) for pain and fever reduction.

Manicure Set to keep baby nails trim to avoid scratching herself. Hand Mittens (or socks) help, too.

Baby Wash (many brands are for hair and body)

Crib sheets — (2-3 tight-fitting sheets per crib)

Light Crib Blankets — IMPORTANT: Remember to keep cribs free from clutter such as stuffed animals, pillows, comforter blankets, etc., due to the high risk of smothering/suffocation that can lead to SIDS.

Crib wedges — to place baby in so he will remain on his side or back (never on tummy!), and to also keep co-sleepers separated but still able to hear, feel and smell each other.

Baby Clothing:

6-8 Onsie underwear that snap between the legs per day per child. They will go through these often!

Have LOTS of onesies on hand!

2-3 soft sleepers with feet per day per baby.

15-20 baby clothes hangers

Cotton infant hats

Socks

10-12 Receiving blankets for swaddling

2-3 day outfits per child per day.

Burp cloths

Bath Towels (hooded)

Baby wash cloths

Feeding Care:

Bottle fed babies — bottles, nipples, caps, bottle washer brush, sterilizer rack, formula, and infant cereal from approximately the 4th month on.

Breast fed babies — breast pump, bottles, nipples, caps, bottle washer brush, sterilizer rack.

Breast care — 2-3 nursing bras, lanolin ointment for sore nipples (but breast milk rubbed into sore nipples works very well), hot/cold gel packs (for engorgements and occasional plugged milk ducts), breast pads (cotton or disposable).

When shopping for baby needs, you’ll see every conceivable product (pun-intended!), so enjoy, but be careful not to overspend on the latest and greatest convenience gadgets, because chances are you’ll use them once, twice or not at all!

VERY IMPORTANT PREPARATION:

Nourish Yourself: Remember what YOU eat is what YOUR BABIES will eat

Choosing what you eat and what you don’t eat is so important, before pregnancy, during pregnancy and after pregnancy. You must be mindful of the foods you put in your body. There may have been a time when eating left over pepperoni pizza for breakfast, drinking diet cola or other high-caffeine sodas all day long, and greasy cheeseburgers for dinner worked for you (or so you thought) at one time, but now that you’re a mom, EVERYTHING IS DIFFERENT. You’re completely responsible for the health, wellness and future growth and development of your babies! I’m not saying that an occasional slice of cheese cake or a lean burger now and then isn’t just fine, but NOW IS THE TIME that you learn the importance of proper, complete nutrition, because it’s just about you anymore.

* * *

Blessings and Congratulations on the soon arrival of your twins!

Let’s Talk About Twin Skin

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If you have delivered a set of twins, even if you didn’t go to full term with your pregnancy, the odds that your overly-stretched abdominal skin bounced right back to before-pregnancy consistency are pretty low. We are left with, what we all have come to know as, twin skin.

After my first set of twins were born, I held on to pregnancy and breastfeeding weight until I made a committed effort to lose it with the help of Weight Watchers (God bless ’em). But despite the fact that I eventually lost all (and more) that I wanted to lose, I was still left with a very loose-feeling lower stomach, and a “shelf” slightly overhanging my C-section incision. Yikes! And to think I actually believed that all the cocoa butter I rubbed all over while I was pregnant was going to prevent this from happening! Wrong.

Pregnancy number two stretched my belly further beyond the previous one because I carried these babies over four weeks longer. Although I didn’t experience any increase to my shelf-effect (because I had delivered vaginally this time), I still could hold my twin skin in both of my hands. Geez!

In the seven years between my second and third twin pregnancies, I managed to get back into pretty decent shape by eating right and exercising, which included chasing around 4 kids. But despite my thousands of sit-ups and crunches, I began to accept that my abdomen simply would never be as tight as it had been before I’d had two sets of twins. Following twin pregnancy number three, having occurred when I was over 40, well, I was in for quite a battle with my post pregnancy body! And no, neither of the photos featured in this article are of me … 😉

Twin skin is a condition that simply does not go away. It is skin stretched passed its ability to re-conform to its original, pre-stretched elasticity, resulting in saggy, wrinkly, loose-feeling skin just below the belly button. Kate (when she was being interviewed on “Jon and Kate Plus 8”) described her belly as a “bum in the front” … double handfuls of droopy skin. Fortunately, a kind and generous surgeon volunteered to give her a complimentary tummy tuck. The rest of us, however, aren’t generally given that kind of opportunity … rats!

Remedies for Stretch Marked Twin Skin?

We all know there are creams and balms out there with claims to tighten loose skin, but really, once the skin’s elasticity is gone, it’s gone. The only real remedy is to surgically remove the excess fat pockets and loose skin, pulling and tightening the remaining skin and abdominal muscles with discretely tucked sutures, tailored to each woman’s body. Tummy tucks (abdominoplasty), unfortunately, are considered cosmetic procedures and thus not covered under most medical insurance plans. Out of pocket, this procedure can cost upwards of $4,000. There are also stretch mark removal procedures, but again, probably are not covered by insurance.

So how do you deal with your post pregnancy tummy?

What remedies or methods of skin improvement have you discovered? Is there any tightening creams out there that have made any real difference for you? I, as well as all of our readers, would love to learn about any ideas, suggestions or recommendations!

Update: In 2017, I finally reached my pre-pregnancy weight (pre-FIRST set). Yay! It only took me 10 years lol. Although I lost the actual weight, my body is now different than it was in my 20s, and honestly, it’s ok. I honestly don’t know any moms that don’t refer to their post-birth tummies as their “battle scars, proudly earned”. I’ll probably never wear a bikini again, but that’s ok with me. It’s also ok for women to wear a bikini and celebrate their bodies!

 

Blessings ~

 

Your Newborn Twins CAN Tell You What They Want!

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When I was lying on the sofa during my last pregnancy’s first trimester (you know, when you feel sick all the time, and have no more energy than it takes to lie around watching TV), I paid especially close attention to the Oprah show that aired one afternoon. When the announcement of upcoming guests and topics was made just as the show was starting, a chord was stuck in me, and I knew I would be giving my utmost attention to this program!

One of Oprah’s guests that day was an Australian mom named Priscilla Dunstan who shared with the audience her discovery of distinct infant cries and their meanings. I was glued to the TV because I knew that once again very soon, we would be parents to brand new infants. Ms. Dunstan in her method called Dunstan Baby Language describes the 5 different and distinguishable cry sounds that babies in their first few months of age make when they are expressing different wants and needs.

As Priscilla began to talk, I reached for already opened envelope that was on a side table nearby, picked up a less-than-sharp blue crayon, flipped over the envelope and started to jot down some notes. I had lived through the early months with two previous sets of twins, and one of the difficult and frustrating aspects was trying to translate my babies’ cries. I’d so often wished that the babies could TELL me what was wrong during fussy times that, no matter how I tried, I just couldn’t always resolve.

