Boobs, Boobs, Boobs

I have had quite a few requests for a blog on my experiences breast feeding and since I like to please, here it is. One thing we need to cover off before I get into the nitty gritty of breast feeding, is I have implants. Not a secret, it's been written about in magazines before, talked about on TV in a really embarrassing reality tv show I did when I was in my early 20's, but I haven't talked about it recently. Since the Nuggets have arrived I have a new group of followers/readers and you probably weren't aware. For the people who knew I had them, that's usually their first questions when we talk about breast feeding. How did you breast feed when you have implants? It's one of the biggest misconceptions about implants out there, that it means you won't be able to breast feed. My doctor assured me then, as I always knew I would want to breast feed, that unless I wasn't naturally able to breast feed myself, then the placement of my implants would not affect that. It's funny how so many people instantly think it's a write off, even my OB was worried I wouldn't be able to feed.

Anyway I digress...when I first was pregnant I knew I would want to feed and was aiming for a year. When we found out we were having twins I still wanted to feed but knew it would be a tougher journey.

Fast forward 34 weeks and the nuggets made their early entry into the world. After my emergency  c-section I was told to squeeze my boobs to collect the colostrum.I barely remember it, but Jay said he would hover over my boob with a syringe sucking it up and after every squeeze I would fall fast asleep. Apparently it was rather hilarious! The amount of colostrum I collected really impressed the nurses and was a good sign that I would be a milk making machine, which it turns out I was luckily.

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I was still vomiting for about 2.5 weeks after birth and was paranoid my lack of nutrients would affect my supply, but I'm really lucky that it didn't effect it too badly. My milk came in big time and I had beach balls as boobs, they were so full, pert and looked pretty epic if I do say so myself. Poor Jay was allowed no where near them though!

Since the boys were born so small, the first few days they would practice feeding on my breast whilst still being feed by and NG tube. The NG tube delivered my pumped milk directly to their stomach via a tube that went up their nose and into their tummy.

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The nurses were great in Nicu, except one who made me feel like shit for being a little late to feed one of the boys, he was really hungry and it was then difficult to latch him. I was so ill myself I found it really unfair that she was making me feel so bad and guilty about being late (reason being I was being sick in the toilet). Last thing a twin mama wants to feel is pressure and anxiety about doing everything wrong! The rest were great and really helpful with showing me how to latch them and support their tiny little bodies next to me and my giant knockers. One of the things I had to do was pop a finger on my breast and pull it slightly away from their noses, they were so small my full boobs would squish against their face and since they were so small it would cover their nostrils, so the pulling away would give them a clear airway making it easier to feed.

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Once you graduate Nicu you are sent to PIN, a ward where the babies are still supervised 24/7 by nurses but where you are meant to do all of their "cares", basically look after them like you would at home. Most babies are in there to learn how to feed properly, stabilise, put on weight and just be generally better and in a good place to be able to thrive once sent home with their parents.

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I really realised once we were in PIN that I was struggling to bond with my babies and I thought nailing breastfeeding and feeling like I was doing "something" right would help. I really stuck in to figuring the whole breastfeeding out, as I figured that maybe that was the key to bonding, as so many mothers said it does.  Their mouths were so small they didn't always latch correctly, I  was having to pump to keep extra feeds available to be feed via NG tube.  I did get some cracked nipples which wasn't fun at all. I noticed it first when I saw there was blood in my pumped milk and quickly realised it was coming from the space where my areola and my nipple meet. We have a lactation consultant who works in the NICU and PIN ward, I personally found her very helpful. She was straight in there giving me these new Manuka honey breast pads to help heel them and they were a godsend. I couldn't recommend them enough. The healing properties of the Manuka in the pads worked a treat, and within a couple of days they healed and I never got any more cracks or grazes after this. The lactation consultant told me that I was lucky as darker coloured nipples are tougher and I seriously had some dark chocolate afghans going on. Considering how little pain I got in terms of the boys sucking on them, the old wives tales may be true! Thanks to my great grandmas Indian blood for giving me some tough nipps!

