'Now in a third edition, the best-selling guide on multiple births, Having Twins - and More, covers everything from conception through childhood.

With ongoing advances in assisted reproduction, increasing numbers of women are having twins, triplets, and more, and they\'re having them later in life. Having Twins — and More is the original source parents consult for guidance through the multiple birth experience.

For three decades Elizabeth Noble, a respected name in the field, has provided expectant parents with everything they need to make informed, safe choices and give birth to healthy babies. This comprehensive handbook emphasizes optimal health as well as physical and emotional adjustments to bearing and raising multiples, and it offers striking new insights into risks, complications, and treatments — candid information that is gathered only in this book.

Featuring

tips on setting goals, assembling help, and reducing anxiety

the latest nutritional information for mother and child

details about the dangers of drugs and bed rest

essential exercises for pregnancy and recovery

information on the benefits of vaginal birth and breastfeeding

facts about cesarean section and recovery

tips for helping siblings adjust

recommendations for parenting multiples with special needs

more than 100 new photographs, charts, and tables

exhaustive resources, expanded to include the Internet'

Considers the needs of prospective multiple-birth parents.

With ongoing advances in assisted reproduction, more women than ever before are having multiple births — especially triplets and quadruplets — and they"re having them later in life. Because every multiple birth is by definition a special needs birth, parents of multiples need all the knowledge available to promote a successful outcome.

Having Twins — and More provides expectant mothers with everything they need to make informed choices and to give birth at term to healthy babies. This comprehensive handbook emphasizes nutrition as well as the physical and emotional adaptation to carrying and raising

multiples, while offering new insights into the risks, complications, and treatments — candid information that is assembled only in this book.

New to this edition:

• New information on the proper feeding of multiples, cesarean

section and recovery, helping older siblings adjust, and multiples with special needs

• More than 100 new photographs, charts, and tables

• Essential exercises for pregnancy and recovery

• An invaluable resource section, expanded to include Internet resources

Includes bibliographical references (p. [529]-545) and index.

'Elizabeth Noble is the author of seven books, including Essential Exercises for the Childbearing Year, Childbirth with Insight, and Having Your Baby by Donor Insemination. She is the founder of the Obstetrics and Gynecology Section of the American Physical Therapy Association, and of the Maternal and Child Health Center in Cambridge, Massachusetts.'

'Contents

Foreword by Louis Keith, M.D., F.A.C.O.G. vii

Acknowledgments xi

Introduction xiii

1 The Fascination with Multiple Births 1

2 How Are Multiples Formed? 27

3 Who Has Multiples? 51

4 Awaiting Multiples: Parents' Feelings and Practical Considerations 63

5 Bonding with Multiples 87

6 Sharing Space: Twinship Experiences in Utero 101

7 Potential Hazards of Multiple Pregnancy 109

8 How to Give Your Babies the Best Chance with Optimal Nutrition 147

9 Prenatal Care and Screening Tests 195

10 How to Prepare for a Multiple Birth 213

11 Labor and Birth of Multiples 233

12 Caesarean Delivery of Multiples 269

13 The Feeding of Multiple Infants 281

14 Caring for Two or More 303

15 As Multiples Grow 323

16 Having Supertwins: Triplets, Quads, and More 335

17 The Older Sibling/s 357

18 Some Special Features of Twinship 363

19 Treatments to Prolong Pregnancy — To Prevent Preterm Birth and Low

Birth Weight 383

20 The Care of Multiples Born Too Soon (Premies) 405

21 Multiples with Special Needs 429

22 The Death of a Multiple: Parents' Perspectives 435

23 Survivors of a Twin Pregnancy 453

Appendix 1: Assisted Reproductive Technology (ART) 469

Appendix 2: Declaration of the Rights and Statement of Needs of Twins and

Higher-Order Multiples 471

Appendix 3: Biography Becomes Biology! 477

Appendix 4: Summary of Essential Prenatal Exercises 479

Appendix 5: Summary of Essential Postpartum Exercises 481

Appendix 6: Summary of Essential Exercises after a Caesarean 483

Appendix 7: Posture Checklist 485

Appendix 8: Medical Risks of Epidural Anesthesia during Childbirth 487

Appendix 9: Plans for Parents and Hospital Personnel in the Event of Loss

489

Glossary 495

Resources 503

Bibliography and Further Reading 529

Photo Credits 546

Index 547\n

'