According to Priscilla, babies’ cries are reflexes that are detectable in 0-3 month old babies. What’s important is that you have to catch these sound signals early on, because if not responded to with the requested need readily addressed, the baby will stop using them as they get older.

So here are the 5 distinguishable sounds that infants use to express what they need:

  1. “EH” means “I need to burp”
  2. “NEH” means “I’m hungry” (and might be accompanied by rooting for the breast and sucking on his lil hand)
  3. “OWH” means “I’m sleepy” (with this cry usually comes the little wiggly chin)
  4. “HEH” means “Discomfort” (“I need for diaper change, I don’t like the feel of these jammies, I scratched myself”)
  5. “EAIR” means “Abdominal Gas” (I got this one a lot, and it usually turned up in the late afternoon and lasted through midnight, as colic would kick in!)

For exhausted new parents, these tips can save lots of time and ease frustration. I truly believe these sound translations are accurate because I put it to the test once Sean and Benjamin arrived, and I was amazed when I compared the sounds to what I’d learned … My husband and I really could apply a cry sound to a baby need (most of the time)!

You’ll be surprised how distinguishable these are, and how you’ll readily you’ll begin to pick up on these sounds. And again, as all mothers know, any and all tips that can ease the challenges of having newborns, (especially in multiples) are very welcomed!!

 

Blessings ~

 

Potty-Train Twins: What Fun!

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Don’t we wish potty training was as CUTE as it looks?

So, my 3-year-old sons are finally full fledged on board with the program, but only a few months ago, and I’ll be the first to admit that, being so busy and distracted with a slew of other pressing issues going on in our family, I’d probably not been as diligent, committed and focused on potty training as I should have been. So, when my four older kids went back in school, I made the commitment to concentrate and devote the next few days (and probably weeks, but hopefully not months) to getting the job done!

As the mom of three sets of multiples, I’m often approached with statements like, “You’ve already successfully potty trained two sets of twins, and are now on your third … you must be a PRO … so, what’s the trick to potty training multiples?”

My first response is to say that each of my sets of twins have consisted of children who are very different from each other. Referring to them and perceiving them always as a “set”, or a collective of two little people who should be expected to behave and fit into the same mold as the other, is an incorrect assumption. We as moms of twins know already, even identical twins are complete individuals. With that said, I recall my first set of twins (my girl/girl set) having one (Lauren) being completely ready and compliant by 22 months. She showed the readiness signs of expressing her dislike of wet/soiled diapers, demonstrating an understanding of using the potty, and having dry diapers for longer periods. She also was very verbal at that point and could express her desires and understand instructions quite well. Her twin Kathryn, however, was simply not into it at all, and regardless of her sister’s accomplishments, rewards, and “big girl pretty panties”, just wasn’t interested until she hit 2 and 1/2, at which point, she was ready and basically went from diapers to training pants to cotton panties in the course of a week! I believe that ultimately, Kathryn witnessing Lauren’s successes and rewards did play a part in her decision to “get with the program”, so I do believe that a level of peer pressure is a plus! The gap of time that existed between each child’s completion of the process allowed me to focus and concentrate on one child at a time, which was a plus for me. It also allowed for some one-on-one bonding between myself and each of my daughters, one at a time.

My second set of twins are a boy and a girl. Erin would often imitate her older sisters … a REAL PLUS there! By the time she was between 22 and 24 months, she was very into pretty big girl panties like her sisters wore. Encouraging her to sit on the training potty, understanding and enjoying Elmo’s “I Can Go Potty” book, and rewarding her after her successful visits was almost too easy. She, like her big sisters, showed the emotional and physical readiness signs of graduating from diapers to panties, and by the time she was 26-28 months, she was done. Training pants were used at night, but those didn’t last too long with her either, as she would wake up dry and ready to visit the potty upon getting up. Of course, there were often some middle-of-the-night visits, too. Now, Erin’s twin Brandon’s potty training process was a completely different story all together! Although we encouraged him to sit on his own potty, and rewarded him with his successes along the way, he simply decided that the thrill was gone after a few weeks, and decided to regress almost completely after he’d demonstrated his readiness and we’d thought he was just about trained. Ultimately, Brandon was 3 and 1/2 before we could consider him finally potty trained. He was NOT HAPPY as he watched his poo-poo flush away, so we told him that it was probably a fun thing, like going down a water slide! At that point, he decided to say with each flush: “Bye-bye poo-poo, have a good ride!”

Forcing, bribing, coercing, threatening, punishing … of course, were completely ineffective, so we learned and concluded that no matter how many children you have, and regardless of the fact that as a parent, you basically handle situations in the same manner each child, the INDIVIDUAL child is going to be ready, willing and able only WHEN he or she is ready, willing and able.

Benjamin and Sean had been demonstrating the readiness signs for quite some time, and although they were well-acquainted with their own Mr. Potty, seemed to understand and enjoy Elmo’s potty book, had actually both been successful at wee-wee-ing in their potties so far, were simply not consistent, probably because Mommy hadn’t been consistent enough. With a little more time, concentration and LOTS of POSITIVE REINFORCEMENT (we’ve gone through 2 giant bags of M&Ms), I can finally say that we’re finally about done!

Benjamin finally mastered both #1 and #2 finally just before his 4th birthday. As for Sean, however, he was 4 and 1/2 before he finally decided that pooping in his pants was only going to “earn him” toys being taken away and time-outs! For months, he simply REFUSED to use the potty for #2, while successfully going #1 consistently.

It’s just amazing how strong-willed and individually-motivated (or just plain stubborn) each child can be! If you’re presently experiencing stubborn children who refuse to comply with your potty training, you’re not alone. Just be patient, be consistent with your positive and your negative reinforcement, whatever tactics you use, and don’t give up! They WILL eventually get with the program … especially when peer pressure is applied, say for instance, when it’s time to visit friends with children who are the same age (and ARE potty-trained), and also when it’s time to start school, and no other classmates “poop in their pants”!

My friend, Pam Fierro writes for About.com, as an expert on twins. Here is her advice on potty training twins, which I intend to utilize! http://multiples.about.com/od/pottytraining/tp/pottytrainingtwins.htm

Two other great site for tips: http://www.pottytrainingconcepts.com/CTGY/A-Potty-Training-Multiple.html

and Mayo Clinic’s source: http://www.mayoclinic.com/health/potty-training/CC00060

The BEST reward of all!

I wish all of you the best of success you endeavor to potty train your multiples!

