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At COPE, we believe every parent deserves access to compassionate support and reliable information. Our mission is to raise awareness, reduce stigma, and empower families facing perinatal mental health challenges.

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Your support can make a lasting impact. By donating to COPE, you help to provide vital support, resources, and research for families facing perinatal mental health challenges. Together, we can make sure no parent is alone.

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Understand when to seek help, how to take the first step of talking to someone, types of support available, plus how to find specialised perinatal mental health support near you.

Common challenges of caring for multiples

While welcoming multiples to your family can be incredibly special, coping with more than one baby is a uniquely challenging experience. If you’re sleep-deprived, torn between the needs of different babies, struggling with breastfeeding, isolation and have no time for self-care, then you’re not alone.

A rollercoaster of emotions – extreme sadness, feeling incompetent, feeling stupid, crying all the time, feeling unable to settle my babies, frustration, guilt, unhappy, empty. 

Common challenges of caring for twins, triplets or other multiples can include:

Leaving hospital without your babies

While you might have been prepared for the possibility of your babies needing time in the SCU or NICU, the reality of being discharged from hospital without your babies, or without some of your babies, can be a shock.

Bonding with your babies

Some parents of multiples describe initially finding it easier to bond with one or more of their babies. This may be due to having different temperaments, or one baby requiring more time in hospital. 

Try not to worry – all relationships take time to develop. Just remember that every time you change, bathe, feed and respond to your babies’ cries you are helping them feel loved, safe, and secure. Eye contact, singing and reading are also ways you can bond with your babies over the coming weeks and months.

"I struggled to connect with one of my babies. Not having wanted multiples from the start I was overwhelmed with two."

Breastfeeding multiple babies

Breastfeeding multiple babies can be stressful and exhausting. Establishing a feeding routine can take time. 

"Struggling so much with feeding also felt like failing."

Don’t put too much pressure on yourself and remember it’s OK to bottle feed if you need to. Lactation consultants are also available to support and assist you with breastfeeding. 

You can also call the Australian Breastfeeding Association Helpline or access their resources for parents of multiples.

Isolation in early motherhood with multiples

Leaving the house with more than one baby can be overwhelming. This can compound the loneliness and feelings of isolation common in early motherhood. Connecting with other parents who’ve experienced the same challenges can help. The Australian Multiple Birth Association has clubs around the country where you can connect with other families of multiples both in person and virtually.

"I had anxieties about leaving the house alone with the twins, so I didn’t go out much and made me feel lonely and isolated."

Relationship stress

While many couples struggle with the adjustment to parenthood, the stress of having multiple babies can take an even greater toll on a relationship. Common struggles like lack of sexual intimacy, limited or no time together, and resentment around managing the mental load can be exacerbated. Many mothers/primary caregivers also describe feeling jealousy or resentment towards their partner when they return to work.

With the additional demands, it’s important to keep communicating instead of letting feelings bottle up.

Try to treat one another with kindness (sleep-deprivation can make this hard at times!) and be clear about what you need – your partner isn’t a mind reader. What's in your head is not (often) obvious to those around you.

"We argue a lot more, we’re both so tired and so stressed. We don’t get any time alone anymore and it’s just so hard. I hate the way I look so I don’t like him seeing me anymore."

For some couples, however, there was a sense that working as a team brought them closer together.

"We only had each other, so we relied on each other in ways we never have before. It continues to this day. We are more in sync than ever before, and we are an incredible team."

Stay supported and feel reassured

Sign up for the Ready to COPE guide to receive timely, supportive advice and reassurance throughout your first year of parenthood. 

Ready to COPE also offers a special edition for new parents of mulitples

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Ready to COPE guide new parents

Mental health problems in parents of multiples

Research shows that parents of multiples may be at higher risk of stress, anxiety, and postnatal depression. And those who welcome multiples as first-time parents may be more at risk than those who’ve already had singletons.

 There are several reasons why this may be the case:

  • More fragmented sleep and more sleep-deprivation.
  • Relationship stress and high rates of separation.
  • Financial strain (often due to delayed return to work).
  • Higher caretaking demands of multiple babies
  • Increased perinatal medical complications
  • Difficulty establishing breastfeeding

It’s important to note that just because postnatal anxiety and depression may be common in parents of multiples that doesn’t mean it should be dismissed as a “normal part of multiple parenting.”

The unique challenges of twins were so overwhelming, the sleep deprivation so intense, the physical and emotional toll of tandem breastfeeding was beyond exhausting. I was incredibly critical of myself and felt very much departed from the person I thought I was. At times, it felt like my mind had been replaced with that of someone else. I was desperate for the magic solution that would be me “coping.” The truth of the matter is, no one is meant to manage alone. It is now no surprise to me that mothers of multiple births are unfortunately at a higher risk of postnatal depression and anxiety.

Dana Stephensen

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Tips from parents of multiples

  • Seek help. “Ask for it and be strict on what you need and want.”
  • Join a local multiple birth club and seek out advice from other parents of multiples.
  • Talk to your partner regularly. “Work on your communication before the babies arrive.”
  • “Accept that strangers will always feel the need to comment on your twins.”
  • Get family to cook and freeze dinners.
  • “Say no to visitors that you need to clean the house for. Be prepared for opinions and then to advocate because you do know what it best. Your babies will love you no matter how they are fed and no matter how long they need to be in NICU or SC.”
  • Don’t compare yourself to others with singletons – it’s a completely different experience!
     

I am a twin mum, and I am also a twin. My parents are still together after 32 years of marriage, and they told me and my husband to agree in advance not to fight in the middle of the night! Agreeing on responsibilities in advance is always good but their best tip was to forget what your spouse says in the middle of the night.

Remember, if you are struggling, you don't have to suffer in silence. Professional support is available.

Find help and support on the COPE Directory

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Dana's story of motherhood with twins, and depression and anxiety 

"The truth of the matter is, no one is meant to manage alone. It is now no surprise to me that mothers of multiple births are unfortunately at a higher risk of postnatal depression and anxiety."

Read Dana's story
Postnatal depression and anxiety Danas Story

Other topics on having a newborn baby and adjusting to parenthood

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