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Sleeping Arrangements for Twins – Crib & Room Sharing

I’m a member of many online twin mom groups, and it is often asked… did your twins share a crib? The simple answer is yes, but when it comes down to the nitty gritty, there are many different sleeping arrangements for twins. Whether you’re concerned about safety or practicality, there is a lot to consider. So before you go shopping for cribs, consider how you want those babies to sleep.

 

sleeping arrangements for twins facebook

 

Is it Safe for Twins to Share a Crib?

 

You may have concerns about the safety of your twins while sharing a crib. You often see photos of twins snuggled tightly together while sleeping, after all they were pretty up close and personal in utero. We have a number of those adorable moments captured on camera ourselves, but, generally I felt more comfortable when the twins were close together but not snuggling. In the hospital I had them share a box (that’s pretty much all you can call those plastic tubs) but only for a couple of days because I found they started to wake each other up. Still, I believe having them close to each other helps them stay calm, even today now they’re 20month old.

“Cobedding promotes self-regulation and sleep and decreases crying without apparent increased risk.” (Effect of Cobedding Twins on Coregulation, Infant State, and Twin Safety – JOGNN)

 

Sleeping Arrangements for Twins in a Shared Crib

sleeping arrangements for twins side by side

For the more snuggly orientation, go for a classic side by side set up. I worried about them moving and getting in the way of each other’s breathing, and it was also incredibly difficult to pick one up to feed without jiggling and therefore waking the other. 

sleeping arrangements for twins head to head

I must say, I never tried this one, although it is often recommended as the safest way to co-bed twins. Their heads a close enough to hear each other’s breathing, but faces are clear of legs and accompanying swaddles/sleep sacks.

This is how we had our twins sleeping for the first three months. They have enough space that you can pick them up without waking the other, but they feel close enough to encourage self-regulation. At three months, they became too tall to lay in this position, and they started to rotate in the night and kick each other in the head! So we moved them at that point into their own cribs.

 

Another popular choice for the early days:

Many twin moms choose to use a pack n play with basinet attachments for the first couple months. They are at a good height to reduce bending (especially useful post c-section) and allows separate sleeping space without swallowing the room while they’re in with you. The Graco is particularly popular –> Graco Pack ‘n Play Playard with Twins Bassinet (Amazon affiliate link)

 

Slight Side Note: The Use of Blankets in Cribs

A generation ago, we were all bundled up in blankets, in cribs decorated with padded bumpers, sleeping on our bellies nuzzled up against a cuddly toy. The campaign to encourage moms to sleep babies on their backs and keep them away from smoke (amongst other things) has seen a huge decline in Sudden Infant Death Syndrome (SIDS). But sadly since 2000, deaths classified as ASSB (accidental suffocation and strangulation in bedding) have slightly increased.

The horrific story of Jordan DeRosier and the loss of her 7month old son this week made my stomach wrench and my eyes fill with tears the second I saw her post on Facebook. I can not stress enough the importance of not using blankets in your crib before 12 months. With twins there seems to be even more of a risk that one will get tangled, because there are two blankets and two moving babies. I had mine swaddled for the first couple of months, but once they started to bust out of that swaddle, they only wore sleepsacks.

 

What about co-sleeping with parents?

This is always a delicate subject, because the world is torn between whether its a great idea or a terrible one. Accidents can happen, but at the same time they are so close-by, you are more likely to notice if something is wrong. I honestly don’t know where I stand on the safety factor, all I know is when there is a child in my bed, let alone two, I don’t sleep. They fidget, you get butts in your face, and it’s all round a disaster for mom’s precious sleep.

Having said that, there were times during the first few months when they were sick, or teething, or just outright cranky, and I would bring them into bed for a cuddle to get them to sleep. I found they always rolled into each other and me, and it all became a little congested to feel safe.

“Try putting one baby next to you and the other in a bedside co-sleeper, a crib-like bed that attaches safely to your bed. ” (Dr Sears, Parenting.com)

Many twin moms will find it easier to have one baby on each side of them, making breastfeeding during the night simple. Personally I like to be able to slide out of bed without disturbing them, so on the odd occasion I had them in the bed they went between Daddy and me. But they would always end up smooched into my armpit together, so I never got any sleep!