 

8 Tips to Help You Survive your New Twins

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Whether your babies arrived on or near your actual due date, or if they arrived six weeks early, when the day arrives to go home and start your lives together as a family, the thought and the reality is both exciting and frightening. As my husband and I walked out of the NICU for the last time with our first daughters, I recall looking back at the doors and wishing I could take one of the nurses with me. We lived on our own in Virginia at the time. My mother, who had been with us for about a week when the babies first arrived, was back in Florida, and my mother-in-law wasn’t planning to arrive for at least 2 weeks.

It was time to wrap our brains around the fact that we were the only ones going to care for our 4.5 lb. daughters, one of which was still under treatments for an intestinal disease that developed immediately after her birth. A visiting nurse came once every other day for about 30 minutes to check on her, and attend to her medical needs prior to surgery which was scheduled in two more weeks. Other than that contact, my husband and I were it, and that truly overwhelmed us both.

Being well-prepared ahead of time with all the baby-needs required is the best foundation for making the transition into new parenthood. And from the archives containing my own experiences of living through the arrival of three sets of twins, I’d like to give you some tips on surviving those first few weeks (or even months), when your world is so focused on around the clock diaper changing, soothing the crying and breastfeeding.

These first weeks made all the weeks on bed rest seem like a vacation!

Tips for New Parents of Twins

1- Team work. Although not impossible, taking care of two or more babies on your own would be very difficult. As soon as the lack of sleep, exhaustion and all around feeling that you’re overwhelmed kicks in, you’ll be very, very thankful that your mom, your sister, your aunt or mother-in-law is there to take over when you simply physically need a break during the day, and also appreciate every bit of assistance your husband gives when he’s at home.

2- Accept all help. Welcome with opened arms each meal a neighbor or friend drops off, and take them up on their offers to help out with your older children. There are times when we want to be completely self-sufficient in our lives, but now is not the time. Humbly accept these gifts and opportunities, and remember that one day you may be in the position to pay these favors forward for another overwhelmed mommy!

3- Take care of yourself. Proper nutrition and being well-hydrated is vital to your health, and if you don’t take care of yourself, your body’s immunity defenses break down and resistance to battling viruses are weakened. Getting sick will only make everything worse! 🙁  If you are breastfeeding your babies, your self-nourishment is also vital to their well being and growth. As with pregnancy, drinking at least 10 oz of water each hour will ensure that your milk supply will keep up with your babies’ growth and nutritional demands. Because you may be still recovering from giving birth, your body needs optimum nutrition for full recuperation and regaining of strength, especially if you’d been on bed rest prior to having your babies. Taking a vitamin supplement (in pill or shake form) can fill in all the gaps your body (and your babies’ bodies) need as your breastfeed them.

4- Stick to a routine. You’ll find that working around your babies’ feeding schedule keeps you on a ’round the clock schedule, but make sure you keep some order in your life during this crazy time, it will help keep you focused and thinking straight.

5- Take much-needed breaks. The endless cycle of feeding and care taking can take its toll on a new mom very quickly. When your help is available to take over for little while so you can nap, shower, bathe, sit outside to soak in some sun, run a quick scenery-changing errand to the grocery store, or take an older child out for a quick lunch treat at the park, you’ll find that a break from the routine can be enormously rejuvenating. Your older child(ren) will become frustrated by the now shifted attention away from him, so it’s important to spend a little one-on-one with him. Going out with your husband for a quiet dinner can be so relaxing, too, but I’ll warn you: all you’ll talk about will be the babies!

6- SLEEP! I never fully appreciated a full night’s sleep until I had my first set of twins. I also rediscovered this appreciation after my second and third sets were born. Sleeping for more than a 2.5 to 3 hour stretch can feel like a million dollar gift. Take shifts for the sake of everyone’s sanity and survival. My husband and I had an extra bed in the nursery when our second set was born, and we would take shifts for caring for the babies through the nights. I breastfed them, so I had to get up for feeds, but my guy handled the diaper changes and the soothing back to sleep. Remember this: Sleep when your baby(ies) are sleeping, as much as possible.

7- Baby soothing tips. I found that carrying (whichever baby happened to be fussy at the time) swaddled tightly in a sling close to my chest helped soothe and quiet better than anything else. Sometimes, we had a double fest, whereas I would readily enlist the help of my baby swings. Those swings, without a doubt, allowed me to maintain my sanity. For well into the next months (after live-in help went home), my baby swings allowed dinner to be prepared, laundry to be folded, dishes to be done, and the other children to be cared for. I also believed that warm baths helped tremendously just before putting the babies down for a nap so I could either get some other things done, or sleep myself! They just slept deeper and longer between feedings if the received a bath once a day.

8- Keep babies together. Twins were womb-mates, and prefer to stay close together. I always tightly swaddled and placed them close to each other. They could smell, hear and feel each other for comfort and added security. My babies shared the same crib up until they reached about five months old.

For some additional tips and advice on the first weeks with your newborns, please visit HavingTwins.com.

Another wonderful source for self- and baby-care during those busy first days, go to www.thefirst8days.com for tips and advice for handling your first week. Purchase my friend Gea Meijering’s translation of this popular, confidence-building, step-by-step and tip-by-tip guide from the Netherlands.

 

You will survive this challenging (okay, downright difficult) time, and before you know it, sleep will return, the sun will come back out, and life with your new family will be wonderful!

 

Blessings and Congratulations!! ~

Preventing Preterm Labor from Becoming Preterm Birth

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With all pregnancies, it’s very important to become familiar with symptoms that could indicate the signs of early or preterm labor. This is especially important with a multiple pregnancy because preterm labor is much more common than with a single baby on the way.

The fact that your uterus is not only growing larger, but because of the double, triple or more babies growing and rapidly taking up space, the uterus is also growing at a faster rate than if you were carrying one baby. With a single pregnancy, as the uterus grows, it naturally contracts as part of the growth process. You’ll notice a slight pulling or tightening/hardening sensation in the lower abdomen that is completely painless and harmless, which may last for a few seconds. However, this more rapid rate of growth with a multiple pregnancy can cause the uterus to become irritable and you may notice normal growth contractions become more frequent as you reach about mid-point in your second trimester (approx. 20-22 weeks).

If the contractions begin to increase in frequency, and the tightness and temporarily hardening of the lower abdomen is accompanied by pain (mild to moderate), then your contractions may no longer be harmless. They may be becoming productive contractions, which means that cervical effacement (shortening) may be starting. Effacement occurs prior to cervical dilation during active labor, and you don’t wanna go there yet!

So, sit down, breathe deeply and relax. Stress and panic will only make the situation worse. Call your health care provider (at any time of day) and speak with an on-call nurse. She will immediately advise you to get off your feet (preferably lie down on your left side), and drink a full 8-10 ounces of water. Contractions may be brought on or worsened if you’re water intake is low and you’ve become even slightly dehydrated. Dehydration is the number one cause of muscle pain, tightening and cramping … ask any athlete or sports enthusiast. Your uterus is a big, powerful muscle and ligament-bound organ, and the muscles are very sensitive to dehydration, so DRINK A LOT OF WATER!

