The First Year With Twins

I can’t believe that it’s almost been ONE YEAR since the twins were born. They turn one on the 15th and I didn’t think I would be as emotional about their birthday as I am. It brings back all the exciting and exhilarating emotions surrounding their birth, as well as so much disappointment and frustration. Disappointment manly in just how it came to an emergency c-section and frustration with not knowing when Charlotte might be discharged and her having to have been re-admitted after being released from the NICU. Excitement surrounding their arrival and finally becoming parents! We had no idea how long the inducement phase actually was (it was around 76 hours until my original vaginal birth turned emergency c-section) and I still look back on the entire experience as it was a complete whirlwind. I still have days where I’m shocked that we have TWINS and that they somehow both came from me.

Day that we were going to be heading to the hospital to be induced! Omg I already look so tired…

Trigger warning: this section talks about traumatic births and rape

It’s funny looking back at the entire birth experience and while I wasn’t planning on ever sharing too much information about it, I do think that it’s important to share because I know that there are other mommas out there that have traumatic births and for us to not feel alone (I work with a lot of mommas in the NICU who have these similar experiences). I will say that it was extremely traumatic to go from starting my vaginal birth and pushing, to having been told I was not fully dilated, to Charlotte having some decels in her heart rate and having an emergency c-section all within 2 hour time span. It was also so terrifying to be on the medical side of a lot of this (in that- I knew what was going on in both my body and the babies) and I knew prognosis was scary. I will also say that when you expect to hear two babies come out crying and only hear one (Charlotte came out not breathing and needed resuscitation efforts to help her get the hang of things)- it’s extremely traumatic. I also had always been extremely terrified of having a c-section - particularly being tied down and it wasn’t until I started therapy a few months ago that I realized I was terrified of it because it brought me directly back to my rape and having absolutely no control over the situation. So, if you’ve experienced any of these things- just know that I see you and I know what you’re going through. It’s taking me a lot of time and perspective to start to process all of these emotions. I still have a lot more to process, but I’m so proud of the growth I have had this past year (in so many areas)! Needless to say, that the girls didn’t have the most graceful nor peaceful arrival to the world that I envisioned, but they both came home (Charlotte 4 days later than Isabelle) and have been healthy (besides minor daycare germ sicknesses). Additionally- the c-section (and endometrioma adhesion removal and partial vaginal birth (Charlotte became partially stuck in my birth canal during my vaginal pushes)) recovery was tough. I remember being maybe 10 days post-birth and walking 0.25 miles seemed almost inconceivable. So, if you’re still struggling from your recovery know that it takes time!

So, we’ll move on from the labor & delivery part to things that I’ve loved/learned/wish I did differently with twins:

I’ve loved learning about their new personalities and having two little people to dress every day!

Izzy!

Charlotte!

In all seriousness- here are things that I loved during the past year and would also recommend doing for fellow twin mommas!

  • Getting out of the house with both babies. Sooner than you would like. Start with drives. Then maybe to target for a quick trip. Just GET OUT OF THE HOUSE! It was (and honestly still is) a major struggle to get two little humans ready to go and out the door for something like a quick trip to the grocery store, but I was (and still am) determined to have these two little humans fit into our lives a bit more.

  • Bouncing off the previous idea- don’t let babies schedules get in the way of your “me time”. Whether that’s reading a book, working out, cooking, watching your favorite show- get creative in the way that you can include the babies. I had seats downstairs next to the treadmill and would pop the twins in there if they weren’t napping while I got my workout in.

  • Get a therapist that you love. This was life-changing for me in so many ways. Bonus if she’s also a mom too.

  • Find fellow twin mommas. This one is hard to do, but if you can see that there is another one of you that’s struggling with getting the babies to sleep at the same time- you feel a bit less alone.

  • Don’t feel guilty if you want to go back to work (or if you don’t). Going back to work was a game-changer for me honestly. I needed to get out of the house and have something outside of the babies to look forward to.

  • Mommaroos. Especially when they were still preemies- they lived in them.

  • Twin-Z pillow. I waited to get this until they were 6 or 7 weeks old and WHY DID I WAIT SO LONG?!? Omg. We still use this pillow. We’ve brought it everywhere (literally everywhere) with us.