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Check the silly pumping video my friend Sophie took when she visited me in hospital, she couldn't believe the set up and how it really was like milking a cow. 

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My milk supply was great, once those first cracks disappeared my nipples were holding up, but my god those let down pains were tough! I felt like I had needles running down my milk ducts for the first 5 or so minutes of feeding. Everyone told me feeding hurt because it hurt your nipples, no one told me my boobs would feel like they were being shredded on the inside! I'm not sure if you just get used to that pain or it goes away after you have been feeding for a few weeks, but that eventually wore off. I would just grin and bear it for the first 5 minutes until it would subside for the rest of the feed!

Sadly the whole bonding experience whilst feeding for the first few weeks didn't happen for me. I was forever trying to keep them awake on the boob, timing how long it was taking them to record on the sheets in PIN and generally falling asleep myself late at night waiting for them to finish their sometimes hour long feeds (that's two hours sitting up in a cold hospital feeding them one by one!), it was exhausting. Thats another thing no one says, they say breast feeding is handwork, but I thought that meant it was hard figuring it all out, not that it was physically exhausting to begin with. The thirst, all the extra water and food you need, the forever having something attached to your nipple, the pain of being hooked up to IV's myself and bending the joints they were placed in to feed, dealing with the boys wires and tubes and the cramp you would get from holding a baby in one place for an hour. Gah! It's funny as I originally thought I had a pretty easy experience breast feeding, as once I got it down it was pretty straight forward, but I really forgot about all of this stuff that happened at the beginning. That is  until I started typing and it came pouring out of me.

After realising I couldn't handle sitting up for two hours at a time feeding the boys one after each other, I knew I had to get the tandem feeding down. Late one night the lactation consultant had more free time to help me learn how to do it and set me up. God it was hard getting their tiny bodes in the right position and up close enough to my giant orbs, there was so may rolled pillows, muslin cloths etc going on but we did it.

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I had to hold their heads up and in the right angle towards my nipples because their heads weren't big enough to lay flat and let their mouth reach me. So sitting and feeding like this for an hour (they were slow feeders to start with due to their size) wasn't exactly comfortable either. The pillow had to wrap around my sides so their legs could lay that way, as they got longer and longer it was tough as I would need to sit so far forward in the pillow for them to be able to lie down. I was forever having to shove pillows down the back of the pillow for back support and to stop it pushing forward if I sat back. I have since found a great looking twin feeding/general feeding pillow online from the states that looks like it solves that problem. Wish I had seen it when i was feeding!

Tandem feeding wasn't easy to start with, so if you have twins and are reading this don't expect it to be something you will master quickly, especially setting it up by yourself. (If you do I bow down to you). The boys were small so it would take Jay passing them to me and me holding them in place to get them to feed correctly, in fact to tandem feed it took Jay being their to help me a good few months before I felt confident enough to do it on my own, not the latching part, but actually getting them up onto the pillow and settled. Jay was amazing and would wake at every night feed to help pass the boys to me and get them on, and then take them one by one when they were done to help me burp them. I should mention here that the boys feed 2 hourly 24/7 for about 16 weeks. Those little buggers didn't get into a great 3 hourly schedule like most NICU babies and demanded to be feed every two hours without fail. There was no stretching them out as they would get so historical that they would end up being too upset to latch and feed properly. It was bloody awful! So props to Jay for being their by my side 100% for all of the night feeds, I seriously have an amazing man.

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It took a visit from Dorothy Waide for me to put on my big girl panties and decide to give tandem feeding when I was alone a good crack. The boys were about 2 moths at this stage and she said I didn't need to treat them as carefully as I had when they were in Nicu. She recommend I set myself up on the couch with each of them on either side of me, pop one on and then pick the other one up with one hand and scoop them up onto the pillow. To burp them mid feed she said I should roll them off the pillow, I know, sounds WTF?! But it worked. I would kind of gently roll them off the pillow gently as possibly onto the couch and lay them on their tummy. Then you could pat their back till they did a big burp and pick them up by the back of their clothes (I know this sounds horrifying but it worked!) and lift them back onto the pillow to re latch. Imagine it being like a cat picking their baby up by the scruff of their neck. So that's how I managed tandem feeding alone while they still needed me to keep an arm under their head, so their mouth could reach my nipples. As they got older I would sit them in a boppy pillow either side of me and latch them one by one. They were bigger and heavier at this stage so I could reach for one and put them on, they no longer needed my hand for support so I could use both hands to get the second. Then eventually I could hold them both in a side by side football hold where they lay on top of each other.