Are You in Preterm Labor? If your contractions continue for a good 30 minutes after hydrating yourself, call the nurse back, and she may suggest that you come into the office or go directly to the Labor & Delivery Unit at the hospital. The likelihood of actually delivering is low because of available medications that can be given to you to stop the contractions. An anti-contraction medication called Terbutaline (actually indicated for asthma treatment) may be administered first via injection after you are placed in a hospital bed. Fetal monitors are positioned on your abdomen (secured in place by velcro held stretchy belts) to keep constant tabs on the babies’ heartbeats to identify any fetal distress. Also attached to your abdomen is a contraction monitor to identify the frequency and intensity of your contractions. You can also expect a clear fluid IV to be started to quickly further hydrate you. Usually, when a bout of preterm labor occurs early in your pregnancy, some good hydration and one good dose of terbutaline may be all that’s needed to do the trick! Once the contractions have stopped and have not occurred for more than an hour or two, you can expect to be sent home.

Prescription: Partial or Complete Bed Rest. You might be sent home with the orders to start taking it more easy, to be mindful of your water intake, and perhaps you’ll be given a prescription for oral Terbutaline to taken as needed. If another episode occurs again soon after, you may be asked to greatly cut back on or eliminate all activities, which will include going to work. You may be placed on complete bed rest until you reach 34 weeks gestation, when you’ll be able to resume some light activities no longer at risk of delivering dangerously premature babies. In twins or with single births, 34 weeks gestation is the point at which all doctors strive to reach in regards to the baby’(ies) development and lowered risk of complications associated with prematurity.

Bed Rest Attitude? Gratitude! Because of the fact that your babies didn’t arrive profoundly early as a result of your 2 or more bouts of preterm labor, consider yourself extremely blessed and fortunate! Each day on bed rest is a challenge, especially if you have older children, but it is definitely a survivable, temporary situation. Count each day as a blessing and know that you are doing what is BEST for your babies: keeping them inside where they will grow stronger and healthier with each passing day, and giving them them the absolute HEALTHIEST start to their lives by committing yourself (and sacrificing) to reaching the minimum of 34 weeks. Anything past 36 weeks is “gravy” according the the health specialists, so keep focused, resolved, committed and try to keep the complaints to a minimum! 😉 And remember, this too will pass, and will be worth every minute of every hour of every day. For more info, advice and suggestions on coping with pregnancy bed rest, look for the article Surviving Bed Rest on this site!

Nature’s Timetable. You’ve followed your doctor’s orders to the letter, and only gotten off the bed or couch for bathroom trips, two to three quick showers per week, and been driven to and from your OB appointments. By following this strict routine, you are doing all that you can do to ensure that your pregnancy continues. Just be patient and take it one day at a time, because each day that you stay pregnant matters in the health and long-term wellness of your babies.

However, with all that you’ve done (or rather, not done) for now weeks or even months, labor begins again. Another (and perhaps final) trip to the hospital is in order again, and if your pregnancy gestation is prior to 34 weeks, your doctor will take all steps to stop labor. If two rounds of Terbutaline is no longer effective (your body will build up a resistance to it eventually), your doctor may start an IV drip of magnesium sulfate. This treatment is very effective in stopping labor contractions, but as it directly affects your uterine muscles, it also affects your other muscles. You’ll feel warm all over (even your tongue) and you may become very weak and sleepy. Magnesium sulfate therapy lasts between 24 and 48 hours, so hunker down and go with it. Unfortunately, side-effects do exist that are unpleasant. Nausea, vomiting and heartburn often accompany this therapy, but if your body is not tolerating the medication as these symptoms may indicate, your doctor may opt to discontinue therapy. Regular-interval blood is taken to monitor your tolerance to this drug therapy throughout this treatment, and your body may indicate intolerance to the “mag”, as it is affectionately called. Another medication that may be introduced at this point is called Procardia, (generically called Nifedipine, indicated for cardiac patients) which is being found as more effective than Terbutaline for labor-stopping purposes.

Birth Day! With all the measures taken to prolong your pregnancy, you may be looking at an extension of one to two more weeks or more! However, nature (God) has a way of sometimes overriding all the ways humanly possible to give your babies a later birthday. If your doctor sees that, despite all of the treatments, your labor is simply progressing, its time to accept that these babies are coming! If you are less than 36 weeks along, the best hands you and your babies can be in would be a hospital with a Level 3 NICU (neonatal or newborn intensive care unit). This is the highest level of infant care, and you’re in the best place. If your babies are under 30 weeks, a cesarean section (C-section) will be done. If, however, your babies are over 30 weeks (the skull bones are now firmer), and their positions are head down and engaged to enter the birth canal, you might be given the choice to deliver vaginally. If you are carrying more than two babies, however, you can count on having a C-section.

Congratulations ARE in order! Although you may have just gone through days of drama and trauma, and the unwanted and unexpected early births of your babies happened despite all your hopes, prayers, and actions taken by your health care team, your babies have arrived, and you need to know that this is (although bitter-sweet) an occasion for celebration! If your babies are very premature (arriving before 28 weeks), a high level of care and time will be needed, and there may be one or more short or long-term residual effects due to this level of prematurity.

Babies arriving between 30-34 weeks stand a much better chance at simply growing with careful care and monitoring before being sent home with you. Generally, the protocol standards neonatologists use to decide that a baby is ready for hospital release would be weight, overall health, and  gestational age. Rarely do preemies go home before they reach 37 weeks (what would have been) gestational age. The weight goal doctors like to see reached is between 1800-2000 grams (4 to 4.5 pounds). Some doctors like to see closer to 5 lbs. Other circumstances may also factor in, however, such as illness and surgery recovery, and apnea/bradycardia (referred to as “A’s & B’s”) episodes, which are very common heart/lung/breathing maturity conditions, may be occurring too frequently. Another alternative to staying hospitalized after 4.5-5 lbs. is reached and A’s &B’s are the only issue, may be to take the babies home but with the security of portable monitors that can alert you as you that an episode has occurred so you can quickly stimulate the baby to take that breath and thus prevent any further problems. SIDS (Sudden Infant Death Syndrome) occurs much more frequently and the risk time is longer with preemies.

Welcome to the world of parenthood! Buckle your seat belt and prepare now for the craziest ride of your life! Be encouraged and take comfort that despite your baby(s)’s premature arrival, and the challenges it may have presented or may still present, you will find the strength through love, devotion and commitment to be the best mother for your baby(s). Trust me, you will find the strength, and YOU’LL DO GREAT!

For other resources on premature labor’s signs, causes, treatments and prevention, please visit American Pregnancy Association and The National Institute of Child Health and Human Development.

