Being told that you are going to be parents
of multiples (twins, triplets and beyond) is truly a blessed event.
You feel chosen and special. You may have struggled with infertility,
and so appreciated a pregnancy with an instant family. You instantly
became parents when you became pregnant. It is not something that
happens magically at the birth of your babies. The emotional realization
of this is very important, especially when your babies have passed
away. You will always be parents of multiples. Instilling this message
to yourselves, family, friends, and to the medical professionals
that take care of you is connected to the sense of Peace that you
will feel in the months, years, and lifetimes ahead after the delivery.
What takes place during the delivery is very much the key to this
sense of Peace. The delivery must be compassionate. It is a time
to lovingly collect the keepsakes that you will carry with you for
your whole lifetime. The gift of time, memories, and keepsakes for
all the babies is on the main educational messages which encouraged
the establishment of The Twin to Twin Transfusion Syndrome Foundation.
When the loss happens during or just before delivery
When multiple birth loss happens during or just
before delivery, the trauma is immense. You feel that you have gotten
to the “light at the end of the tunnel”. You may have
known that the pregnancy was experiencing complications, but you
had made it to your goal of delivery after many weeks or months
of struggling. Or, the pregnancy may have been complication free.
Then, all of the sudden, crisis enters your life. You need to be
aware that the shock is intense. You have not had any time to take
in the reality what has happened. You need time to ask questions.
It is OK to ask questions repetitively. You may not get answers
immediately, but you will in the weeks to come. You may just need
to “ask” over and over because this is part of being
in shock. If you are asked a question about your babies from the
doctor or nurses, don’t feel that you have to give answers
that are final. You can change your mind at any time. Your shock
levels will change every hour. It is OK to cry, you have permission.
The Compassionate Delivery
Get a private room.
You need privacy. You can spend your whole hospital
stay with your babies. You can also see them more than one time.
You are in control of this and don’t ever listen to a nurse
or medical staff that tell you otherwise. This time is crucial for
you to spend time with your children. This is a time to wash your
babies and have them baptized. Dress them in special outfits picked
out by you (from home or from the hospital) and/or wrap them in
matching blankets. Take individual and group pictures. Place the
babies in your arms, and take pictures. Put them in your arms, all
of them, despite how early the loss, how small the baby. These are
your children. This is your only opportunity for a very long time
to put a lifetime of love, advice, hopes, dreams, and affection
into a moment. Shock changes instantaneously and frequently during
and after the delivery. If you have given an answer to a question
about your babies during prepping, your answer will be different
in the recovery room, and then in your private room hours later.
Always ask to see your babies more then once. Some parents feel
there must be a reason not to see their babies once they are asked
if they want to. There is never a reason not to see your babies.
Your babies are beautiful. They love you with all their heart. Not
seeing them only sets the stage for later regrets.
You need to ask yourselves if you want the doctors to listen to
a radio during the delivery. Believe it or not, often music is played.
It is such a personal and intense situation. It is OK to request
that this not be done. We suggest that you think about this and
give your doctors your answer before the delivery. You can always
tell the nurses too.
You may watch the delivery with the use of a mirror. This is very
important to be able to witness the birth of your babies. Even if
one of your losses occurred early and the baby may be in the placenta,
watching the placenta be delivered is still watching your baby be
born. Care must be taken, in pathology, to detach the baby from
or within the placenta so you can hold your baby. We know this is
overwhelming for you to read. But, if the doctors have told you
that your baby is attached to the placenta or absorbed into the
placenta, a pathologist can compassionately work on the placenta
and your baby can be brought to you. We strongly recommend that
you do this so you can have a compassionate time with your baby
and not regret not seeing or holding him or her. We know that the
baby maybe very small, but it does not matter. These are still your
children and it will be very meaningful for you and bring you Peace.
You need to plan for your delivery by talking
with your doctor about your loss so you understand each part of
the delivery. Talk about it before you get to the delivery table.