 

sleeping arrangements for twins cosleep

 

Sleeping Arrangements for Twins is Separate Cribs?

It can be difficult to find the space for two cribs. And you may limited as the arrangement you can create in your new nursery. 

Sleeping Arrangements for Twins Interlocking

This seems to be a popular option, because it’s the most space efficient for smaller rooms. If you do decide to have the cribs touching, do make sure decorative mouldings do not cause a small gap. A fellow Phoenix twin mom brought this to my attention after her 18month old was found hanging from his head after getting stuck in the small gap between the cribs. Luckily, the boy was fine because his Mom found him quickly. It could have ended differently.

Sleeping Arrangements for Twins End to End

Visually, I like end to end… it gives a symmetry to the room that can look adorable. However, if you want to have the cribs touching, just make sure they do actually touch, you may even want to fix them together. Otherwise, spread them apart to create a good sized gap, one that will mean baby will land on the floor rather than get caught on their way down. 

Sleeping Arrangements for Twins middle

This is how we have our cribs arranged. We were really limited with wall space because of the closet, two windows and a door. That left no space for two cribs! Placing cribs along an outside wall is also not advised because babies can get cold at night (whoever came up with that one doesn’t live in Arizona); so if you are trying to reduce contact with the wall, this arrangement is a good shout. Just allow a good gap between the cribs or make sure they’re safely fixed together.

 

sleeping arrangements for twins side by side cribs

 

sleeping arrangements for twins far apart

If you want to reduce the temptation to try and climb from one crib to the other you may choose to just keep those pesky babies as far apart as possible!

 

What about when they move to beds?

Twins have the best incentive to escape their crib… they have a sibling to get to! Once my boys have worked out how to do this, they will be moving into beds, even though it may be earlier than I’d like. If you’re considering your sleeping arrangements for twins in beds or bunks, head over to my design post on beds for shared rooms.

Many parents decide to separate twins into separate rooms when they move into beds, because they just run wild through the night. I’m remaining hopeful that with some perseverance we can work it out… I’ll keep you posted on that one, haha!

twin-pickle-signature

Guest Post – A Bumpy Start: Pumping at the NICU

Today is a Twin Pickle first… I’m handing over the blog to someone with far more experience and knowledge on this subject than myself. We were lucky enough to avoid the NICU when I had the Twins at 36wks, but I still didn’t manage to successfully breastfeed. This was partly because I panicked about their weight loss, when preemie’s don’t have much to spare; and partly because I lacked knowledge on preemie babies and pumping. Therefore I’m extremely happy to have Katharina from breastfeedsuccessfully.com offer her expertise, for any moms-to-be or new mums worried about how breastfeeding at the NICU is possible. 

pumping at the NICU fb

 


“Don’t stop pumping the plane! My wife is still boarding for our baby!”, my husband blurted out, while sprinting towards the airport terminal staff, after they had made the final boarding call for our flight. By the time I walked up, the airline staff welcomed me with a chuckle and by saying “Good job pumping, Momma!” We had just spent the first 7 days of our precious baby’s life at the Neonatal Intensive Care Unit (NICU), after being air ambulance to a different city shortly following his birth. Needless to say that my husband and I were excited, exhausted, and apparently we were both suffering from major “Mommy Brain”.    

To this day, I still tear up every time I see a picture of a preemie. We only spent 1 week at the NICU, but other parents spent much, much more time there. If you’re expecting twins, then your doctor may have already mentioned that depending on how early your babies arrive and depending on their birth weight, they may be admitted to the NICU. Even though it probably is not what you’re hoping for, you are already ahead of most expecting moms by facing this possible scenario head on and mentally preparing for it. This way you’ll enter and exit the NICU much stronger and more confidently, and you’ll be able to keep your focus on your sweet babies.

baby going to NICU
Transfer to be air ambulanced to Childrens’ Hospital the night Leon was born

If your goal is to breastfeed your twins, know that premature babies are often too weak to start breastfeeding after birth, and they may be tube or bottle fed at the NICU instead. Therefore, the foundation to successfully breastfeeding your twins later down the road, is to first learn how to pump successfully. Many other moms of twins have done this before, and while there are some challenges to overcome, it’s completely doable!

