Emma Mahony - Double Trouble - Twins and How to Survive Them

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This indispensable guide to multiple pregnancy, birth and beyond, comes from an expert on the subject – Emma Mahony is a twin herself as well as being the mother of twins. Humorous cartoons from the Times’ front-page cartoonist make this a lighthearted, informative guide to everything expectant mothers of twins need to know.Twins are amazing – but multiple pregnancy and birth, not to mention coping with twins once they are born, carries a set of special fears, risks and issues. Many parents-to-be find themselves overwhelmed.This guide is informative yet informal – in a similar vein to ‘Best Friends Guide To Pregnancy’.The author is uniquely experienced in this subject, being a twin and also a mother of baby twins.Contains advice from pregnancy and childcare experts as well as case studies.Illustrated inside with humorous cartoons from Jonathan Pugh, father of two and front-page cartoonist at The Times.An exploration of practical issues such as eating for three, managing breastfeeding, and the trend towards Caesareans for NHS twin births.• Any special concerns? The unnecessary label of ‘high risk’ in pregnancy.• Testimonies from mums who have tried different approaches.• Interviews with medical and midwife experts.• A step-by-step guide to the different stages of pregnancy and birth, including how to involve the father and explain twins to other siblings.• Tips on managing once the twins have arrived.

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Swimming is the best exercise for twin mothers towards the end, particularly if you are a member of a clean health club (pregnancy makes you notice the plasters on the bottom of the public pool). I loved the feeling of weightlessness as I took to the water, cupping my stomach and the babies as I slowly made my way up and down the pool. I even managed to escape buying a maternity swimming costume by wearing a black Lycra size 20 until the very end. Swimming is also good because it keeps your temperature stable in the water, increases blood flow and urine output, and reduces swelling. At the same time, it puts less stress on other parts of your body, particularly the uterus.

Yoga is also wonderful if you can find a pre-natal class locally, or a yoga teacher who can show you a few simple exercises to do. Pre-natal classes, as opposed to normal classes, also give you the opportunity to sit around chatting to other pregnant women while the yoga teacher reminds you to do your pelvic floor exercises.

Love your pelvic floor

The pelvic floor muscles are what your expanding babies are sitting on. They sit like a hammock supporting your internal organs, and withstand a lot of pressure during pregnancy. Regardless of whether you have elected for a Caesarean and are hoping to escape ‘honeymoon sweet’ (a myth, I’m afraid), you need to learn to love your pelvic floor muscles. It is pregnancy, not birth, that stretches them, so nobody escapes.If you don’t learn to love them now, you may never set foot on a trampoline again, or survive a coughing fit without a dash to the loo. Take those Bangkok girls with ping-pong balls as your role models and ‘squeeeeze!’ (in the words of the heroine of Allison Pearson’s hilarious novel I Don’t Know How She Does It 7 )

Once a yoga teacher has helped you locate your pelvic floor, find a regular place to do your exercises, such as when sitting at the traffic lights. The only place I could remember was in the bath. Lying on my back, I would do the hold for 10 seconds, release for 10 seconds, hold for 9 seconds, release for 9 seconds, until the water went cold. Those without a yoga teacher can practise by sitting on the loo and holding back their pee intermittently.

Working out

As I have never set foot in a gym, I can’t give any sensible advice on what exercises can and can’t be done in later pregnancy. However, the actress Jane Seymour writes quite comprehensively about her workout regime before the birth of her twin boys Kris and Johnny. Without wishing to pour cold water on her efforts, her impressive gym activity is tempered by the fact that she did go into labour at 34 weeks after the onset of pre-eclampsia. (Her disappointment about being wheeled in for an emergency Caesarean, however, was offset by the surgeon’s flattering remarks as she lay under the knife. In her book Two at a Time the surgeon is quoted as saying, ‘Look at those abdominal muscles – good work, Jane. They look like the muscles of a 20-year-old.’ 8 The following excerpt from her punishing schedule carries a warning that you may well feel tired just reading it:

‘My workout stayed essentially the same between 28 weeks and 34 weeks with some important exceptions because of the irritable uterus episode I’d had at 28 weeks. I no longer warmed up on either the recumbent bike or the Stairmaster. I also used stretchy exercise bands instead of the weight machine, and I did exercises seated or lying down instead of standing. Gently, I kept up with my abdominal exercises, even though I had grown so large, although Dr Ross pointed out that if I had experienced pre-term labour, all abdominal exercises would have been out.’

