Twins and more--2. Practical aspects of parenting in the early years.

Caring for twin, triplets or more can be a daunting prospect for parents, however much the children are wanted and loved. Multiple birth babies are more likely to be born preterm and of low birth weight, adding to the practical, financial and emotional pressures of coping with two or more babies. Good preparation and advice before the babies are born, as described in Part 1 of this article (Journal of Family Health Care 2005; 15151: 143-146) is essential. After the birth, parents need continuing support and access to care from professionals who understand their different and special needs. Bereavement counselling and support may also be required, as the mortality rate is higher for multiple births. Part Two looks at the care commonly needed for multiple birth families during the first five years.