Premature Babies. Due to the many medical complications that can develop as a result of premature birth, please refer to Premature Infant – Frequently Asked Questions, a resource on WebMD.com for a comprehensive report on what can be expected after the delivery of your premature baby(ies). Another source to check out is a research review that I co-wrote with a fellow student in a nursing school prerequisite class that I took a couple of years ago on the Developmental Interventions that can be done to improve chances of healthy growth in premature infants. Here is the link: Premature Infants/Developmental Intervention.

REMEMBER that an ounce of prevention is worth a pound of cure.

So, let’s keep those babies cookin’ inside as long as possible!

My personal preterm labor and delivery experiences …

…  are basically described in the above article. I went on complete bed rest with all of my pregnancies somewhere between weeks 18-22. I, more or less, experienced each of the steps listed above, with some slight variations with each pregnancy. My second pregnancy was stretched to 35 weeks, due to, I believe, the fact that I went home with a subcutaneous intravenous line inserted in my thigh, which was attached to a little computer remote that administered regular doses of Terbutaline into my bloodstream. A visiting nurse came once per week to check my and the babies’ vitals, and alternate my I.V site from one thigh to the other. Along with this treatment came a monitoring system that I was required to use. Two to three times per day, I was required to belt myself to a contraction monitor and leave it on to read any contraction activity for one hour. Immediately afterward, I remotely transmitted the data via my telephone to an OB nurse who would read the data and call me back with the results. I was allowed five or so mild contractions per hour. One early morning just past my 35th week, the contractions numbered 27, and I was sent to the hospital. Trust me, I knew how bad I was feeling and predicted what my off-premises nurse’s instructions would be! My son (the trail blazer) arrived via vaginal birth at 4 lbs, 13 oz, and my daughter (who was out in 2 pushes) weighed 4 lbs, 6 oz. Neither had any health problems and stayed in the NICU for one week to grow a bit and overcome some mild jaundice, and are now very active, happy 11-yr-olds.

My first and my third pregnancies’ preterm bouts, however, were different. At 30 weeks with my first set of twins I went into preterm labor for the 3rd time, and although hospitalized and on treatments, my water broke at 30 weeks and 5 days. My daughters (born weighing 2 lbs., 14 oz and 3 lbs, 1 oz), were hospitalized for 6 weeks and had some health issues, but nothing long-term. They are now strong, smart, healthy 16-year-olds.

My water broke (after 2 hospital-stay bouts of preterm labor placing me on oral Terbutaline) one afternoon with no warning when my third set were 30 weeks and 5 days along, coincidentally and ironically the exact gestational age as my first set of twins. Although a vaginal birth was preferable, I was advised to go ahead with a C-section in case the babies were just too small. They were born at 4 lbs, 1 oz and 3 lbs., 11 oz. … much bigger than my daughters. Perhaps (and it s suspected) I was off my conception date a week or so. My now 3-yr-old sons are typical, healthy, and BUSY little boys!

Blessings ~

 

Oops Moms of Twins: Your Stress Is Showing!

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“I can usually tell if

someone is stressed out or not just by looking at their belly size.”

– Dr. Mehmet Oz in First for Women

 

Boy, if that’s true, than we’re a stressed-out society! Is it my imagination or does it seem like more and more people, from children to seniors, seem to be harboring excessive amounts of belly fat these days? In an excerpt from a to-the-point article posted on the awareness-building and informative blog, Always sick and Tired (Help me get healthy), popular blog writer and chronic illness sufferer herself Always Sick Chick conveys to her readers after thorough research the following:

“There are obvious ways stress affects us negatively. It can cause irritability, tiredness, loss of energy, loss of appetite or an increased appetite, make us crave unhealthy things such as sugary foods with no nutritional value, etc…  All of these come together and cause weight gain, but it’s the type of weight gain that it causes that makes it different from anything else.

When we are chronically stressed out, our bodies believe we are in peril. We can thank evolution for this one, as the chronic stress of our ancestors was usually related to famine or extreme danger from a predator. Such stress meant the body needed to store up fat for fuel to keep from starving or to give extra energy for the fight or flight against the predator.

Today, though, our stress is different. We are not facing famine. Quite the contrary, in fact.  Food is plentiful. So whenever we are stressed, our bodies think we need food, even when we don’t. And as we eat that double cheeseburger, our body is storing every ounce of fat in it for the famine that it thinks is approaching, or the marathon it thinks we need to run to escape that saber tooth that no longer exists. The body does this with the help of a naturally occurring steroid produced by the body called cortisol.

You’ve no doubt seen those commercials about cortisol and how it causes stubborn belly fat. They’re selling you pills that don’t work, but their information about what causes belly fat is true according to Dr. Oz. The cortisol makes you hungry, even when you don’t need food, because you’re stressed out.”

I found that the older I became, the harder it was for me to lose my pregnancy and post-pregnancy weight, and I have had experience myself with stress-induced weight-gain and the inability to lose weight due to stress. It’s so frustrating, and the more stressed I am about the weight, the harder it is to take off … a truly vicious cycle.

Doctors and fitness experts agree that plain and simply: take in less than you burn, and you’ll lose weight; take in more than you burn and you’ll gain. Exercise while eating correctly will increase your metabolism and burn fat and calories while it also builds stronger muscle mass and allow you to have a more efficient metabolism. With more muscle mass, you’ll lose weight more quickly than if you only ate less or made better food choices because muscle burns calories, even while resting.

There’s some food for thought for you!

 

Blessings ~

 

 

 

 

 

Moms of Twins: What Can You Do When Your Twins Become Aggressive?

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One minute your precious twin toddlers are playing quietly …

… so you take the opportunity to go into the kitchen and prepare them lunch. Just after spreading peanut butter onto one slice of bread, you suddenly hear a scream, and then another! In no time, they’re both screaming, hitting, and punching each other … what happened?! You immediately notice that they are fighting over one particular toy truck. “Luckily,” you think to yourself, “we have TWO of the same toy truck!” After giving each child his own truck, and placing some distance between the two children temporarily, you proceed back to the kitchen, where you’ve left the peanut butter and jelly sandwiches half-made.

Suddenly, the ear-piercing screams erupt again! You toss your banana-slicing knife down on to the counter top and race back into the family room, only to discover that one of the boys prefers to have BOTH trucks to himself! The greedy culprit runs and taunts his brother while your empty-handed child screams and chases his toy-hoarding twin as if he’d stolen one of his limbs!

As you rush over to break them up and spare blood loss, you realize that one had actually broken the skin of the other while biting his arm … good grief! After verbally correcting both children, hoping that your stern voice and serious facial expression has made an impression, and after washing and bandaging the wounded child’s arm, you think to yourself, “What am I supposed to do? How am I supposed to handle this? Are my children abnormally, overly aggressive? How do I put an END to this behavior?”