The “unknown” is ten times bigger then the truth. Your
fears of seeing your babies if you have them, are not real. Being
with your babies will be a time so very sad, but mainly a time you
will cherish. It is crucial for you, your life and your marriages
to do this.
When All Of The Babies Pass Away
If parents lose all of their babies, they feel
the loss of a “family”. Losing one of the multiples
is a loss of a family too, but losing all of the babies means there
won’t be any babies brought home at all. This feeling of loss
is intensified when the couple has no other children at home. Your
feelings of deep loss are feelings you need to express.
It is important to make a ‘birth plan’
and communicate it to your doctors and nurses before the delivery,
if possible, including when and how you will see all of your babies.
It is OK to make changes when the time comes, it is OK to be flexible.
When the moment comes that the babies are delivered, it is actually
the “true” beginning of your immense devastation. It
is almost like the loss occurred just then. It is Ok to feel your
emotions and ask questions about the babies being born. It is OK
to cry. You need to see your babies, so you know that it wasn’t
a dream. It really did happen to you. The reality is a nightmare
come true, but it is the reality. It is healthier for you to see
your babies because you have to go home and live with it. We greatly
emphasize the importance of seeing all of the babies for these reasons,
but even more importantly, for the simple reason that you spend
time with your family the way you dreamed of for months, and for
many…the way you dreamed for years. It will not be the way
it was meant to be or a long enough amount of time, but it will
be the time with your family of making precious memories. You deserve
at least that.
Guidelines For Collecting Keepsakes
The Twin to Twin Transfusion Syndrome Foundation
is available to help parents think about the idea of spending time
with their children, the gifts they would give to them, and the
keepsakes they will make to cherish forever. The following guidelines
are given to help parents begin to do this, and to help medical
professionals and caregivers to be sensitive to their needs and
wishes. Unless you have experienced a multiple birth loss, you cannot
truly understand the uniqueness of the experience. We are here to
help you because we have experienced this ourselves. The following
guidelines come from the pain, healing, and hearts of those who
have truly “been there”.
1. Take Photographs with a
35mm camera of all the babies
Often, professionals involved in a multiple
pregnancy with loss do not often understand the importance for there
to be pictures taken of all of the babies and not to do so with
a Polaroid camera, but a 35mm for negatives and clarity. This is
important for you to understand. You have to be your own advocate.
Taking pictures is proof that you did give birth to twins or triplets.
Something tangible for you to look at later of your beautiful children.
It is such a state of confusion for families.
Pictures reaffirm what you know deep inside your hearts. But, often,
parents doubt their status as parents of twins or parents of triplets
since they had a loss. Am I still the mother of twins or triplets?
Of course you are. It can be difficult to voice out loud and
to others that your parental status has not changed because of your
loss. It should not have to be our job to explain ourselves, but
unfortunately it becomes necessary. It is very emotionally draining
for parents to explain our loss of our babies,
because it may bring on more unsupportive comments from others.
It is important to start right at the delivery in letting it be
clear that you are still the parents of multiples and that your
delivery will represent that. You will be gathering keepsakes for
both of your babies and taking pictures. Tell your nurses and doctors
you want to see all of your babies together. You have every right
to do so.
The more parents talk about their babies that
have passed away, the stronger they will become in their self-esteem
and in their confidence to continue their lives with peace. So,
taking pictures will provide you with the reality, and you will
not have to question if you are still the parents of multiples or
if you ever were. It helps tremendously.
Parents waited months to see and hold their
babies. By not treating the delivery and recovery respecting this
fact, a professional is setting the stage for the parents to believe
their status has been taken away from them. Being parents of multiples
will always be…it is a bond with your babies that can never
be broken. The nicest thing said to one mother of twins experiencing
a loss, “There is nothing that you did, can or ever could
do that will ever change the bond between a mommy and her babies.
You will always be as one.”. Getting keepsakes for all of
the babies confirms to the parents, yes, you are the parents of
twins, or yes, you are the parents of triplets…and your babies
love you and are truly precious.
Take pictures of all the babies individually.