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I'm lucky that after those first few weeks with the pain, exhaustion of the 2 hour feeds it started to click into place for me. I'm not so lucky that the whole breast feeding experience didn't help me bond with my kids, that was a slow burn, but oh boy do I love them with everything now. I have said before that I almost, dare I say it, found it easy to breastfeed once we were established. I think the main reason behind this was that the boys latched well, I didn't continue to get pain, I made a FUCK load of milk, I could pump off 500-600ml in 20mins with no problems and they were good and quick feeders once they got bigger. BUT, and it's a big BUT, they had collic and reflux, which meant they puked everything up constantly! So while I made a tonne of milk it was hard to keep up with the demands for feeds as they were starving all the time after projectile vomiting everywhere.

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I felt like they were constantly on my boob. If you know me you know I love my own 'bubble' I like my own space and me time and it was slowly driving me mental having not one but two things attached to my boob, then people like my mum hanging over my boobs watching them feed. What is it with that? I know people think it's cute and she was worrying they weren't feeding right but I'm like, back up mum, give me some space and keep your beady eyes off my boobs! (love you mum!).

I also wasn't keen on the feeding when we were in public. Don't freak, I'm not one of those people who think its gross to show your boobs whilst feeding in public, I feed them plenty of times out and about and I never covered them up. I don't care and if someone does they wouldn't walk away without a massive telling off from me. It was just the whole process took so long with two, I would have to do them one at a time. As much as I don't care about feeding in public, you can see above that tandem feeding is pretty much rolling fully topless and not discreet with my huge nipples and boobs. If we were out, which was rare, I wanted to eat my meal or whatever we were out for and not spend it sitting and feeding the whole time. So we would bottle feed either pumped milk if I had enough backed up or formula. That's something I'm not ashamed to admit, I am pro 'fed is best' and my children did mix fed during the 6 months that I breastfeed. So never feel bad if you do the same or purely formula feed. The mums who exclusively breastfeed, you are awesome and I am not trying to take away that achievement for you, but those that fed their child whatever way should be just as proud. It's not a competition after all!

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Now a lot of lactation consultants or people in general stress about nipple confusion with bottle teats in the early stages. I kinda ignored that advice and feed them a bottle once a day from about 3 weeks old. I always feed them this bottle at night, the last feed before bed as that was when my milk was at its least fatty and I was tired and exhausted. I liked having the help to feed them or having Jay and another friend who was over doing it so I could have time out. Which is much needed and deserved, so don't feel guilty if this is something you want to do also. The nipple confusion thing never happened and it meant the boys were used to a bottle, so if they were away from me then someone else could feed them. I had so many friends say they gave their bottle to their baby once, they took it so thought all was fine, by the time they needed to give one to them again they weren't having it. I'm no expert but I think a bottle a day or every few days definitely helps with that issue, in my humble opinion.

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I wanted to reach a year BF the boys but we got to 6 months when we went to LA to visit family and the weaning started, mum took them for a night so we could go stay at a hotel and have a lone time and they stopped being interested in the boob. To be honest I was done too. I was still having mental health issues and finding the transition to twin mum rather difficult and I just wanted a bit of "me" back. I was proud of what I had done, but I was tired of feeding only to watch it all be puked back up 2 minutes to 2 hours later so I started weaning.

I guess the point of all this is we all walk a different journey, and like Rebecca said at Takes A Village, breastfeeding is natural, as in we are made to do it, but it doesn't come naturally. Just as like I experienced with the help of a lactation consultant, it's a learned behaviour. We and our babies need to learn how to do it and it can be fucking hard. So don't be too hard on yourself ladies.

Weaning next up on the blog and why the boys still have their beloved bot bots.