  • On pregnancy- stretchy cotton pants that both looked professional, but also secretly was basically just glorified sweatpants (see above big belly picture). I lived in those pants and pretty sure they’re $15 on Amazon.

  • Lactation consultants. I didn’t do this and honestly everything just felt overwhelming in the beginning, that I wish I had booked a consult before leaving the hospital. I never had any follow-ups and didn’t get around to reaching out to one (who was not helpful) until 6 months postpartum. From experience with working with mommas in the NICU- find a lactation consultant you love and plan to meet with them a week to a few weeks after babies birth.

  • Breast pump you love and that works for you. If it weren’t for my Elvie breast pump, I wouldn’t still be pumping at almost 1 year postpartum. I wanted to quit so often and when the babies always needed something (at different times), it was nearly impossible for me to be hooked and tethered to a hospital grade pump. I eventually found a rhythm with my Spectra S1 (which I’m planning on doing a whole post dedicated to BFing) after 7 months and didn’t use the hospital-grade Medela one much (but had co-workers who loved theirs).

  • Goals for yourself. Whether it’s wanting to read a bit or go outside for a walk/run or take a nap. Communicate with your partner and don’t forget to lose-sight of yourself. It’s super easy to do (especially with two)!

  • Charlotte was sent-home on a program called the TLC clinic/Hope Grows At Home, where we had a very-close connection with a neonatology NP (GOALS!) and RN. Honestly- this was the best thing that ever happened to us. I sent them more messages and asked them more questions than our primary care PCP. We had to do a weigh-in for both babies every day for almost 2 months and send their weights to their office and then would have a telehealth check-in. It was super stressful, but also gave me so much reassurance that we had a reliable resource. If there is a program like this available to you, please reach out and ask if you can be included in it (more common if your babies have a NICU stay).

  • Plan trips. Whether it’s just an hour drive to go visit relatives or an overnighter- have things that you look forward to and while the first few trips seemed stressful (and literally like we were bringing our entire house!), it got easier and we had things to look forward to (and childcare).

  • I love sending the girls to daycare part-time (2 days/week). We were on a waiting list at my hospital for over a year (while I was still pregnant) and am so happy with our decision to send them. I book out one of their daycare days so I don’t work and get the day to myself. Selfish? Maybe? Necessary for me personally? Definitely.

  • Four months of maternity leave. A part of me wish it was longer, but I was also ready to go back to work too.

  • Grocery pick-up and target to go. We did this A LOT (and still do).

Things I’ve LEARNED:

  • I’m not perfect. I’m not an amazing mom. I’m a GOOD MOM and I’m proud of that!

  • It’s ok to be frustrated. Totally normal.

  • We ran our dishwasher every day.

  • It’s ok to follow your gut-instinct. Ask for help. Say no when you’re overwhelmed. You’re in-charge of two little people now.

  • You can’t take care of others if you’re not taking care of yourself.

  • You don’t need two of everything. Yes to cribs, bassinets, car seats, mammaroos/swings, stand-up seats (Skip Hop is our favorite). A stroller that does hold both babies is really nice (we love our Uppababy stroller (package that came with two of everything) and Thule double jogging stroller).

  • There were so many diapers. So much laundry. Just things that you think are crazy when you add one tiny little human- double it. It’s a large learning curve (I think anyways) for adding one baby- it’s a huge learning curve for adding two babies.

  • Milestones and doctors appointments shouldn’t be stressful. Find a PCP that you love. Ours is very down to earth, tells us how it is, and doesn’t harp on milestones (but is realistic and tells us when maybe we should be working on things more with the babies).

  • Starting food is very messy. I just learned to embrace the mess.

  • Any consumption of breastmilk is GREAT. Whether it’s only for a few days of the babies life, exclusive for a few months/days/weeks/years, or one bottle a day- all studies I’ve read suggest that some breastmilk give baby benefits. I wish that someone had told me this way back at the beginning when I hated supplementing with formula (originally for weight-gain, then with lower supply).

  • SIDS is scary, but it’s multi-factorial and while I had every right to be nervous about it- there is only so much that is in my control. Once I know that baby is sleeping in a safe bassinet, with the correct amount of layers, in an age-appropriate sleep-sack, in our room, and non-smoking household- most genetic factors that underly it were out of our hands. I still worried about them- as twins- as preemies- a lot. No advice here, maybe just know if you worry about it too that you’re not alone.