 “Will I have enough milk for my babies?” is a very common question, especially for moms of twins. It can be easy for people (even well-intending family and friends) to knock your confidence, when it comes to producing enough milk. Your best strategy to silence your inner critic and to create a generous milk supply is to thoroughly understand how milk production works. Breasts create more or less milk, depending on how frequently and efficiently they are emptied. So, the more often and the more thoroughly your breasts are emptied, the more quickly your body will replenish. Usually, it’s your babies’ job to empty your breasts and to tell your body how much milk to produce, but if things start off at the NICU then you’ll take charge of this yourself via pumping. If managed well you can get explosive results.

 

What kind of pump should I get?

While your NICU will provide you with a pump, you may still choose to buy one ahead of time or know where you can rent one in a jiffy, so you are also prepared for pumping at home. If you’re expecting twins, a hospital grade double-pump will cut your pumping time in half, because you’re emptying both breasts at the same time. That’s a huge time saver! When shopping for a pump, pay attention to reviews of other moms about how thoroughly the pump empties their breasts.

Pumps usually have a “Stimulating Phase”, which is a single setting that lightly stimulates your breast to trigger the milk flow. Once the “let down” happens and your milk begins to flow, you’ll switch the pump to “Expression Phase”. In this phase, you’ll be able to choose from several intensity levels. Don’t use the highest level when you first start pumping. Work your way up towards it, so you can get used to the higher settings more slowly. For the first few pumping sessions, start by pumping only one side at a time. You’ll learn how to handle the pump more easily and also have a free hand to massage your breast during pumping. Light massages and compressions can help ease breast engorgement, which is quite common in the early days.  Later on, a pumping bra, will free up your hands, so you can enjoy a little mobility while pumping. By the way, do not do any pumping, while you are still pregnant, because stimulating your breasts towards the end of pregnancy can actually bring on your labor.

baby at the NICU
Leon taking a snooze at the NICU

 

Where will I pump?

During my pregnancy, I always imagined spending the first couple of days of my baby’s life bonding in the privacy in our own hospital room together with my husband, with the occasional doctor, nurse, or close family member checking on us. NICU life is quite different. Your babies will likely be inside an incubator, in a large, open room together with several other babies. Our NICU had approximately 20 babies in the same room, with a nurse to baby ratio of 1:2. You’ll be sharing the room with the NICU staff, the other parents, as well as the visitors of other babies. The only means to create some privacy are mobile wall panels, that you can set up to create a “quiet corner”. Pumping bedside allows you to spend more time with your babies and also gives you an opportunity to ask the nurses for help if needed. If you’re having any difficulties, ask multiple nurses, because each nurse may have a different suggestion or solution. Also, take advantage of the hospital’s lactation consultant and discuss your progress with her as frequently as possible.  

During busy visitor hours, you can seek out the “Mother’s Pumping Room”, which every NICU has. It’s probably not the fanciest of rooms, but it will give you some well-deserved privacy. During the night, you’ll be pumping either at your hospital room or at home. If you’re able to set up your pump beside the bed, you may be able to “rest” a little while pumping in bed. Just use some pillows to prop yourself up and get comfortable.

baby under blue lamp hospital
Catching some rays at the NICU to fight his jaundice

 

How often and how long should I pump?