The Tough Reality of my Birth - Part Two

Last post we left off with me falling asleep while squeezing colostrum out of my boob, while Jay hovered over me sucking it up drop by drop into a syringe. Still one of my funniest memories of being in hospital, not that there were that many fun or funny moments to be honest. After that first night which went by as a huge haze, shout out to the morphine! I started to feeling a little better physically. I think the getting up to walk down to NICU actually helped with my healing from the C-Section. I didn't fell like I had to bend over like some other friends described post section. The only annoying thing was that I was still being sick and had to stay hooked up to a IV and have four different types of anti naus though an IV line to stay on top of the vomiting. The doctors all still said it would be me reacting to the pain medication but I wasn't buying it.

Apart from the vomiting I was getting stuck in to this mothering business. I didn't want anyone to realise that I wasn't feeling the love for my kids and think that I was a "bad mum" (crazy to think this I know) so I was going to be that mum who did the best job possible of looking after her kids in NICU.

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On the second day in the afternoon Hunter was finally starting to hold his temperature a little better and wasn't needing any more help with his breathing. Which meant I got to hold him for the first time since he was born over 24 hours ago! Exciting stuff for both Jay and I! I must admit that even though I didn't feel major love for these little guys yet I was amazed at them, that they were a little bit of Jay and I, I couldn't believe that I really grew them in my tummy all the while being so sick. All the doctors said their 2.2kg weights were amazing weights for their gestation and for how sick I had been and how much weight I personally had lost. They obviously were being super selfish and taking everything slightly nutritious in their diet from me, not that I'm complaining! Best it went to them, they needed it more than me. I really tried to put all those emotions of not feeling attached and being scared about not loving them to the back of my head and pretended everything was fine to everyone. Which meant that sometimes now looking back on it, I'm confused. I look at pictures and I'm smiling and look serene in some of them. I think I was going through motions of everything I was meant to do? Maybe I was feeling it, but just didn't realise it yet due to the hormones coursing through my body? I will never know.

First cuddles with Hunter was great, we got to do skin to skin. He was so small and fragile it was a bit scary, but I've been around a lot of newborns so wasn't that hesitant when it came to handling these tiny little babies. It's strange but when you are feeling doubtful about the connection you have with your babies, any praise on my "mothering" made me feel like I was doing this whole thing right. So it was really nice to hear the NICU nurses comment on how confident I was with handling them for a first time mother. They said mums of NICU babies are often very timid when moving them about due to their size and all the wires and monitoring equipment.

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A lot of NICU is still a blur due to painkillers but I do have one memory of coming down to feed them in the evening that ended with me in tears. They were so small but I was determined to breast feed them so even though they would be topped up by their NG tube (A tube that went up their nose and down into their stomach) or sometimes feed that way whilst breast-feeding at the same time too. I was a few minutes late to the set feeding time, god knows why, probably vomiting in the bathroom. Oscar was really fussing while I was latching him. The nurse was probably tired but she made me feel like absolute shit. She gave me a stern telling off about not being late to feeding as the babies would be too hungry that they wouldn't latch probably. I felt so guilty and was in tears about it, I don't think they realise the pressure you are already under being a new mum, to multiples, who are in NICU and you are still vomiting. Telling me off really didn't help the scenario! If he was that starving they should have called me down earlier rather than waiting till they were so upset. Other than that my experience with the nurses there was amazing, they were very supportive, and I knew the boys were in great hands. I will be forever grateful too them.

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We spent 4 days in NICU which was a blur of feeds, changing nappies, being sick and waiting for the boys to put some weight on and be able to hold their own body temperatures so they could move to an open cot and "graduate" NICU to PIN (Parent Infant Nursery).

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PIN is a nursery where you babies stay with around the clock nurses but you are to do all of their "cares" unlike NICU where the babies are mostly primarily looked after by the nurses and doctors. PIN is about teaching you how to care for your baby and any specific needs they have, like if they need to have oxygen etc. It's also about them putting on weight and learning to feed properly and to make sure there are no set backs in their progress. The boys entered PIN and I was really excited, I was really adamant from the get go that I wanted these boys home as soon as possible! So I got stuck into the parenting and wanted to prove to the nurses and doctors that we had this on lock down so they would let us take our babies home. I thought home would be the best place for me to grow all those lovely feelings I was desperate to feel. I knew that I loved them and wanted the best for them, but I still lacked that emotional connection where all I needed to do was look at them to fill my heart with joy. I wanted that! I felt it was unfair after all we had gone through and how much these babies were wanted that I didn't feel like that.

