Suggested Reading List for Parents Expecting Twins, Triplets and More!

Forever Linked: A Mother’s Journey Through Twin to Twin Transfusion Syndrome, Erin Bruch, Philatory Ink, 299 pages, $14.95US, ISBN 13: 978-1-936519-02-6

Twin-to-twin transfusion syndrome (TTTS) is a disease of the placenta and can affect monozygotic (identical) babies, including within triplets or more when there are monozygotics. It has a spectrum from mild to severe and if left untreated, can result in death for one or both babies, or put in jeopardy the complete pregnancy for triplets or more.

Erin Bruch explains what TTTS is, how it can happen, the need to have the diagnosis as early as possible in a multiple-birth pregnancy, about managing it and what it feels like for the parents and families to go through, sometimes with the loss of one or both babies. In addition, 21 mothers’ stories of their twin pregnancies are followed from finding out their babies had TTTS, the worry that knowledge carried, through their births and outcomes. Bruch has included a drawing of what a TTTS placenta might look like. It is a helpful visual in understanding what is happening with the babies and why their struggle with TTTS can be a life and death matter. I also find both the cover pictures to be important visuals of what the babies go through with their unequal sharing within the womb.

If your babies have or had TTTS and if you like first hand accounts, this is definitely a must-read book.

Twice the Love, compiled and edited by Susan H. Heim, in collaboration with TWINS Magazine, 2007, ISBN 1-891846-31-0, 208 pages, $13.95 US

Includes 82 stories from families with twins and more, and in some cases singletons as well. It is well worth the read. Pick it up and open it anywhere to enjoy entertaining stories, tales, joys, challenges, and adventures that belong to families with multiples. Or if you prefer, Heim has chosen to group the stories by subject, e.g. Becoming a Family, Trials and Triumphs, Mischievous Multiples (no kidding!). You are not alone in your journey and the bonding that goes on with other families with multiples in this delightful book proves it!

It’s Twins: Parent-to-Parent Advice from Infancy Through Adolescence, Susan M. Heim, Hampton Road Publishing Co. Inc., 2007, ISBN 13: 978-1-57174-531-6, 306 Pages, $17.95 US

From the first few weeks through to 17 years, Heim covers many of the bases parents could expect to face and she doesn’t shy away from the tough discussion such as when bottle feeding is best for you and your twins. Two of my favorite Chapters addressed the advantages and disadvantages of being twins when the kids have reached adolescence. Even if you haven’t reached that stage yet, here are some thoughts for you to prepare yourselves. Another nice touch is each section has Points to Ponder with writing space for the reader to address those topics which are pertinent to them.

I liked that this book addresses the whole spectrum of raising multiples and did not just focus on the early weeks, months and years. Birthday party planning is important as is encouraging them to play with others, but so is dominancy, disabilities, when they mature at different rates, college – together or separate? and my favorite certainly as expressed to me by other parents with monozygotic (identical) multiples, the Old “Switcheroo.”

I found this book uplifting, informative, thoughtful and I wasn’t beyond laughing out loud at some points from understanding and having “been there, done that.”

Emotionally Healthy Twins: A new philosophy for parenting two unique children, by Joan A. Friedman, Ph.D., 2008, Da Capo Press Books, soft cover, 245 pages.

I am SO excited about this book! There, that’s off my chest. For anyone expecting or raising multiples, this book needs to be on their recommended reading list! There are several very good books which focus on the early (and intense) years of raising multiples. Friedman’s book addresses the early years’ challenges and explores the parenting scenario beyond, into the multiples’ young adult years and does so with insight and personal knowledge.

As someone working with multiples and their families for over 2 decades, I was pleased to note that Friedman encourages parents to look beyond their multiples’ unique bond and to focus as well on what makes them individuals. Every child, even if they arrive more than one at a time, needs and deserves the chance to discover his or her unique potential, and have ample opportunities to nourish and develop their individualities. Parents set the tone in their multiples’ development and Friedman asks them to honestly evaluate their contribution to encouraging their twins to become self-sufficient. Friedman provides several examples of twins whom have flourished within their “twinship” but floundered or were impeded when they needed to separate from each other. Her messages are some that every parent raising multiples needs to hear.

