TwinParenthood.com

Having twins and multiples means more of everything — including morning sickness. The majority of all pregnancies experience nausea to some degree, and that increases with each additional baby in the mix.  The severity of the nausea is also increased with each additional baby.

Pregnancy nausea is usually attributed to the increased hormones during pregnancy. Many of these hormones are produced by the placenta. So, when there is more than one placenta (as in many twin pregnancies), more of these pregnancy hormones are produced — causing increased nausea.

“Morning Sickness” can occur at any time of day, but is often associated with the morning because it can be more strongly felt with an empty stomach. In addition, a twin pregnancy can put more pressure on the tummy — increasing nausea.

One little trick to help with this is to keep crackers or a banana at your bedside. When you get up in the middle of the night to use the bathroom (as pregnant twin mamas often must do), eat a little bit. It is healthy for you and your babies — and will help reduce the morning nausea.

Increased nausea is one of many signs that you might be having twins.

Do:

• Eat small meals often
• Take a nap and get plenty of rest
• Learn your particular triggers and avoid those foods and smells that increase your nausea
• Dress in layers so you can peel off if you get too hot (feeling too warm increases nausea)
• Drink lemonade, eat watermelon, or something with ginger — as these help reduce nausea
• Exercise (but talk to your doctor about the amount and type that would be appropriate for your twin pregnancy)
• Eat salty potato chips
• Consult with your doctor — keep your doctor informed of your level of nausea (too much naseua can indicate a problem)
• Eat healthy with lots of protein

Don’t:

• Do not drink a large amount of fluids with meals
• Do not lie down after eating
• Do not skip meals
• Do not cook or eat spicy food

While morning sickness in a twin pregnancy can be more severe and can last longer into the pregnancy, it is survivable — as is just about everything twin related.  Take it one day at a time, and your little sweethearts will be here before you know it.

Did you or do you have morning sickness with your twin pregnancy? Any tips for coping?

Copyright 2010 Kathryn Whiteley — TwinParenthood.com

The age at which twins, triplets or more begin to notice each other and interact varies widely.  A lot depends on how closely you keep your twins in proximity to each other.  Do they share the same crib? Do you place them side by side on the floor for tummy time? or under an arch for overhead play time? These factors all can influence their interactions.

Some twins are aware of their twin from day one. Parents of multiples have reported their twins crying more when separated from their sibling.

Hospitals in Europe have long practiced co-bedding of multiples because of the reported benefits for the infants, which include improved weight gain and growth as well as a reduction in physiological stress.  Hospitals in the United States have begun to follow suit. However, hospitals in both countries are rethinking their policies.  

More recent reports indicate that co-bedding can increase the chances of SIDS, although some sources attribute the higher incidence of SIDS among multiples to be primarily related to low birth weight and not necessarily co-sleeping.   A commentary published in the journal “Pediatrics” on November 30, 2007 titled, “Cobedding Twins and Higher-Order Multiples in a Hospital Setting” concludes:

“Although cobedding multiples has become more widely practiced in hospitals in the United States, neither the safety nor the benefit of this practice has been documented in the published literature. Parents should be encouraged to follow established safe-sleep practices for infants at home.”

Even if you decide against co-bedding your twins, you can encourage their interactions by keeping the cribs close to each other in the bedroom. During activity time, you can encourage interactions by placing your twins together on the floor, side-by-side in the stroller, and holding them face to face with another adult.

No matter what age your twins begin responding to each other, it will happen sooner or later. It would be pretty tough to grow up as a twin without forming a strong twin relationship that involves playing, fighting, and emotional support.  As parents of twins, we long for the day when we see the twin bond developing — and some of us must be more patient than others.

Copyright 2010 Kathryn Whiteley — TwinParenthood.com