Double the Joy, Double the Jitters
Having My Babies
Congratulations! And ... congratulations again!
You're pregnant with twins. And mixed with the joy and wonder
comes another emotion -- stark terror. Whether you're an experienced mom or a
first-timer, "what to expect when you're expecting twins" involves many
Zoeie Kreiner, a mother of six and a lactation consultant in
Illinois, already had three children when she gave birth to fraternal twins.
But having kids one at a time hadn't prepared her for the challenges of a duo.
"I'd already had babies, but there were a lot of specific questions I had
that people who'd never had multiples would never know the answer to."
The most critical mission is getting your twins born strong and
healthy. Although twins are more likely to be born prematurely and at a low
birthweight, it doesn't have to be that way, says Barbara Luke, PhD, ScD, a
professor of obstetrics and gynecology at the University of Michigan. "My
whole focus is getting babies to grow like they're singletons," she
How do you do that? It's all about nutrition -- and weight
gain. Steady maternal weight gain, particularly in the first and second
trimesters, is "like money in the bank. It's going to earn interest,"
says Luke, author of When You're Expecting Twins, Triplets, or Quads: A
Complete Resource. "Good weight gain before 20 weeks, and between 20
and 28 weeks, really influences fetal growth." An average-weight woman
who's pregnant with twins, for example, should try to gain about a pound and a
half a week -- 20-30 pounds by 20 weeks, 30-46 pounds by 28 weeks, and 40-56
pounds by 38 weeks.
Here are some suggestions from Luke for achieving that
nutritional balance and ideal weight gain:
- Eat every two to three hours. Pregnancy is "a state of accelerated
starvation," Luke says, and twins mean you need even more food.
- Include protein and carbohydrates together in every meal and every
snack: peanut butter on apple slices, cheese with your crackers. Women eat far
too many carbohydrates and not enough protein.
- Eat plenty of red meat. Sorry, vegetarians, says Luke, but red meat is an
optimal source of iron.
- Enjoy those eggs. Cholesterol may be bad for daddy, but it helps keep mommy
If you are a vegetarian, talk with your doctor about
other good sources of iron. Making sure that you get enough calcium and that
you take a prenatal vitamin containing folic acid is also a good idea.
Two Breasts, Two Babies?
Most mothers of twins wonder about two main things, says Julie
Morreale, leader of the DeKalb, Ill., La Leche League: "Will I be able to
make enough milk, and will I ever sleep?" Morreale, herself a mother of
five including 3-year-old twin girls, reassures mothers that their bodies can,
indeed, supply the nutritional needs of two babies at the same time. "Your
body will produce enough milk for twins, as long as you're feeding on demand.
Some people try to set up a schedule: That's a fine thing if it works for you
once they're 4 to 6 months old, but newborns and breastfeeding babies are made
to nurse more often, and twins nurse more often yet," she says.