Does this sound like you?

And as we all know, this scenario can involve boys, girls and both, so no mom is immune!

Toddler aggression is very common in singleton siblings as well as twins.

If you’re experiencing this type of behavior, you are NOT alone. So, first know that. Secondly, it’s only natural for any child (or person for that matter) to a react as a result of any type of provocation. Even newborns react by screaming and flailing their arms while experiencing unpleasant stimuli. As children age, however, they learn that hitting, punching, biting, scratching, for instance, are effective methods to defend or to assert their needs, wants or express an injustice of some sort, and are all quick releases of frustration that match their feelings. It’s instinctive, reactive behavior to want to fight back as a method for getting the point across!

Professor’s House, a home, family, and children information resources website posts an article on childhood aggression which states: In the early years, the hitting is pretty benign. They do it because they don’t know exactly how to handle a problem. They hit because they have been hit or scratched or pushed by other kids along the way. They hit because they are angry. They hit because they truly don’t realize that their actions can cause any sort of real pain or damage. In these years – the appropriate parental behavior is to try and teach kids how to take the high road. Children should learn to ask for mediation from adults rather than handle situations themselves.

The article goes on to say: (Another way) to keep siblings from hitting each other is to give them other options. Remember they are angry, mad, and frustrated. Help them find their words and help them find solutions to the problem that don’t involve the strike of a hand. What works for each of your children will be different. Part of the reason not to hit for a kid has to be what will happen to them should they decide to do it anyways. However, your goal is to help your child deal with what they feel in the moment and give them ways to control it. When you notice that they do, they should be rewarded. The real issue is self-control. When you teach your children how to control themselves, they will be far better in the long run. This self-control may entail listening to your child throw a fit or buying them a punching bag to release their anger. They should be told time and time again that hitting can hurt people physically and emotionally until they understand this fact. Chances are your child doesn’t want to inflict injury, but just wants to get their way.

When an argument arises between your children, please consider this …

Your children must learn to work out their own disagreements. Sometimes the argument has begun over something very insignificant, and if it has occurred in the privacy of your own home, perhaps allow the children to see what solutions they can come up with on their own. I am certainly not saying that you should let them tear each other to pieces, in fact, once the fists start flying, it’s time to intervene. But, if we as parents get involved in every single altercation that our kids get themselves into, we run the risk of making the situation a lot bigger than it actually is, and we don’t allow our children to find their own way of working it out. There’s nothing wrong with verbal expression … in fact, a good shouting match (without foul language and name-calling) can go a long way in your child’s ability to stand up for himself, to defend herself, to assert himself, and to debate in a healthy, creative way even at the young age of 2 or 3!

So, the key isn’t to stop the fighting, but rather to teach the correct and civil way to disagree.

When your children begin to argue, keep in mind these 3 tips:

1) Allow them to work out the problem themselves verbally. Shouting’s okay unless the volume could wake a sleeping baby or two! Intervene when you think it’s time to suggest a solution that the children could consider and debate.

2) Intervening and making too big of a deal out of a small issue (for instance, calling a family meeting together) could drag out an otherwise “no-big-deal” situation into a much bigger problem, and may only magnify the problem and cause more stress on everyone.

3) If or when physical aggression such as hitting, biting, scratching, etc., begins, immediately intervene and correct your children by taking the item being quarreled over away (“now NO ONE gets it!”). Speak to each child impressing upon him or her that big kids don’t try to hurt each other, … that there are much better ways to argue or to express anger, …and sit them each in time-out for a cooling off period.

 

For the complete article from Professor’s House, go to: http://goo.gl/Hl5dn.

Blessings ~

 

Moms of Twins: Surviving and Thriving While Your Babies Are in the NICU!

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When you discover that you’re pregnant …

… you may begin to imagine the future and ultimate delivery of your baby. You imagine your belly growing as your baby grows to full term and you prepare to deliver as your due date approaches. You imagine that Immediately after your child is born, your healthy newborn is gently placed in your happy, exhausted arms. You spend some precious time holding or putting your baby to your breast, and you bask in one of the most rewarding and wonderful moments of your life. You then see yourself surrounded by flowers and balloons, proudly holding (and showing off) your baby as you leave the hospital or birthing center ready to embark on your new life as a mommy!

Things, however, don’t always turn out as we imagined they would.

When your baby arrives prematurely, it is usually a sudden, unexpected event which leaves your head spinning in shock and disbelief. Aside from the situations where a baby is intentionally delivered early due to a life-threatening condition involving the mother, child or both, many premature deliveries occur simply because of membrane rupture (water breaking) with or without prior warning. This is especially true with a multiple pregnancy.

Because the uterus is carrying more than one baby, it is not only growing larger than it would with a single pregnancy, but because of the faster rate of growth, it can become what is referred to as “irritable”. Yes, your uterus can develop a really bad attitude. With normal growth, the uterus stretches and contracts throughout pregnancy, but increased irritability causes contractions that are more than simple stretches. Contractions can become productive, which means that they cause cervical changes such as premature effacement (shortening) and dilation (opening), which begins the process of labor. In the case of premature labor, your doctor may place you on anti-contraction medication which often stops the labor process. In serious situations where labor is difficult to stop, or that has the potential for starting again, you will be placed on partial or complete bed rest until you reach a safe gestation (approximately 34 weeks and beyond) for the baby(ies) to be born.

When Premature Labor Cannot Be Stopped

Despite all of the efforts to postpone the delivery of your babies, quite often, they come anyway.

Following the whirlwind of your early delivery, either via vaginal or C-Section, suddenly there you are: no longer pregnant.

You may be feeling a combination of: shock, trauma, anger, disappointment, loss, fear and a shameful sense of self-failure. I know this, because I experienced all of those feelings after the birth of my first set of twins at 30 weeks and five days. After months on bed rest and anti-contraction medication, no further efforts were able stop my contractions, and my baby girls were born at 2 lbs., 14 oz. and 3 lbs., 1 oz.

Immediately after each baby was born, she was whisked away to the Neonatal (newborn) Intensive Care Unit (NICU). There were no sweet, warm bundles placed in my arms.

Adjusting to Reality

Unlike the way you always imagined, your babies are now completely under the care of the hospital neonatologist (newborn specialist physician) and of the NICU nurses. You’ve now entered a strange new world, as I did three times. As I mentioned, my first set of twins were born at 30 weeks and 5 days, and stayed hospitalized for 6 weeks. My second set were born at 35 weeks, 2 days, and although my son and daughter were born more than a month later than my first set, they were still considered premature (at 4 lbs., 13 oz. and 4 lbs., 6 oz.) and were again, taken away immediately after birth to the NICU, where they stayed just over a week. My third set threatened to come early as well, and although I was the model patient who did exactly as prescribed by my doctor (and myself), my baby boys were born (believe it or not) at 30 weeks and 5 days … exactly the same gestation as my first set, but their birth weights were heavier at 3 lbs., 11 oz. and 4 lbs., 1 oz. They stayed in the hospital for 5 and 1/2 weeks.