Friedman is a twin herself and has twin sons and 3 singletons, so she has many support bases covered. This book is an important addition to the reading resources for anyone raising their multiples.

Womb Mates: A Modern Guide to Fertility and Twinning
, by Gary D. Steinman, and Christina Verni, 2007, Baffin Books Publishing, 121 pages, soft cover

Any couple looking into infertility treatments to assist them in getting pregnant would benefit from reading this book before they begin their treatments. It thoroughly sets the stage for such families to understand the chances of them conceiving at least twins, how that might happen and the many possible ramifications. Dr. Steinman describes, in easy to understand language, how twinning occurs (the controllable and uncontrollable factors) and explores such topics as the risks of a multiple-birth pregnancy for the mother and babies and the different types of infertility assistance. Important issues for prospective parents to consider.

Healthcare and related professionals, researchers as well as some parents could get a lot out of this book. In other words, this book is very technical. I don’t think that it would be as valuable to parents who desire to learn how to get their babies on the same schedule or how to deal with sleep deprivation, for example. For most parents looking for ideas and answers in handling their new families, this is not a book I would recommend.

Nevertheless, this book belongs on the shelf of anyone involved with teaching multiple-birth prenatal classes, doulas, midwives, lactation consultants and those wanting to better understand how to better meet the needs of their clientele.

One and the Same: My Life as an Identical Twin and What I’ve Learned About Everyone’s Struggle to Be Singular, by Abigail Pogrebin, Double Day, 2009, hardcover, 275 pages, $26.95 US; $33.00 Cdn.

I’ve read a lot of books about multiples, and this one I could not put down.  It is one thing to raise multiples and address the unique challenges, joys and pleasures of doing same, but quite another to be a multiple.  In her research, Pogrebin has not only drawn on her experiences and journey with her monozygotic sister, but interviewed a plethora of well-known experts in the field of multiples (many of them being multiples themselves) as well as speaking with many sets of multiples across the U.S.  In addition she attended the International Society of Twins Studies Conference in Belgium to gather more data and attended the annual Conference of Twins held in Twinsburg, Ohio.  As most of us in-the-know are aware, this Conference is a melting pot for multiples from all over the world.
What follows is a riveting, entertaining, informative, insightful and educational journey which is MUST read not only for multiples themselves, but also for the parents who love them.  Pogrebin presents the many nuances of being a multiple, some complicated, some simple, how multiples are “entangled” and how both parties will usually attempt to seek individuality within their multipleship and when (e.g. marriage).  And some can’t see themselves apart, even for a moment.  In addition, she explores the unique circumstances around when one dies and what that event can mean for the survivor.

I could not put this book down, really.  For anyone involved with multiples in any form, this book is definitely the crème de la crème!

Blender Baby Food, Nicole Young and Nadine Day, 2005, Robert Rose Inc., 189 Pages, $19.95 Cdn., $18.95 US, softcover

For parents wishing to make their own baby foods or wishing to have some fun choices to offer toddlers, this book is a must have! It is broken down from when babies need to begin solid foods through 12 months and older and includes suggested meal plans for each age. There are 125 delicious recipes included for babies beginning solids, with hints and tips in the margins on how to “upgrade” each recipe for older children.

The authors begin with steps on how to recognize when your babies are ready to begin solids, address food consistency at each age and stage, answer safety with food issues (such as with eggs), choking hazards, storing, freezing and thawing prepared foods and offer a list of the equipment you can expect to use when preparing your own baby food. There is even a section covering salt, sugars and The Picky Eater. It couldn’t be easier.
Another great point – it’s a Canadian book!

