Are you expecting twins (or more?) and unsure of what to… expect?
At Buddha Belly, we’ve had the honor and pleasure to support dozens of families of multiples with their pregnancies, labors, births and postpartum lives. Here is some insight from our experienced doulas.

You may need more frequent checkups when expecting twins.
You will see your provider often to track your babies’s growth and development, monitor your health and watch for any signs of preterm labor. More ultrasounds or other tests may be needed, especially as your pregnancy progresses.

During pregnancy you may need to gain more weight.
Gaining the right amount of weight supports your babies’ health. Weight gain depends on a number of factors including height, body type, and pre-pregnancy weight. However, most women who are expecting twins are encouraged to gain 35 to 55 pounds. Women carrying twins may gain 4 to 6 pounds during the first trimester and about 1 ½ pound per week during the second and third trimesters. Discuss with your care provider to determine your weight gain goals for your twin pregnancy.

When expecting twins your birth plan is probably going to need to be adjusted.
Having twins means you will deliver in a hospital, at least in Florida. Licensed home birth midwives and birth center midwives are not able to legally attend a multiples birth. Depending on your medical team, you may have more medical interventions than you would prefer, such as pushing in the operating room, induction before reaching your full-term, or cesarean birth if your baby closest to your cervix isn’t in a “heads-down” position.

Breastfeeding may look different, but IS possible.
Perhaps you’ll tandem feed your twin babies. Maybe you’ll feed them at the breast one at a time. You might exclusively pump breast milk and then feed your babies from a bottle. It could be that your babies will be fed a combination of breast milk and formula. Or you’ll feed your babies at the breast using supplemental nursing system. An experienced lactation counselor can help you figure out how to meet your objectives. Remember, HOW you feed your babies doesn’t determine if you’re a good mother.

It really is twice the work.
Seems like a no-brainer, right? Until it’s 3am, and one baby has woken the other, and they’re both hungry. They both get fed, then they both spit up. Wardrobe change! And diaper change. Now swaddle, rock and pat until they finally fall asleep. This process may take anywhere from 1-2 hours! An hour later they wake up hungry again. In the very early days, this can easily take two people.

So, ask for and accept help.
This is where a postpartum doula can be a lifesaver for day time or overnight support. We highly recommend asking for and accepting all the help you can get from family, friends and neighbors. A trusted friend spending a couple hours with your babies so can take a nap? Yes please!

Eventually you’ll establish routines and schedules to make your life easier.
A structured and predictable routine helps the whole family function better. Children feel safe when they know what is going to happen and what to expect next. As your babies grow, they will get accustomed to following a routine.

It’s also twice the amount of things!
Expecting twins means two car seats (and a car that accommodates both). A stroller for two. Two baby carriers. Two times the clothes, diapers, blankets, swings, socks, burp cloths… the list goes on and on. For most new parents, that means very little financial wiggle room to discover you don’t LIKE that car seat or stroller or that different brands of diapers work better for each baby (yep, they have different fits and construction from brand to brand.) We recommend minimizing prenatal purchases to the bare necessities and only buying more once the babies are here and you’ve had a chance to discover your true needs.

Connecting with other parents of twins is a must.
Only parents of twins REALLY know what it’s like. Parents can provide a wealth of support to each other by sharing their knowledge and experiences on raising twins. Hard learned lessons and true empathy from your fellow twin parents can be a lifeline. There are great support groups online.

Of course, your experiences may not be exactly the same. From our perspective, life with two babies is an unpredictable adventure in exhaustion, work and love – twice the love, twice the sweet smells on baby heads, twice the gummy, open mouth kisses only a parent could love, twice the snuggles.

If you are are expecting twins or more we’d be happy to help you develop your birth plan, postpartum plan and provide doula support at any stage of your twins journey.

Want to learn more about how a birth doula can support you when you are expecting twins?

All new mothers need information, encouragement and support. How can a doula be especially helpful when you are having twins?
1. Your doula can help you find accurate information and determine what your preferences and wishes are.
Giving birth to twins presents possibilities that you may want to know more about, including:

will they be born vaginally

as the result of an induction

via cesarean

vaginal birth for baby A

cesarean birth for baby B

what pain management or medication you might prefer

what happens if the babies don’t make it to full-term

will they require intensive care in the NICU and more.

There is no way to know for sure exactly what is going to happen. Much depends on how things progress during your pregnancy and the policies of the care provider that you are working with. But it helps to learn what each possibility might mean to you and your family.

2. Your doula will provide you with support prenatally.
Growing twins can mean extra strain or discomfort especially the further along you get in your pregnancy. Your doula is trained to provide suggestions and recommendations to help you cope with the discomfort: stretching, relaxation, belly support, chiropractic, etc.

3. Your doula will provide unconditional support during labor and birth.
Some twin mothers might feel overwhelmed by the sheer magnitude of what they are doing – giving birth to two babies! Listening to and encouraging you and providing physical support can make a difference in your experience.

4. Your doula can help when one or both twins need to be born via cesarean.
Going through this surgery may be stressful or cause anxiety. Some hospitals will allow your partner or doula to be with you during surgery to provide emotional support. Once your babies are born, you may want your partner to stay with the babies during their newborn exams and procedures, or if they need to transfer to the NICU. Some hospitals will allow your doula to join you in the operating room to take over providing support during the closing steps of surgery. Having a familiar face to talk to and comfort you can make this experience better. Tampa General Hospital is one of our local hospitals that has welcomed doulas into the operating room during cesarean births.

After the surgery is completed, your doula can continue to support you in the recovery area, especially if your partner is still tending to the babies. This means you are not left alone after the birth or surgery. You have a support person to care for both your needs and the babies at this pivotal time.

5. Breastfeeding with twins may present challenges, especially if you are learning to breastfeed for the first time.
Your doula can provide support in the immediate postpartum period to help you initiate breastfeeding with twins. This includes efforts at tandem nursing.

6. Settling in at home with two babies is an adventure all in itself.
Two babies means more baby gear, more diapers to change, more comforting and more feeding. Postpartum doulas can provide support in your home to help you transition to this new life.

They can be scheduled for daytime or overnight shifts. Their work can include:

infant care

newborn expertise

breastfeeding support

helping with infant sleep

household management

shopping

cooking

sibling care

For those who don’t have local family or friends to help out, a postpartum doula can be a lifesaver.
Our postpartum doulas are experts in the field of mother-baby care and each one is also a certified lactation counselor. They bring a professional level of support that a family member or friend might not bring.

Buddha Belly birth doulas and postpartum doulas have experience and are confident in supporting families that are welcoming multiples at birth and during the postpartum phase. We look forward to supporting you and your newborn bundles!

Read a testimonial from one of our former clients who had twins!

"When I found out I was pregnant with twins — already having a toddler at home — I was as terrified as I was excited. I knew I would need help transitioning into the new norm. From the initial communication with Amy, I knew I was in good hands. She understood my fears and we devised a plan for my family. Once the twins arrived, we had 2 weeks of 24 hour care so my husband and I could get much needed sleep. But what was probably the most beneficial was having someone taking care of me as well. It's so easy to forget to take care of yourself when your newborn arrives — having someone making sure I rested, was drinking water, and had time to decompress was amazing. I can't begin to explain how important that was to my mental well being. Marisa has such an amazing calmness about her that as soon as she walks into a room, things just don't seem as stressful. People are constantly telling me how great I seem for just having twins and having 3 under 3 — and I tell them my secret is Buddha Belly. They have helped me feel confident making the best decisions for my family. I don't know where I would be without them!"
— Lynsey Hendry, Tampa