Because I experienced NICU babies three times over the course of 12 years, I would like to share with you my advice for, not only surviving, but for the making most of your babies’ hospitalization.

If your babies arrive early, you may be feeling …

Completely overwhelmed: You’ve just had twins, you’re recovering from birth so you’re likely being wheeled into the NICU to meet your babies for the first time. This was NOT the way you imagined, and the entire blur of events are frightening, disappointing, painful, exhausting and bitter-sweet.

Like you are a visitor instead of your baby’s mother: Although the nurses make every effort to encourage mommy/baby bonding by allowing touch, if possible, and as close contact as medically safe, you still may feel like your baby belongs to her nurse instead of you.

That you have no control as a new mother: With all of the monitors, tubes, wires, lights flashing and alarms sounding, you feel very intimidated by this strange, mysterious and frightening place. Although you know that your baby is in the best care possible, you may feel that your role as mother has been postponed. You learn one thing for sure: your arms and hands have never been scrubbed so clean in your whole life!

Frightened and worried: Depending on the gestational age of your babies, there may or may not be medical problems related to their prematurity. As you gaze at each of your precious babies in their isolette incubators attached to tubes, monitor wires, you fear that he may never grow into the beautiful, big healthy baby you expected. Try to relax and trust that the most comprehensive medical care is being given to them, and the chances of their growing and developing normally are very, very good.

Emotional: Naturally, a brand new mother experiences the sudden drop in progesterone with the sudden rise in prolactin and oxytocin in preparation for lactation … all of which brings on the weepiness! Compound those emotions with the above listed feelings, and you may just become a (temporary) puddle of tears.

Sadness about leaving the hospital empty-armed: One of the hardest experiences for a new mother is to be discharged from the hospital and go home without your baby(ies). Those feelings of failure, loss, sadness and disappointment may kick in full-force when you return to your familiar and loving home where, when you were last there, you were still pregnant. Rest assured, however, you will have the joyful experience of walking through your front door with your babies in your arms before you know it!

My sincere and experience-backed advice

Take some deep breaths and wrap your brain around what has happened. It’s a fact that your babies have arrived, are in the best care they can possibly be, and there’s no way to turn back time. So, with that said, here are some ways to make the most of this situation.

Find the joy in the situation: Although your birth experience was far from what you had planned or remotely expected, consider that new life has arrived, and that this indeed is a cause for celebration, albeit, a bitter sweet one. People will congratulate you … accept their congratulations graciously.

There are MANY ways that YOU can help your babies:

Take care of yourself: Whether you delivered vaginally or had a C-Section birth, take the time you’re home while others care for your babies to rest and heal. By the time your babies come home, you will probably be completely recovered and ready to take on the challenging and demanding role as the mom of multiples. Be sure to eat well, get enough sleep, and take good care of your own needs, because your babies are going to need you at your best.

Plan for breastfeeding by pumping your milk: You probably have made the decision to or not to breast feed your babies. Breastfeeding is the BEST nutrition for your babies, and it is very healthy for you as the next natural step in your child bearing process. Pregnancy naturally leads directly to breastfeeding. During your pregnancy, it is vital that you nourish your body the best possible way you can, both for yourself, and for your babies.

Shortly after delivery, a hospital lactation consultant visits all mothers who have indicated that they intend to breast feed their baby. In the case of your premature birth, the LC will bring a breast pump with all of the needed additional supplies into your hospital room where it will stay throughout the remainder of your stay. You will be instructed to begin pumping your first milk which is called colostrum. Colostrum is a thick yellowish substance rich in nutrition and antibodies manufactured by you specifically for your babies, and providing this perfect first food for your babies is the next, natural step in the child bearing process.

Pump, if only temporarily: If you do not plan to continue to breastfeed your babies for whatever reason, I highly recommend that mothers who deliver prematurely provide breast milk for their babies even for the first few days or weeks because the natural process of doing so connects mother with child, allowing her to feel and know that she is doing something for her babies. In fact, she’s doing the BEST THING for her babies by providing, what NICU nurses call, “liquid gold” for her premature babies. Premature breast milk is, in fact, different than full-term milk, and formulated specifically for your premature baby. From experience, pumping my breast milk for my preemies ALWAYS made me feel connected as an active contributor to the well-being and healthy growth of my babies, easing those feelings of helplessness, lack of control, guilt and disappointment caused by my early deliveries.

Be aware that you DO have a say in your babies’ care: For instance, you can specify that your babies receive only your breast milk as long as your supply is available, and to only formula feed them until you’re able to replenish the hospital’s supply when you make your next pumped milk delivery. At the same time, however, remember that your babies’ hospital stay is only temporary. If the nurses add formula or calorie boosters to your breast milk for feedings, and you don’t necessarily prefer this practice, keep in mind also that the nurses’ goal is to have your babies gain weight as soon as possible for the earliest possible discharge. Once you and your babies are home, you will make all the decisions about your babies’ care, nutrition and feeding methods.

Once you’re home, follow a routine for pumping and storing your breast milk every three hours: Once a day you should plan to ride back to the hospital with your husband or other family member and delivery your ice-packed breast milk stored in sterile bottles provided to you by the NICU. Milk let-down reflexes and even the amount of milk you produce can be enhanced if you keep photos of your babies close by, and when you breathe in your babies’ sweet scent from their little hats or blankets that you take home from the hospital. As you had specifically labeled your pumped breast milk bottles when you were still in the hospital after delivery, you will continue to do so, so that your babies are certain to receive your milk when you return for daily visits. My husband and I referred to our trips to the hospital during our babies’ NICU stays as daily “milk-runs”!

Finish preparing for your babies’ arrival: Chances are you were not fully prepared for the births of your babies when you went into premature labor and delivered them. So take this time, while your babies are hospitalized, to finish preparing the nursery, wash and fold all of your baby clothes, receiving blankets, crib sheets, etc. If you had been placed on bed rest due to your high risk pregnancy, you probably weren’t able to prepare for your babies’ arrival at all, so now you can!

Daily bonding visits: Once you feel up to it physically, plan to spend as much time with your babies as possible. Mothers are not only welcomed, but highly encouraged to spend the day with their babies. If your babies are placed together in side-by-side incubators, you may be provided a rocking chair or other comfortable chair in which to sit and breastfeed your babies for their feedings (once they reach the gestational age for gag/suck/swallow reflex coordination, at approx. 34 weeks). You can also request skin-to-skin time with your babies for further bonding. Skin-to-skin contact with their mothers increases wellness for babies. Hormones are released which calm and regulate both heart and breathing rhythm. Often, too, your babies’ nurse will encourage you to change diapers, take temperatures, prepare for feedings, and give your babies their first baths! Between feedings while your babies sleep, you can read a good book, write your birth announcements and baby gift “thank you” notes, take yourself to lunch or for a good walk around the hospital campus, or take a nap in your comfy chair before the next feeding comes around.