The no-cry potty training solution: gentle ways to help your child say good-bye to diapers, Elizabeth Pantley, McGraw Hill, 2007, 174 pages, softcover, $12.95 US, $16.95 Cdn.

Here are two goals which can bring joy to a parent’s heart: “sleeping through the night” and “toilet trained.” For the latter, Elizbeth Pantley has scored again with her newest book on potty training. It isn’t unheard of for parents to find themselves in unpleasant, close enocunters of the potty-training kind when trying to train their toddlers. It doesn’t have to be so and Pantley gives us suggestions, not the least of which is to recognize the signs of each child’s readiness to be trained. If they are not physically ready and able, training can quickly move to a battle of wills, with no winners insight.

Right at the beginning, Pantley sets out a Readiness Quizz so that we know what signs of readiness to look for in our children. She addresses topics such as keeping it natural, making it a game, getting to the bathroom quickly (kids tend to leave it to the last second and when they say they “need to go,” time is of the essence), bathroom safety, how to teach your child to wipe properly and wash their hands afterwards.

There is a chapter on bed-wetting which is extremely helpful. Bed-wetting is more common with boys and during the night, the kidneys may not be sending appropriate messages to the brain to signal the need to go and/or the bladder is not fully developed enough to go through the night. Bed-wetting can sporadically last for years, or not. She provides constructive ways to handle bed-wetting and to help keep your child dry, without them losing their self-esteem in the process. Pantley even includes some suggestions for toilet training children with special needs.

While her book focuses on training singleton toddlers, there reference about training twins and more. She gives us notice that our children may not be ready to train at the same time – and haven’t we heard that before in other contexts! – and reminds us not to compare them regarding successes and failures – yet another common theme for parents with multiples. Each child having their own potty ensures that when the time is right, there will be no waiting in line for a turn and perhaps subsequent accidents.

While toilet training is long-past with my own children, I really appreciated Pantley’s easy writing style, identifying the challenges and offering suggestions, and positive approach to a topic which can be a challenge for parents as well as toddlers. She takes the pain out of it all for everyone and if your children are nearly ready to toilet train, this is one book you don’t want to miss reading.

Your Premature Baby: the first five years, by Nikki Bradford, 2003, Firefly Books, 208 pages, $19.95

An excellent Canadian book offering detailed information regarding your premature baby. Why does premature birth happen?; What can you do?; how a premature baby may behave (looking at the body language of a premature baby), how the hospital can help, bringing them home, and feeding a premature baby are some of the topics covered in detail. The photographs of these special babies are simply fabulous. This book would be a great resource for those with a premature baby.

Expecting, twins, triplets, and more: a doctor’s guide to a healthy and happy multiple pregnancy, by Rachel Franklin, M.D., M.O.M.* (*Mother of Multiples), 2005, St. Martin’s Griffin, N.Y., 221 pages, $14.95 U.S.; $21.95 Canadian, ISBN 0-312-32823-0

Read my full review of this book

Dr. Franklin has a light-hearted, easy to understand writing style, generously laced with humour. Her book takes you through each stage of the pregnancy. She includes Chapters on learning the news “…and What To Do About It”, she addresses issues you might expect to face in each trimester of your pregnancy, focusing on nutrition, exercise, and preparing for the babies. .

Mothering Multiples: Breastfeeding Twins, Triplets or More by Karen Kerkhoff Gromada from La Leche League

Covers every possible breastfeeding topic, with good photos and is very encouraging to breastfeeding mothers. Lots of other topics of interest to multiple birth parents.

Raising Multiple Birth Children – A Parent’s Survival Guide, by William and Sheila Laut, 1999

I haven’t yet read this book by parents of triplets but it has come highly recommended to me. Includes practical tips for getting organized, baby gear you will need, coping with sleep deprivation (I like it already!), gift ideas, funny stories (we can always use those) and more!

