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Twice blessed: Multiple births are on the rise across America


South Florida Sun-Sentinel 09/21/2004

 

(KRT) - Lisa and John Hall already had double duty raising toddler twin boys when the Hollywood couple discovered they were expecting again.

Hoping for a baby girl, they got their wish, times two. Lisa gave birth to a second set of twins last year.

While two sets of twins in the same family is unusual, chances are the Halls' "four Js," Jakob, Joshua, Jessica and Jordan, won't be the only kids in class who have their teacher seeing double.

The number of twin births has increased dramatically in the United States, jumping 74 percent during the past two decades. The ranks of triplets (or more) grew fivefold during the same time period, but twins accounted for about 95 percent of all multiple births, according to the National Center for Health Statistics and the March of Dimes.

Researchers cite an increase in babies born to women older than 30, who are more likely to conceive twins. Assisted reproductive techniques, such as in vitro fertilization, also play a paramount role. According to a survey of fertility programs cited by March of Dimes, 56 percent of the births resulting from these procedures were multiples.

Twins are everywhere these days, including the news. Olympic gymnasts Paul and Morgan Hamm. Barbara and Jenna Bush. Mary-Kate and Ashley Olsen. Julia Roberts is expecting twins next year. Actress Geena Davis had twins this year at 47. Joan Lunden, former host of "Good Morning America," was 52 when her twins were born last year to a surrogate.

It's no surprise that clubs for parents of twins and multiples are growing in almost every city. Baby stores don't blink at strollers built for two or three. Internet shopping sites cater to twos. There's even Twins magazine.

Two or three sets of twins are spotted at "Mommy and Me" classes, something rarely seen a few years ago.

National Gymnastics in Boca Raton, Fla., offers a play group just for twins and multiples at a discounted cost. Publix and Albertsons grocery stores have added shopping carts shaped like trucks that accommodate three small children. Other stores are doing the same.

"You never used to see that," says Jana Werksman, the Boca Raton mother of 3-year-old twins, Mia and Mason, and a 5-year-old, Stephen. Werksman is president of the Coral Springs, Fla., Mothers of Multiples, which now includes two sets of triplets.

"We don't advertise for members and our membership is increasing with every other group in Florida," says Werksman, who also sees more early-intervention programs for multiples, who face a higher risk of premature birth, medical complications and developmental delays.

Support clubs can be a life-ring for families who are facing double the everyday costs, workload and stress that comes with parenting, says Dr. Rebecca Moskwinski, family practitioner in South Bend, Ind., and executive vice president of the National Organization of Mothers of Twins Clubs. Moskwinski is a mother of six, including 21-year-old twin daughters.

"You find people in the same situation, who have lived through it, who can give advice or at least tell you, this will pass. They can give you perspective," says Moskwinski, who will address about 250 parents of multiples in October at the statewide convention of the Florida Organization of Mothers of Twins Clubs.

Besides offering social support, clubs for twins and multiples can ease the cost burden on parents because they share resources, passing around coupon boxes, sharing parenting books and hosting warehouse-size clothing swaps and garage sales.

With four children close in age, the Halls take advantage of these perks. Their house may resemble a small day-care, stocked with four highchairs, two swings, two cribs, bunk beds and six car seats, to name a few. The family goes through four industrial-size boxes of Cheerios a week. At one point, they were changing 30 diapers and training pants a day, at a cost of 20 to 30 cents per diaper.

"Just the formula, diapers and wipes can put you in the poorhouse," says Lisa, 37, a nurse for 15 years who works in the labor and delivery room at Jackson Memorial Medical Center in Miami. John, 34, is a nurse in the emergency room. Lisa estimates she saved hundreds of dollars by breastfeeding her children instead of using formula.

The Halls' 4-year-old boys are identical twins. Their 19-month-old daughters are fraternal twins. Although twins don't run in either family, neither Lisa nor John was totally surprised by the doubles match. A couple who conceives one set of twins stands a higher chance of having a second set.

Still, "I haven't known anyone in my life who has two sets of twins," says Lisa.

With their ranks swelling, twins growing up today are not subjected to as much curiosity as previous generations, although bystanders still gawk a little or ask questions.

"After the 50th time, it gets annoying," says Carolyn Rowland, 47, of Sunrise, Fla., a mother of 22-year-old twins.

"They're not the novelty that twins of the past were," says Jessica Hartshorn, senior lifestyles editor at American Baby magazine. "Now almost everyone knows someone who has twins. The articles in the magazine take a much more matter-of-fact approach, like how are you going to breastfeed two babies."

Many parents, in turn, are emphasizing separate identities from an early age, choosing not to dress their twins alike, buy them the same toys or assume they have similar friends and interests.

"If you really delve into the twin community, the current philosophy is, you're raising two different people," Hartshorn says. "You tend to play out the differences rather than the similarities. You don't raise them as carbon copies of each other and you do that from infancy."

Parents, too, are more likely to find someone around the corner in the same boat.

Twenty years ago, Rowland founded a twins club for mothers in west Broward County, Fla. It grew quickly, and a few years ago, the club changed its name to Parents of Multiples West Broward because some members have triplets.

"It has grown immensely over the years," Rowland says. "When we started our club, I'd go to my obstetrician's office and they'd say, `Did you bring us more newslettters?' That's how we got the word out. "

Back then, finding a stroller for two was double the trouble and cost. Rowland had a noisy infant swing that she had to crank by hand. Moskwinski remembers lugging two babies to the car in a stroller because there were no strap-in carrier seats.

Medical school didn't prepare her for two crying, collicky infants, she says. Mothers felt more isolated.

"Now at 2 in the morning, you can find somebody to talk to on the Internet," Moskwinski says. "Back then, if you didn't have close friends or you weren't hooked up with a club, there wasn't anyone to call."

While life may be more convenient, the challenges of raising multiples, including physical fatigue, financial stress and feeling overwhelmed, haven't changed, Moskwinski says. Her advice to parents: Keep a sense of humor.

"They're going to get into more trouble when there's two of them and you're outnumbered. Remember, it will be funny later on. It may not be funny now."

Moskwinski remembers when her twin girls were toddlers and one emptied a can of motor oil on the other. The first thing she did was grab her camera, despite feeling overwhelmed by the mess. Today, the family laughs over the photograph.

"I had to throw her clothes away. Get it out of her hair. It was one of those moments where you don't even know where to start. I tell people, keep the camera handy. It helps you to count to 10."

With double the challenges, the Halls have another mantra: Patience is a virtue.

When Lisa knew she was having a second set of twins, "I was a little frustrated, a little angry, a little happy. Just the thought of having to take care of two babies again on top of the two kids I already had was overwhelming, mentally, financially, physically. I was saying, `I can't do this, I can't do this.""

Today, Lisa and John have the twin thing down, alternating their 12-hour work shifts so that one parent is home and keeping each set of children on the same schedule.

"You just do it," Lisa says, when people ask how they manage. "You can't define it for people. Until you're there, you don't know how you'll find the strength to do what you need to do on a day-to-day basis."

"It's working," John says, adding, "even with routines, it gets stressful. There's still a lot of stuff to do."

The Halls have a poster in their bathroom that reads: Twins are like sponges. They soak up all your energy, but one good squeeze and you get it all right back.

"That's what it's like," Lisa says. "Twins are a lot of hard work. But you get it all back."

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