Due to our delayed transfer to a different hospital, I didn’t get my hands on a pump until almost 16 hours after my son’s birth. Delaying pumping past 6 hours after birth is never recommended, but it goes to show that you can have success with pumping, even when things start out less than perfect. When I was finally handed a pump by a nurse in her early 20s, who undoubtedly had never pumped or breastfed herself, she told me “Here you go. Pump for 10 minutes on each side, every 3 hours”. So, off I went and started pumping, strictly abiding to her instructions. Once my milk came in more heavily, 10 minute pumping sessions weren’t nearly long enough to get the job done, leaving me completely engorged. At the time, I didn’t realize what my breasts should feel like during this stage. I had heard so much about how sore and uncomfortable women’s breasts get, so I figured this must be all part of it. I was so grateful, when a more experienced NICU nurse told me to keep pumping each side until my breasts were empty and felt “soft” again. No more of this 10 minute nonsense! Remember how important emptying your breasts frequently and thoroughly is for your supply? I quickly learnt that pumping more often than every 3 hours and emptying my breasts completely did wonders to my milk supply. So I aimed for more frequent pumping during the day, and stuck with a 3 hour routine during the night. Also, if one breast still feels heavier and lumpy in certain spots after pumping, there is still some milk left. It may indicate plugged ducts. Keep pumping, and massage the lumpy area, starting from the top working down towards the nipple. You may pump quite some time without any milk flow, when all of a sudden the duct unplugs and milk flows full force for a few seconds, until the duct is completely emptied.  

 

Why is no milk coming?

Pumping during the first 3 days, can be mental torture. Sure its physically exhausting, but what’s even more difficult is staring at an empty bottle, session after session. It can be outright disheartening and cause moms to throw in the towel, saying “I literally had no milk!”. I remember panicking over this, too!

Generally, colostrum is produced over the first 3 days, followed by a noticeable increase in milk supply after day 3. That is textbook milk supply, though! If your story is different that’s completely OK. Multiple factors, can trigger delays in milk production, such as being a first time mom, large amounts of IV during labor, medications during labor, traumatic birth, c-section, long pushing stage, delay in pumping, and many more 1. I checked off at least 6 of these factors, which caused my milk to come in quite late. I still stuck to my pumping routine, remained focused, and was eventually able to exclusively feed my son with breastmilk.  Know that under difficult circumstances, it may take over a week or two (even several weeks in severe cases) to slowly build up a full milk supply. If your twins are born quite prematurely, it may mean your breasts missed part of the growth period of late pregnancy, resulting in less milk producing tissue at birth 1. Again, frequent and thorough pumping, will help your breast tissue to continue to grow and develop after birth 1. Once you’ve done the hard work of developing your supply, you’ll reap the reward of watching your twins getting “milk drunk” on momma’s milk. 

 

Almost no milk is coming!

When you finally start seeing a thick drop of colostrum slowly coming out of your nipple and running down the horn of your pump there is a good chance the precious drop will go completely to waste. Why? Because by the time it has made its way from the horn, through the pump’s valve, all the way down the inside of the bottle, it’s likely going to have dried right up. That’s why hand-expressing is usually more effective at this stage. Simply press a spoon or tiny cup tightly against your breast, just below your nipple. Use your other hand to compress and massage from just above and below your areola down towards your nipple. Ask a NICU nurse or a lactation consultant for help with this if you need any. They will also help you feed your colostrum to your babies. Always remember to still pump after hand-expressing to stimulate your production. It’s absolutely fine if no or almost no milk is released during your pumping sessions. You’re simply sending your body a message to start producing milk. Give it some time.

You may see other moms entering the pumping room after you and leaving before you, holding two 8 ounce bottles of milk, filled to the rim, while you’re struggling to create a single ounce. Instead of getting discouraged and being struck down with milk envy, try to remember that this mom has likely spent much more time at the NICU than you. Stay focused on your goal: Building a generous milk supply for your sweet babies.

Once the pump starts to express some milk, you may want to attach the pumping horn to your breast upside down, resulting in the bottle being held upside down as well. This shortens the path your milk has to travel, saving your precious milk right inside the pump’s horn, where you can syringe it out of later on. NICUs carry syringes in various sizes, and you’ll feel incredibly accomplished every time you move up a syringe size, because you’re supply has increased again.

baby leaving NICU
Leaving the Childrens’ Hospital after 7 days to take our baby home

What about supplementing?

While you are working very hard at boosting your milk production, your babies may still need some supplementing in the early days. Trust your NICU staff about when and how much to supplement. It was gut-wrenching for me, when my baby wasn’t getting enough milk and needed to be supplemented. I unnecessarily put myself through the ringer about not having enough milk. It’s completely okay and absolutely necessary in this situation to supplement! Formula or donor milk can be heaven-sent, and you should never feel guilty about having to supplement. 