  • Two diaper changing stations (one on different floors if you have their nursery upstairs and living area downstairs) is necessary.

  • Pelvic Floor PT at 3 or 4 weeks postpartum. Started early and I stayed consistent with it. It was also so nice to know that I would be getting out of the house every week.

Things I wished I did differently:

  • Spoke-up more. When I thought things should be different. When I had concerns. When I needed a break. When I felt so confused and alone when trying to breastfeed.

  • Actively found a therapist sooner than 8 months postpartum. I tried for months to find someone that fit. It’s really hard and expensive. I wish that was different too.

  • I love where I work now (I switched from working in Hematology/Oncology to the NICU about 2 months after I went back to work), but I do wish the timing was different in some regards. It was stressful learning a whole new type of nursing (and still is) and the training was long- 6 months long, but I also grew so much confidence professionally and personally as a mom (helps when you work with new moms who are also just starting out). So not sure if I would change it, but just something to note.

  • Did more skin-to-skin. I didn’t realize how many amazing benefits came from it. I did it a lot in the hospital, but less when we came home.

  • Sleep-training and cry-it-out. Alex can’t let them cry-it-out, so we’re still soothing to sleep, but maybe someday we’ll get there!

Overall- this first year with twins was crazy. A total rollercoaster. They’re generally pretty good babies and keeping them on a similar schedule (thanks to them being identical) has really helped. I felt like I totally lost myself and have slowly (very slowly) started to find myself and my confidence again. I still don’t feel “back to normal” at 1 year postpartum. I’ve started to feel better just recently, but still not back to where I was. I’ve heard that it might take 18 months or maybe a few years. I think I’ll eventually get to my ‘new normal’, but we’re also trying to keep two little humans alive so it might take a bit longer than someone elses’ journey and that’s ok. I’m still not back to my ‘pre-pregnancy jeans’ and I’m totally ok with it because I honestly feel so much stronger than I ever was (mentally and physically). Goals for the next year: plan a solo-trip sans babies and sleep in a luxurious hotel bed. That sounds really really nice right about now.

  • Twin mommas- what tips do you have?

  • Things you would have done differently? Things you would have done the same?

The Past 25 Weeks!

We’ve been a bit pre-occupied over here the past 25 weeks.

We’re expecting identical twin girls! Coming sometime in late December (and hopefully not any sooner). I’ve wanted to do a recap for awhile now (and actually had one almost all finished and then it never saved), so here we are! I’m giving as many details as I can remember, so buckle-up and dive-in if that’s what you’re interested in!

How we found out:

We had been trying fir awhile and honestly that period of ‘trying’ was exhausting and super isolating. For someone who is always used to ‘getting things’ when they put in the work, it’s hard to let Mother Nature ‘do her thing’. The month before I got the positive test, I actually just decided that maybe waiting a bit would be best - since we would be moving in the next few months and life would be a bit crazy. Well surprise on me! I didn’t really experience any symptoms that would indicate that it would be positive, but since I was a week late (normal for me to be late sometimes) and we would be going out to dinner (& I’d love a glass of wine!) I figured I would ‘be on the safe side’. I got one positive -shocked- and immediately had to take three more ‘just to be safe’. I’ve never seen anything come back so quickly! Turns out I was 5 weeks. The only ‘symptom’ that I can think I had was taking a two hour nap the weekend before and skipping my long run (just not feeling it). I wanted to tell Alex right away, but also wanted it to be special- so since it was a few days before his birthday, I decided to give him an early birthday card (I love giving cards!) and told him that way (that afternoon). I think we were still both shocked.

The first ultrasound & the waiting game

The wait between finding out we’re expecting & the 10-week ultrasound was long! I got a positive blood test shortly after the pregnancy tests and my HcG blood levels were quite high (so high that my doctor predicted that I was actually 3 weeks ahead of where I definitely was). I thought that was weird, but otherwise didn’t think anything of it. I felt ok otherwise during that ‘waiting period’ before the first ultrasound, but definitely really didn’t want anything besides cheese/ pasta/ bread/ butter. I also felt pretty exhausted, but otherwise was good. I continued to run & strength train, but kept it easier than I did beforehand (especially considering I was originally training for a 100 miler). I was super nervous going into the ultrasound (what if all the tests were actually just false-positives?!).