· Take
pictures of all of the babies together.
Take pictures
of them touching each other (skin to skin contact).
· Take
pictures of them holding hands.
· Take
pictures of you holding all of the babies in your arms.
Take pictures
of you kissing the babies.
Take pictures
of you holding the babies’ hands
Take pictures
of the entire family including other children. If the children are
not present, which we strongly encourage that they be, use a photograph
of your children to lay on the blanket and be part of the picture.
Parents deserve a “family portrait”.
Take pictures
of the babies wearing identical baby hats
Identify inside
the hats which hat belongs to which baby.
Wrap the babies
in their own baby blanket for pictures.
Mark which baby
blanket belongs to which baby
Take pictures
of all the babies wrapped in a single blanket. Mark this as the
family blanket.
Have private
family time alone without the caring individual taking the pictures
for you.
2. Film The Time With The Babies
With A Video Camera
What is most painful for parents after the loss
in a multiple pregnancy, in time, becomes what they treasure and
cherish most. Many would not think to video this time with their
babies, that this is behavior meant for a happier occasion. This
is a very private time for parents, and what others think, is irrelevant.
Your time with your babies is precious and you will always remember
it even without video. But, with video you will have one more keepsake.
Keepsakes will help you get through very difficult days. You will
hug them on rainy days, birthdays, Easter, and Christmas morning.
The more you give yourself, the more you will have to help yourself
feel a sense of Peace later. So many of us have only Polaroid’s
to hold dear to our heart, and we have to worry about them fading.
To prevent that, we somehow have to take them to a photo lab and
have them made into negatives. It is a very painful and scary process
for fear that the pictures might be lost or damaged and that is
“all that we have”. Having video takes you right back
to the intense emotions and love. Those emotions will be there without
a video, but having it is a very precious gift. The Twin to Twin
Transfusion Syndrome Foundation will help any families who would
like to have video taping done for them in a quiet, loving manner
with experienced members of our organization who have also lost
children in a multiple pregnancy. The following are guidelines we
suggest in the video taping of your babies. Suggestions are for
all of the babies despite how early the losses…how small the
babies.
Have the video placed on a tripod so time together with the babies
can take place, then take it off of the tripod to film the babies
and yourselves up close.
Make sure that
there is plenty of light in the room so the pictures will be clear.
Use the video
camera to film close ups of the babies features, such as their hands,
feet, fingers, toes, face, nose and so forth.
Talk to your
children of your hopes and dreams for them.
· Kiss
your babies and tell them how much you love them and always will.
Tell your babies
that you did everything you could for them.
Let them know
that it isn’t good-bye, only I love you…
Take this time
to baptize the babies and announce their names.
Have the babies
touching you and each other so you can film it up close.
Sing to the babies.
Tell them a story.
Read to them
from a special childhood book.
Give them a bath.
Brush their hair,
cut off a piece of their hair to treasure.
Dress them in
baby clothes you had purchased or have at home that are special
to you and that you had planned to use.
Rock them, sway
them, tell them it’s gonna be OK.
3. Take Footprints Of All Of Your Babies On The Same Card Make sure
to put the personal names of each baby under the footprint.
4.Take Handprints Of All Of Your Babies On The Same Card
Make sure to put the personal names of each baby under the handprint.
5.Take Lockets Of All Of Your Babies’ Hair And Mark
Each One With Their Names
You may also want to cut your babies fingernails as a keepsake for
each of the babies.
6.Get Your Babies Baby Bracelets With Their Name On It And
That They Are A Twin, Triplet Or Beyond
Make sure that you go home with all of your baby bracelets with
their names on them.
7 .Get a baby bracelet to wear for each baby with its personal
name on it and multiple status (twin, triplet, quadruplet)
If you were pregnant with triplets, put triplets. Don’t take
this status away from yourself. It is reality, and it is a sense
of uniqueness, specialness, and pride.
8.Get The Measuring Tape Used To Measure Your Babies, And
The Paper Or Blankets They Actually Laid On.