When You’re Expecting Twins, Triplets or Quads by Dr. Barbara Luke and Tamara Eberlein, 1999, Harper Perennial

Twins From Conception to Five Years by Averil Clegg and Anne Woolett, 1983, First Ballantine Books

Multiple Blessings by Betty Rothbart, 1994, Hearst Books

The Art of Parenting Twins by Patricia Maxwell Malmstrom and Janet Poland, 1999, Ballantine Books

Finding our Way: life with triplets, quadruplets and quintuplets, Web Com Canada 2001

Double Duty, by Christina Baglivi Tinglof, 1998, Contemporary Books

The Joy of Twins and other multiple births by Pamela Patrick Novotny, 1994, Crown Trade Paperbacks

Twins: Pregnancy, Birth and the First Year of Life by Connie L. Agnew, Alan H. Klein and Jill Alison Ganon, 1997, Harper Perennial

Twins, Triplets and More, by Elizabeth M. Bryan, St. Martin’s Press, N.Y.

New Father Book by Wade F. Horn and Jeffrey Rosenberg, 1998, Better Homes and Gardens Books

Feeding Your Baby the Healthiest Foods by Louise Lambert-Lagace, 2000, Stoddart Publishing

The No-Cry Discipline Solution, Elizabeth Pantley, due for release: June, 2007, McGraw Hill, softcover, 235 pages, Expected price $16.95US

Elizabeth Pantley has, thankfully, added another book to her “No-Cry” series. This latest one offers discipline solutions for toddlers and children, aged 2 to 8 years. All types of potentially difficult situatons are covered such as bedtimes, tantrums, not brushing teeth, hitting, bitting, meal times, inappropriate language use and more. She covers not only what the child might be feeling but also the parent’s feelings. A very helpful section looks at anger, what it means, possible triggers and how our own anger can affect the situation and sometimes make things worse. Pantley offers useful suggestions on keeping one’s own emotions in check, turning the situation around with distracting methods (make a song out of what you want done, use humour) and offers appropriate consequences when or if necessary.

My favorite section has to be Part 4: Specific Solutions for Everyday Problems.

When my girls were small (twins and a singleton 22 months their elder), I just didn’t have time to read psycyologically-based, drawn-out solutions for situations which generally had one child, one adult and the general message “follow this advice and all will be well.” Yeah right! Not in my house where the parents were outnumbered by little ones feeding off of each other’s behaviour. I needed quick, helpful, supportive feedback with several possible suggestions to consider in turning things around. Flying by the seat of your pants and/or “learning as you go” doesn’t always equal good parenting skills.

Pantley clearly and concisely states a situation, for example Sibling Fights. Each begins with a story from a frustrated parent. Pantley asks us to Think About It (in this case Sibling Fights) and addresses what such fights can mean for the child. She then offers step by step ideas on What to Do and, perhaps more importantly,What Not to Do. Pantley cross-references to other areas of the book for additional suggestions. In this case, Biting Other Children; Bossiness, Hitting, Kicking and Hair Pulling; Playtime Behaviour. Most topics are covered in two pages, making it quick and simple to grab the book (topics are alphabetically listed), peruse the appropriate area, absorb some techniques and get back to the home situation, all in a timely fashion. That’s my kinda guide!

If you have kids aged 2-8 years, this book is a must have. I hope that Pantley will soon add a “No-Cry Discipline” focused on preteens and teens.

NOTE: Don’t just limit yourself to books on multiples. There are some wonderful books on babies out there and here are a few examples:

  • What to Expect When you are Expecting
  • Dr. Spock’s Book – describes childhood diseases and incubation periods
  • The Mother of All Pregnancy Books, by Ann Douglas – an all-Canadian guide
  • Secrets of the Baby Whisperer, by Tracy Hogg with Melinda Blau

DVD Reviews

Fascinating DVD regarding conception and gestational journey of Twins, Triplets and Quads. A must view for parents, grandparents, researchers, healthcare professionals and any one else with an interest in multiples.