 

Skin to Skin or Kangaroo Care:

The first time, I walked up to my son at the NICU, I couldn’t help but start crying. I had kept it together pretty well up until that moment, but seeing him inside the incubator, with cords attached all over his tiny body, and feeling that physical barrier between us unhinged something deep inside of me. All I wanted to do was to finally touch him and hold him. Luckily our head nurse was a huge advocate of “skin to skin”. She helped us take him out of his incubator and placed him properly between my breasts, so he could breathe well and so that the cords weren’t getting caught anywhere.

“Skin to skin” is also known as “Kangaroo Care” and has too many wonderful benefits to name them all. Honestly, we probably haven’t even discovered all of the incredible things it does for moms and their babies. Immediate benefits are stabilizing of babies’ breathing, sugar levels, heart rate, and temperature2. It is soothing to babies, and there are suggestions that it improves babies’ sleep cycles. Mothers feel more empowered and needed by their babies. It lessens the stress load and makes new moms more responsive to their babies’ cues. Most amazingly it is proven to increase the prolactin level in mothers, which is the hormone responsible for helping your body make milk2. So, skin to skin is absolutely wonderful for you, your babies, and for boosting your milk supply. A great time for skin to skin is after you’ve fed your babies. Go braless and have your babies wear nothing except their diapers. Be sure to ask the nurses to help you with placing the twins on your chest and placing pillows below & beside your elbows to help you relax your arms. Also, have them place a blanked over your babies backs to keep them warm. Tucking the blanket around your back will also help keeping your babies more securely on your chest. Dad can join in on the fun too, of course!

preemie baby and mom
Skin to Skin with Leon

One last piece of advice: “Be patient with yourself. Be good to yourself. Be gentle with yourself.” This may be one of the more challenging and exhausting situation you’ll ever work through in your life. Don’t allow yourself or anybody around you to guilt you in any way, regardless of the path you choose. Your babies most and foremost need a strong mom. You may be struggling with a certain aspect of pumping or the NICU one day, and the next day you may have the most incredible moment with your babies erasing all the stress around you for a quick moment. Take it one day at a time, and you’ll do a wonderful job at handling pumping, the NICU, and eventually breastfeeding as well. But most importantly you’ll do a wonderful job being there for your sweet babies.

baby and proud dad
On our way home – Dad and Leon at the airport, while mom is pumping

 

References

  1. When will my milk come in? • KellyMom.com. (2016, March 15). Retrieved February 13, 2017, rom http://kellymom.com/ages/newborn/when-will-my-milk-come-in/
  2. Skin-to-skin Contact. (n.d.). Retrieved February 13, 2017, from http://www.lllc.ca/category/faq-categories/skin-skin-contact

 


Katharina Siemens BioI hope you enjoyed our guest…

Katharina Siemens from breastfeedsuccessfully.com gives expecting and new moms the critical knowledge, practical info, and crunchy solutions to meet their breastfeeding goals. 

 


 
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Top Ten Ways to Move a Sleeping Baby.

You arrive home in the car and open the back door to find a baby (or two) fast asleep. If only you could do a tactical transplant to the crib? Here are the top ten ways to move a sleeping baby:

sleeping baby

1. Slowly. Undo the straps, pause. Remove arms from straps, pause. Slide hands behind head, pause. It might take most of nap time to get him to bed but he’ll be none the wiser.

2. Quickly. Babies have the ability to wake randomly, scream and then instantly fall back to sleep. Use this to your advantage by frantically wrestling baby out of the car, chucking them into their crib and closing the door. You’ll likely stand outside holding your breath to see if he goes back to sleep but it might actually work.

3. The Yoga Transplant. This is my favored technique. It’s important to get ‘in-the-zone’ first with some deep breathing and a little shake out. You’re aiming for continuous smooth movement accompanied by rhythmic breathing. Feel the movement, go with the flow and be confident yet gentle.

4. The Lullaby. Remove your child in the usual manner but accompany the action with a lullaby. The success of this will likely depend on your singing skills and therefore I am currently running on a 0% win rate.