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PIN ended up being much tougher for me than NICU. The casual vomiting I had been doing while in NICU got so much worse. I would be changing a nappy and have to rush to the sink to be sick, I would wake up in the night and be sick all over myself as I couldn't get to a bucket/bathroom in time, it was awful. My poor room mates must have been grossed out! I was so upset that this awful sickness that had plagued my entire pregnancy was now still rearing its ugly head 5 days post birth! I struggled to keep it under control and the doctors were absolutely perplexed. They said they had never seen someone still continue to be this ill after birth. It was misery, I was already having a tough time bonding and now I was feeling just as ill as when I was pregnant. I had been so looking forward to the relief of this after birth as that is what everyone promised me. No such luck.

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Apart from constantly vomiting in basins and any sort of receptacle in the nursery, I was nailing mum life in PIN. Maybe nailing it a  bit too much. As I have mentioned, I'm a battler and when I put my mind to something I push myself even if I am feeling useless and that's what I did. I managed to find breast-feeding reasonably, dare I say it, easy. I'm lucky it came naturally to me. But I think I had a false confidence because even though the boys were putting on weight, I don't think they were having great feeds. I probably overlooked that and would always tick the "great feed" box you would fill out on the charts which we kept that noted everything we did with the babies, the nurses and doctors would refer to them to gauge the babies progress. I knew getting them out meant they had to be fed without the NG tube so either by breast or bottle, putting on weight, feeding well and generally thriving. The boys did all that, but I really think they were putting on weight as they were demanding feeds so so so often! The doctors didn't worry about that, they said it's normal for small babies with small tummies. Most kids come out of NICU and PIN on really good three hourly schedules because it's so structured. But I can tell you now the boys did not.

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We were tracking to get out pretty soon and I was very vocal about it saying we were ready/wanted to be out and the doctors/nurses believed me. Why wouldn't they? I was still an inpatient as I was still loosing weight myself and being so ill. Most mums are checked out of hospital between day 5-7 after a C-Section as they medically don't need to be looked after anymore. I can't imagine how hard it must be for those mums to be essentially told to go home without their babies. They would have to come into hospital "like a job" during the day and then leave them at night to be looked after by nurses. Because I was still in hospital I did all the boys night feeds rather than the nurses doing them via NG tube. That meant the boys learnt to feed quicker than other babies because I essentially gave them 12 hours of extra practice over the babies whose parents couldn't be there, to feed them over night. As great as it was not having to leave them at night it meant that they didn't get on that 3 hour schedule like the other babies.

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Over night the nurse does a rotation going clockwise around the babies, feeding them in order which roughly equated to 1 feed every 3 hours. There would only be one nurse on over night, so if one baby was fussing they couldn't get to them (unless something was seriously wrong obviously), but as soon as my two would fuss they would call straight away and I would be down there to feed them, as that's what I thought you were meant to do. They very quickly were on a two hourly feeding schedule 24/7 which was exhausting. Especially as while I was still feeding them one by one the whole thing would take 1.5 hours, so sometime I was only getting 30 minutes sleep before I was up again.  Thank god the lactation consultant taught me to tandem feed towards the end of our stay. The doctors all told me this much feeding was normal, as it is, but fuck it was hard. Gruelling. The lack of sleep, lack of personal space (two babies connected to my boob constantly!) really didn't help with me feeling great about my relationship with the boys. The boys also started to show signs of their reflux and were really hard to get wind from and settle. I remember being so zonked one night that I feed the boys and burped them as well as I could, put them in their cot in PIN, with them propped up so they slept at an angle (to help with the wind). I left Jay to settle them while I went to bed. The next time I woke up 2 hours had passed and he was coming to get me to feed them again. He had been trying to settle them for two hours and they had screamed and screamed. They topped them up with my pumped milk in the NG tube as they thought they were still hungry, but no, they were just crying for any myriad of reasons a baby does. There were quite a few times like that in hospital and they were big hints of what were to come over the next 6 months.