Check it out at:  http://www.rocketrights.tv/womb/multiples.php?
PHPSESSID=15b23a92713177aa2c4be1065cfc2eb4

Your Babies’ Journey: Twins, Triplets, Quads, approx. 100 minutes

This amazing DVD out of the UK will no doubt be very well received not only by parents (and grandparents) expecting multiples but also by the healthcare professionals who look after them. The photography, graphics and sonagrams lets the viewer into the womb to watch the babies’ growth, development and interactions. It’s breathtaking and I was glued to the screen throughout. I found myself jettisoned back to my own pregnancy and was thrilled to observe what our girls were doing prior to their delivery. This fascintating documentary is an important and enlightened resource for anyone with an interest in multiple-births.

If I were to comment on anything, two little things stood out: l) Society often refers to vaginal birth as “natural birth.” Does that make a necessary c-section an “unnatural birth?” I think not. A “natural birth” is, in truth, any birth that ensures a healthy Mom and baby(ies), and that includes a c-section. Many families whom need to have a c-section feel guilty about having to do so and by changing our vernacular, we could make a positive difference. And 2) I would have liked to have heard more direct references to the fathers and their roles. Two parents are ideal in any parenting situation and this is partiacularly true in the case of multiples. Dad, an important part of the parenting equation, is almost completely absent from this otherwise stunning DVD.

Reading List for Surviving Co-Multiples

WHO MOVED THE SUN?, A twin remembers, Ron McKenzie, D.E.M. Publishing, paperback, 94 pages

We know multiples are bonded in the womb and research has shown that they are aware of each other certainly by 18 weeks gestation.  The bond they have with each other is well established before any bonding with their parents, which occurs after birth.  Multiples have a unique relationship and are usually very in tune with each other, especially monozygotics (identicals).  While dizygotics (fraternals) are basically siblings born at the same time, they too have a special connection and it isn’t recommended that anyone interfere with that relationship either.  Multiples arrive together but it is quite unlikely that they will depart this earth together.  We need to understand what it is like for the survivors and how better to support them as they make the adjustment to the loss of their “other half.”

It has taken a long time before healthcare professionals, counselors, doctors, funeral directors, and others have paid particular attention to the unique relationship between multiples and thankfully this is changing.  It is changing because surviving co-multiples are writing about and sharing their feelings, pain, guilt, emptiness and sense of despair at losing their co-multiple.  Such survivors have come to be known as Twinless Twins or Lone Twins.

Ron McKenzie’s book about his relationship with his monozygotic brother, Don, and his brother’s death at age 62 years in 2008 is one of those books that clearly sets out the dynamics of a multiples’ unique relationship.  Ron shares his pain, love, and details of their relationship and what it meant for both of them.   Succinctly, Ron shares:  “You may be in heaven, Don, but I am in hell.”  It is not an easy step from spending a life time as “we” and having to become “I.”  When 61 birthdays have been shared, when shaving in the morning becomes a painful memory of losing Don, and the treasures of texting each other or speaking on the phone each day are no longer an option, no wonder it feels like ‘hell.’

McKenzie’s book is a must-read for a first hand account of not only a tribute to a much-loved twin brother, but an eye-opening journey to better understanding what it means to lose a co-multiple, the consequences and the loneliness while still trying to continue on.  Only by understanding when it means to lose your co-multiple can we, as a society, reach out to better offer help, resources and support.

  • The Survivor , Lynne Schulz, 2003, Pleasant World – with Foreward by Lynda P. Haddon
  • Living Without Your Twin , Betty Jean Case, Tibbutt Publishing
  • The Lone Twin: Understanding Twin Bereavement and Loss , Joan Woodward, 1998, Free Association Books
  • The End of the Twins: A Memoir of Losing a Brother, by Saul Diskin, The Overlook Press
  • Twin Loss: A Book for Survivor Twins, by Raymond Brandt, Courier Printing Co.