Multiple birth parents are at increased risk of perinatal mental health problems such as anxiety and depression.

Multiple birth pregnancies are also associated with increased health risks for the mother; pre-eclampsia, gestational diabetes, peripartum haemorrhage, and for the infants: prematurity, low birth weights, cerebral palsy and developmental disorders.

As well as the obvious physical changes, psychological changes occur during pregnancy too, like joy, excitement, and crying, feeling sad or nervous. Some parents worry about the possibility of losing the babies, or going into hospital for medical procedures. Occasional doubts and negative thoughts or dreams are part of the normal adjustment to becoming a parent of twins or more. Discussing any doubts or fears with ‘those who know’ can be really helpful.

A couple expecting more than one baby may experience difficulty adjusting to the news and, as a result, experience low moods or anxiety.

Many parents say that the best thing they did was to speak to other parents of multiple babies as they understand the unique challenges and joys of caring for multiple babies. This can be helpful for parents worried about how to prepare older siblings. The Australian Multiple Birth Association provides many opportunities for contact, in person and online, with other multiple birth families.

Released September 2015