However you can manage it, try to get some "respite"-regular in-home help with the care of the children, which allows mom a break to leave for awhile or take a nap, knowing that someone will care for the babies and the house. Relief from baby care and housework is imperative if your family is to get through the babies' next two years-the high-risk period. During that time, the babies are very prone to respiratory infections and doctors continue to evaluate what their long-term medical future will be.
If you can afford it, hire regular household help or pay for the services of a visiting nurse. Find out if your insurance policy covers visiting nurses. Some families have even taken out loans to pay for child care and declare that having this aid during the difficult early months was well worth the expense.
If hired help is out of the question, try to arrange paternity leave for the twins' father or enlist extra support from relatives and friends. This can work fine if it's regular and dependable. The discharge planning and teaching should include anyone who will be caring for the babies. When no such support is available, ask the hospital to arrange for a public health nurse to keep in touch with you.
The premature arrival of twins or more is a very stressful situation for any family. Parents who make it through the first year of caring for tiny, needy infants with their sanity and close relationships intact are to be congratulated!