Twins and other multiples are more likely to be born early and to need NICU care, and the parent who gave birth is more likely to have had a C-section or complications. Then everything at home is doubled: feeds, diapers, laundry, appointments. Research suggests mothers of multiples are more likely to have postpartum depression symptoms, and the heavier load is likely part of why. None of that means you are doing it wrong. It means you need more help, on purpose, from the start.

Feeding two, or more

• Breastfeeding twins is possible, and so are formula, pumping or any mix. A lactation consultant who has worked with twins can show you positions for feeding both at once.
• Many families feed the babies at the same time, or back to back, so the night has some gaps in it. Ask your pediatrician what fits your babies, especially if they were born early.
• Keep a simple shared log of who fed, when and how much, and diapers. Two tired adults can't remember which baby ate.
• Set up two feeding stations with water, snacks and burp cloths within reach.

Sleep

• Each baby needs their own safe sleep space: on their back, on a firm, flat surface, with nothing else in it. Sharing one crib or bassinet isn't recommended.
• Split the night into shifts so each adult gets one protected stretch of sleep.
• The first months are about getting through, not perfect routines.

The parent who gave birth

• Recovery can take longer after a multiple birth, a C-section or complications. Keep your postpartum appointments, and know the warning signs after birth.
• Heavy bleeding is more common after a multiple birth. Soaking a pad in an hour, or clots the size of an egg or bigger, means calling your provider right away.
• High blood pressure problems, including preeclampsia, are more common with multiples and can show up after the birth. A headache that won't go away with medicine, vision changes, or sudden swelling of the face or hands: call your provider right away, and if you can't reach anyone quickly, go to an emergency department. Trouble breathing, chest pain, a seizure, or a sudden, severe headache: call 911.

Get help, twice over

• Ask for more help than you think you need, and ask early. A Village page can list night shifts, meals and "hold a baby while I shower."
• A postpartum doula or night helper can make a big difference. Ask your health plan whether it covers doula care.
• Parents of multiples clubs, local and online, are full of people who have done exactly this. Multiples of America lists local clubs.
• Getting out with two babies is hard. Small outings count.

Two babies, one heart

It is common to feel closer to one baby first, or to feel you never give either enough attention. That usually evens out. When you can, spend a little time with each baby on their own, and call them by name, not only "the twins."

For dads, partners, family and friends

• Take one baby fully: that baby's feed, burp and settle, while the other parent does the other.
• Bring double of whatever you would bring anyone else: diapers, wipes, meals.
• Visit to help, not to hold both babies while the parents host.
• Ask about each baby by name, and ask how the parents are.

Your mood matters

If you feel low, anxious or overwhelmed most days for more than two weeks, call your provider. Research suggests mothers of multiples are at higher risk, dads and partners carry a heavy load too, and help works. The PSI HelpLine (1-800-944-4773) can point you to support.