I remember the ultrasound tech finding one fetus and I immediately felt relieved. Alex then asked ‘ is that a second one?’ and my first instinct was to tell him to ‘shut up’ (albeit I didn’t actually say that), but then the ultrasound tech said that it actually was a second fetus! We were both laughing/crying with utter disbelief. The tech also asked if I had any previous ultrasounds showing any cysts (I hadn’t), so we immediately knew something was wrong. Waiting between the ultrasound and the doctors appointment (20ish minutes) was rough. I was able to see the ultrasound results before seeing our doctor and noticed that they measured a 12cm ovarian cyst and recommended following up with gynecology oncology. The wait for our midwife (first time meeting her) was so long. To shorten things up- we were then transferred from the midwife team to an OBGYN team to then the High-Risk pregnancy team all within a span of 30 minutes (also within an hour of finding out we’re having identical twins). The doctor recommended an MRI at 13 weeks (safe after the first trimester), to avoid lunges/heavy-lifting/only easy run/walks, and that he also did not believe it was cancerous in nature (thankfully).

I continued run/walking, minimal strength training (so not to burst the cyst), and counting down until the MRI. The nausea was all the time and fatigue was also a lot. Since identical twins have no genetic factors (1/250 pregnancies have identical twins), we really weren’t expecting it and even until after the MRI results came back (still had the cyst, but surgery would be too risky because of all the increased blood flow/two babies) we weren’t expecting to have a viable pregnancy. It wasn’t until almost 15 weeks that I finally felt like I could purchase two outfits (we knew by then that they were identical girls!) and that planning a registry would be OK. It really was an absolute whirlwind of emotions (and will still need to have the cyst removed a few months after I give birth) and also received the diagnosis of endometriosis (which is something I’ve probably had since High School).

The Second Trimester

We moved into our home shortly after 10 weeks and it was super challenging to not do any heavy-lifting with the move . But after getting the ‘green light’ to resume more lunging/strength training from our high-risk doctor, I started to feel more comfortable and confident in my pregnancy. We worked on our registry, painted the nursery, and started putting together the cribs. I have finally felt like I had more energy and we have continued to ‘settle in’ to our new home.

I’ve thankfully still continued strength training, run/walking, and swimming . I’ve done 3 in-person 5ks, two virtual 10ks, and a few virtual 5ks/ one sprint triathlon. Some days I miss racing hard and having big goals, but I know that I’ll get back there.

I think think the hardest adjustment has been to go from wanting so badly to have one healthy baby with our midwife team to having a high-risk identical twin pregnancy with an autoimmune diagnosis . There has absolutely been a ‘mourning period’ where I’ve had to come to terms with having two babies and the higher health risks that’s involved in the pregnancy and beyond (they will most-likely need a stay in the NICU) and will be delivered by 37 weeks (Christmas Eve). It’s not to say that I’m not incredibly grateful for the gift of two babies (the more, the merrier!)- it has (& I’m sure- will continue to be) an adjustment.

Things I’m:

  • Most surprised by: how quickly my belly has ‘popped’, that running still feels good, that I’m still able to sneak in veggies at almost every meal, that people love to give you opinions on your pregnancy, how many people assume twins are only due to genetics, how expensive baby-related items are and how much of it we need (two of everything?!?), and how much I really haven’t hated pregnancy despite the complications.
    Mostly craving: Ice cream, salt & vinegar chips, cherry tomatoes, anything fried

  • Loving: putting together the nursery, brainstorming baby names, feeling their kicks, picking out the cutest clothes, dreaming of things to do with our little sidekicks 🥰

  • Things I could do without: every two week ultrasounds, the constant need to pee, everyone’s ‘opinions’ (albeit they always come from a good place), the constant numbness of my upper ribs whenever I lie down to sleep at night, having to buy maternity clothes (they’re expensive! They’re only going to last a few months!)

I think that’s all I have for my recap of the past 25 weeks for now, but hope to do more either weekly or biweekly recaps. If you’re pregnant/ have been- I’d love to know YOUR experience and also- must have baby items! The girls could be here in as little as 4 weeks (but hopefully not for at least 11! ) and we only have a few more ‘must-haves’ left on our registry. I don’t want to have a bunch of extra stuff!