Phew. Cup of raspberry leaf tea, anyone?

Obviously now is not the time to take up jogging, because there is nothing more uncomfortable than your stomach and boobs swinging up towards your face. But for those of you who were runners before your body was invaded, there is little reason why, with the blessing of your doctor or midwife, you can’t carry on. In the Autumn issue of our twins club newsletter, we reported on a 33-year-old marathon runner who became pregnant with twins. After her first antenatal visit she cut down her running from 96 miles a week to around 66 miles, and eased off her pace. The twins grew at a normal rate and the mother stayed healthy, only giving up running three days before the birth. After a planned Caesarean at 36 weeks, she gave birth to twins weighing 4lb 14oz (2.2kg) and 5lb 1oz (2.3kg). Go girl.

Dealing with common complaints

Ranking in order of popularity, from the most popular complaint to the least popular, here are the most common symptoms that 50 twin mothers in our local south-west London area experienced in moderation during their pregnancy. The questionnaire did not include ‘exhaustion’ which was cited by everyone. Suggested remedies are in brackets next to the complaints.

Backache (48% – yoga)

Indigestion (42% – glug Gaviscon, which you can buy or get from your GP on free prescription in industrial sizes to alleviate symptoms)

картинка 8Sickness (34% – ice cubes, lemon juice and water mouthwashes, boiled sweets and ginger products such as tea and preserves, but not concentrated ginger capsules – all seem to help some but not others.)

картинка 9Swollen lower limbs (23% – swim or lie down)

Swollen upper limbs (21% – swim or lie down)

Higher blood pressure (5% – lie down and leave work)

FOUR I Shop, Therefore I Am

When I interviewed the triplet (heroine) mother Valerie Cormack, I asked her what was the hardest part of caring for her babies. I expected a long diatribe about visiting special care units or sleeplessness, but instead she answered: ‘Shopping. There is nothing worse than buying three of the same thing, and then realizing that it was a mistake.’ And this comes from the woman who gave birth to all three of her babies naturally in hospital.

So, let’s get serious about shopping for a moment. After all, you have worked hard for your money, and you don’t want to blow it on something you have no hope of returning to the shop after the babies are born. There is a lot of necessary stuff to buy in preparation for twins – pregnancy clothes, cots and nursery furniture, buggies and bathtime accessories – so there is no escape. You might as well enjoy the experience by starting early and acquiring the catalogues and getting the boring but important stuff out of the way now. Then you will have hours to coo over cashmere booties as the pregnancy wears on, knowing that a telephone call to one of your hundreds of catalogue people will solve any last-minute necessities. Sorted.

Maternity wear for big mothers

The best rule is to avoid the twilight world of non-fashion that is maternity wear until you can no longer go a day without those comfy jersey gussets for the stomach. Before that moment you can make do with the latest fantastic invention from Australia, the Bellybelt, an ingenious device that fits over your normal trousers and allows you to keep within the bounds of normal fashion for a few weeks longer. It sells for £12.95 and the box comes with three sizes of elastic and three different materials – white, black or denim (see www.grobag.com).

However, when the Bellybelt and the size 18s and 20s from your favourite shops no longer fit, you have to give up and call in the brochures. Once you have, and you are wearing your first pair of maternity jeans, you will heave a huge sigh of relief. They will feel so comfortable. You can’t believe why you didn’t succumb to big pants or maternity tights earlier. Don’t worry – your partner will thank you for holding out this long. There is nothing in this world less sexy than a drop-down bra.

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