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We got to day 9 in hospital and the doctors thought the boys were doing well enough to go home, so we got to spend the night together for the first time as parents in a room with our babies. The Parents  Room is where all babies that are in NICU/PIN eventually stay in. Because by the time they are ready to be discharged the parents have usually been at home having full nights sleep etc etc and haven't had to look after their children on their own for 24 hours straight. They place you in this room which is next to PIN but has a tv in it, double bed, shower etc and you are essentially to play house for 48 hours. The nurses are there if you need them but you have to prove to them you can handle it and your baby can handle it. Your baby is weighed each morning and if they lose weight then they "fail" you and you have to stay until they start putting weight back on. They are trying to stop any babies being sent home too early and then not thriving, they don't want to see you come back to hospital. It's a good method and I'm sure really helpful for parents who are a bit scared of actually having their baby with them 24/7 without all the monitoring equipment.  Some children are in NICU/PIN for months and months so you can imagine how daunting that is when that ends. You would be so excited to finally have them with you but I bet it is scary not having the nurses to fall back on if need be.

Since I was still an inpatient the nurses kinda trusted me with this already as I had been doing 24/7 care the whole time. So they let me stay in the parents room for 24 hours instead of 48. If the boys woke up heavier than the day before we were free. I was still being sick but the doctors couldn't put it down to anything. The anti-naus was slowly helping so they said if we graduated PIN then I could go home too. I was determined to graduate PIN and pass The Parents Room stay with flying colours. I wanted out, I was sick of hospital and I wanted to be home with my kids where I knew  all the bonding would happen. There would be no more wires connected to the boys getting in my way, no more drips attached to my arm and we wouldn't be in a sterile environment anymore. Heaven!

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We passed and were sent home together on day 10, I was so happy to be out of there! I missed sleeping next to my husband and wanted to be in our home as a family. Plus it's much nicer being sick in your own toilet than a hospital one!

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Overall all my birth and the hospital stay after it was a bit of a nightmare. I was so overwhelmed with not feeling what I thought I was meant to feel. I think that I was grieving giving up that "normal" birth experience. I also think I was grieving not being able to give my all to one child, I had to spread myself and everything I had between them. When I first was pregnant before we knew they were twins I had daydreamed of lying on the couch with one baby on my chest, snuggling them and carrying them around with me all day. But with two it wasn't really going to be possible to do that.  The realities of twin life had started to hit in PIN and I was scared. They were reasonably unsettled babies and it scared me having to deal with two screaming babies.

I loved my children because they were min, they were half Jay and half me but I wasn't in love with them yet. That fact really scared me and was the start of a bout of post natal depression and anxiety. I think if I knew this was normal and I had spoken to people about it at the time, then I would have gotten help sooner and not started to fall down a black hole of feeling alone. That's the common theme I hear when I hear stories like mine, they wished they had spoken up. You can't get help or feel better without speaking up and asking for it. It took 2 months for me to finally crack and tell people how I was feeling and it was the best thing I did and helped me on my journey to being a happy confident mum who was full of LOVE for her children. That's what I will write about next, that first tough year with twins and dealing with, sorting through all the emotions I was dealing with. If you're reading this and you are in that place, please ask for help, talk to someone and know that it does happen. That bond grows, you will get there! It doesn't happen overnight but it does happen. Millimeter by millimeter you baby will fill up your heart till it's filled with the most amazing love for your baby.

What to read next?

Read setting into twin life here. 

Read Jays view of settling into twin life here

Pregnant With The Nuggets

I have been putting off writing this blog. To be completely honest my pregnancy wasn't much fun at all, in fact I kind of hated it. I was really sick so writing this feels like re living it and it's something I try to forget. But here goes, as I know you would like to read about it. So I will put your needs before mine. Don't say I'm not good to you. Here goes it....

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