Bring personal items to decorate your babies’ bedside area: Bring drawings from your older children, baby clothes to have your babies dressed in, nursery items such as small stuffed animals to sit in the corner of the babies’ beds, etc., all of which allow you to feel that your babies are, in fact, YOUR babies … and that they will soon come home.

 

Babies’ homecoming

You’ll be surprised just how quickly the time will fly before your babies are released from the hospital. Sometimes, depending upon your babies’ weights, amount of breast milk or formula that they are tolerating (keeping down), and any other medical factors, you could have as little as 12 hours release notice given by the neonatologist. Once the doctor signs the discharge orders, your baby or babies are going home! Prior to discharge, you may be required to take an Infant CPR course, which is common hospital protocol for parents. If your baby is released on the condition that he or she goes home with an apnea/bradycardia monitor to alert you of any continuing apnea episodes (that can be common with preemies, and which they outgrow with further maturation), you will be required to attend a home monitor training class. Some hospitals also require parents to “Room-in” one night with their babies in the hospital (spend a night with their baby at the hospital the night before discharge in a special room decorated like a hotel room), so that if any questions arise during the night, there are nurses available to assist.

Once you say good bye to the NICU area where you’ve spent so many weeks and take your babies home, you’ll probably wish to bring a nurse or two home with you! You may wonder why you wanted your babies to come home earlier when you’re faced with the complete, 24/7 care of your babies!

Welcome to twin parenthood!

It may have arrived at a time you hadn’t expected, but it has indeed arrived.

 

Congratulations … and many blessings to you and your new babies!

A Mother’s Day Salute to Moms of Twins and ALL Moms!

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As a tribute to all moms, including moms of multiples, I wanted to do a little background research on the celebration of Mother’s Day and share it with you. What I didn’t realize was what a long, involved history Mother’s Day in fact has! Enjoy the following history lesson … because there will be a test. 😉

Rooted in religion and peace-restoration

Going back to the 17th century, the early Christians in England celebrated a day devoted to Mary, the Mother of Jesus, and eventually expanded to include all mothers calling it “Mothering Day”, honoring the mothers of England. As Christianity spread throughout Europe, the occasion changed to celebrate and honor “Mother Church”, who provided spiritual protection and was the source of spiritual birth. As time went on, all mothers were honored on Mothering Day as well, celebrated just before the holy feast of Easter.

Julia Ward Howe

When the American colonies were being settled, the English settlers all but forgot Mothering Day due to lack of time and attention. During the Civil War, a British American woman and social activist named Julia Ward Howe (who composed the lyrics to The Battle Hymn of the Republic) was horrified by the death and destruction of war and began a campaign to instill the British tradition of Mothering Day into American culture. She began a crusade against war, and put out an appeal to all women and mothers for peace. In 1872, she went to London to promote an international Women’s Peace Congress. She began promoting the idea of a “Mother’s Day for Peace” to be celebrated on June 2, honoring peace, motherhood and womanhood. Howe failed in her attempt to get the formal recognition of a Mother’s Day for Peace, but it became the precursor to our modern day Mother’s Day.

Ann Jarvis, The Mother of Mother’s Day

Influenced by Howe’s efforts to build awareness of the mothers’ role as peace and wellness provider in the family, an Appalachian homemaker named Ann Marie Reeves Jarvis began to spread the awareness of better home cleanliness and sanitation, having been influenced by her physician brother. In what she called Mother’s Friendship Day, she worked and led other women to help heal the nation in the years following the Civil War. As Jarvis’ health began to deteriorate, she was cared for her two daughters, Anna and her sister Elsinore. The two sisters devoted their lives to caring for their mother and continuing their mother’s cause following her death. In 1907, the two women helped to establish Mother’s Day as a nationally-recognized day to remember, celebrate and honor all mothers, living and dead.

Officially named “Mother’s Day”

On May 10, 1908, the first official Mother’s Day was celebrated in Grafton, West Virginia, where Jarvis and her daughters had lived, and where today stands the International Mother’s Day Shrine. The Mother’s Day International Association came into being on December 12, 1912, to promote and encourage meaningful observances of the event, and some states then began to officially declare Mother’s Day a holiday to fall on the second Sunday of May. In 1914 President Woodrow Wilson made the first official announcement proclaiming Mother’s Day a national holiday that was to be held each year on the 2nd Sunday of May.

Though the original spirit of honoring mothers remained the same, what began as a religious service expanded quickly into a more secular observance leading to giving of flowers, cards, and gifts. Although Ann Jarvis was pleased with the growing popularity of Mother’s Day before her death, she was very dismayed about the growing commercial focus of the occasion … including banners and flags to announce the upcoming day.

Mother’s Day is now celebrated not so much with flags anymore, but now with gifts, cards, hugs, thank you’s and other symbols of affection. The restaurant industry reports that Mother’s Day proves the most popular day for families to eat out! It is celebrated all over the world as a day to acknowledge all mothers and the contributions they made and continue to make in the lives of her children.

It’s all about being thankful

As a mom, and as a daughter, daughter-in-law, and granddaughter of a some very outstanding women, I look forward to Mother’s Day (in addition to most other days) in order to remind my mother, my mother-in-law and all the moms in my life how special, unique, loved and respected each one of them is. There was a time when I thought I’d never be a mother, so when this day comes around, I’m not only thankful for my mother, but also very thankful to be a mother.

How do you and your family celebrate Mother’s Day? Will you travel to spend the day with your own mother? Since we don’t live close to either my or my husband’s mom, we’ll be calling (or attempting to call) each Mother’s Day Sunday to talk and send our love and best wishes.

My family spoils me on Mother’s Day, not usually with eating out (since all the restaurants are just too crowded), but usually with homemade cards created out of construction paper and crayons, some potted flowers that we can plant in one of our flower beds, and a barbeque with all the fixings!

I truly admire all of you moms today because, as we all know, we wear so many hats, and are demanded in ways that women in past decades couldn’t even imagine. I wish all of you, especially all of my moms of twins friends, a beautiful Mother’s day full of relaxation, fun, laughter, hugs, kisses and the spoiling you deserve! Be thankful to your mother for the life and lessons she gave and continues to give you, … and be thankful that those precious children of yours will allow you to be the honorable recipient of love this Sunday!

For the complete Mother’s Day History story, please visit: http://www.theholidayspot.com/mothersday/history.htm

Happy, Blessed Mother’s Day!