Identify which baby each blanket or paper was for. Put weights and
measurements on the same card and separately name your babies.
9.Get The Hats And Blankets Of Each Baby In A Separate Zip-Locked
Bag
Identify the
inside of each hat and blanket with the baby’s name so these
items can never get mixed up.
Identify the
outside of each zip-locked bag.
· The zip-locked bag will keep the smell of your baby.
Do this for each
baby regardless of how young the baby was when it passed away or
how small it is now.
10.All Of The Keepsakes Need To Be Placed In A Very Special
Box To Be Taken Home And Marked PRIVATE
“Private” should be marked on the
box so others know that they are not to enter the box and disturb
the keepsakes.
11.PLEASE DO NOT THROW ANYTHING
AWAY.
You may have prepared your nursery for two or
three babies and have everything in place. Husbands or other family
often feel an urgency to give everything away or take it back to
the stores. You need to leave everything there and let the mother
put things away at her own time. Again, put things away, but do
not throw them away or take them back to the stores. Even with things
such sympathy cards, baby clothes or other items….do not throw
them away, but simply put them away. It is much healthier for the
mother to come home to her house the way she left it before the
delivery. In time, she will put things away or return them to stores.
What is very important is that she do these things herself.
Other family members must have trust in you.
Tell them, “If you love me, then trust me that this is what
I need from you.” You need them to let you deal with the nursery
on your own. You need them to let you send out a birth announcement
representing all your babies. You need to do, what you need to do
to keep your status of mother and father of twins or triplets and
don’t let anyone, including family, make you feel it is wrong.
It is the truth and the key to your Peace and health.
You Cannot Be Rushed
This a time of great self-doubt. The more you
can do on your own with encouragement, the stronger and more self-donfident
you will become. All mothers who have experienced loss in a multiple
pregnancy need to give themselves permission to let out that painful,
longing cry for their babies. It is there. It may be too overwhelming
to be in your house alone when you go home. It is terribly sad,
but being alone will give you freedom to let your grief out. You
need this.
Moms, take one minute at a time. You have to
learn how to live your life all over again. But, as you do, you
will be bringing all of your babies with you. Learning how to do
that takes a lot of time and soul searching. Remember, it is never
goodbye, only I love you. Find your own way to bring all of your
babies with you. I believe in you and know you can do this.
From the Foundation
We have found from speaking with many of the
mothers and families that the way your delivery is handled plays
a very crucial role in the sense of Peace that you will feel in
years ahead. Keepsakes are more than reminders of our babies…they
are tangible gifts from them to us. Too many insane statements are
heard on how better off we are in some way or another for having
lost our children. We know these statements are not true. As our
self-confidence becomes stronger, we will verbalize it. You just
have to take a deep breath and start. Having the keepsakes gives
us a place to go when we know these statements are not true, and
we need to tell our babies so. On Christmas morning, we can hold
their baby blankets up to our cheek and hold onto them in our arms.
We can hang their footprints in a beautiful frame on the wall for
all to see. We can wear their lockets of hair in a locket around
our neck. We can see their faces from their photographs and watch
them on video. We can be with them whenever we want. This can be
done regardless of any keepsakes, but they help tremendously. If
we can’t have the lifetime of memories, we certainly deserve
this much. We deserve them truly being here more. Remember, one
day, we will truly be together again. After we have lived a very
long, long life we will go to them and tell them all of our stories.
Do you know what they will say? “I know mommy…I remember,
I was there.”
We hope that this booklet will be a source of
comfort to families experiencing the loss of their
multiple babies, and to the medical professionals to guide them
in collecting keepsakes.
The Twin to
Twin Transfusion Syndrome Foundation
International Office
Compassionate Deliveries ©
411 Longbeach Parkway
Bay Village, Ohio 44140
Phone (440) 899-8887 · Fax(440) 899-1184
© The Twin to
Twin Transfusion Syndrome Foundation
Copyright December 1994-2004
All Rights Reserved
|