5. Don’t move them. I quite often do this if I realize they’re asleep while I’m still driving. Divert through Starbucks drive-through, turn up the radio ever so slightly and enjoy the view of the parking lot. Accompanied with a browse through Facebook and a some people watching you can have quite the afternoon.

6. The Hypnotist. Pull out your best Derren Brown impression and talk quietly to your baby. Start before you touch, telling him how ready he is for naptime – ooze mind-control. Talk repetitively and continuously until baby is in bed, using trigger words like sleepy-sleep, naptastic and shhh…

7. The Masseuse. Rub baby’s feet, hands and temples in an anti-clockwise motion. Follow this with gentle tickles down the legs and arms before carefully removing baby from the car and placing over your shoulder. Pat bottom repeatedly until you reach the crib. OK… I haven’t actually tried this but I have a good feeling about it.

8. The Rocker. More rock-a-by-baby than leather pants and mosh-pits, the Rocker requires rhythm. Undo and remove arms from straps, then pause. Start to rock/giggle the car seat in a rhythmic motion and hope baby doesn’t wake up. When you’re ready, scoop baby up while keeping up the same rock/giggle until you get him to bed.

9. Act like nothing happened. Just remove your baby from the seat like normal. They’ll probably wake up and expect an afternoon snack so whatever you do DON’T make eye contact. Confidently pretend you haven’t notice that they’re totally awake and just put them straight to bed anyway. If you believe it enough they might just join in.

10. The Defeatist. Just don’t even bother. The look of disappointment and desperation on your face just might be enough for a sympathy vote and baby might go back to sleep. It’s unlikely but there’s always hope.


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Developmental Milestones: Can your baby breakdance yet?

developmental milestones

My first born was, and still is my over-achiever baby. She rolled earlier than expected, crawled on schedule, and picked up talking and reading so early I smugly revelled in many a proud moment as my toddler read out the title of a pamphlet in the doctor’s waiting room. But this time round, not so much…

My boys have the unfortunate combination of being huge for their age (they’re wearing 18mth clothes at 9 months), but behind on development milestones. Yes, I said it… they are ‘a little behind’ (Although when I say it in conversation people look at me like I’m dissing my own children), and their proportion means everyone thinks they can ‘do’ more than they actually can. At the gym a month or so ago – lets be honest, that was probably the last time I went – I checked in my boys and handed over one chunky monkey to a confident young girl a the childcare center.  She promptly plonked him down on the floor beside her while she came back for his brother. It was one of those slo-mo mom moments when you can see what is happening but are unable to move your limbs fast enough… and I have the reactive response of a sloth, so I watched him slump from his sit and topple to the side, bumping his head on the wall. Lots of crying and cuddles required, and I left feeling grumpy that my need for a better butt had resulted in injury to my not so little one. “I thought he could sit.” She said. And who can blame her, he practically looks ready for kindergarten but has the skills of a baby three month younger.

I don’t mind waiting… their pediatrician isn’t concerned so I shouldn’t be. But still the questions… “Are they nearly walking?” No they’re not actually, and now I feel like an inadequate mother, for no sensible reason what so ever. Other Moms agree, it’s family that are the worst culprits for it. Granny wants bragging rights when she visits the country club “Oh and he is clearly a talented musician because he can already play Incy Wincy Spider on the xelophone you know.” My boys also suffer from having an over-achieving cousin three months younger, meaning there is the constant comparison… even though when they FaceTime each-other they don’t seem to mind at all, dribbly grins all round.

I used to babble justifications at people “they were 4wks premature,” “twins are often behind schedule,” “it’s the weight of their giant heads…” but to be honest its feels better just to say “they’re behind but they’ll get there.”, whether its to the person in front of you or repeating back to yourself in your manic mommy brain. So if you’re baby’s not breakdancing yet, you’re not alone in the wait, and remember that everyone’s quick to brag but there is probably just as many moms silently panicking that Mr Jelly-Legs will never walk. The milestone guidelines are broad and I find the ‘speak to your pediatrician if…’ sections on this link reassuring:

www.thebump.com/a/baby-milestone-chart

And because it’s totally cute, here’s a baby actually trying to breakdance:


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