Dad's Guide to Twins

How long do newborn twins stay in the hospital?


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How long your twins will stay in the hospital after birth depends on your twins’ health at their time of birth.

Let’s talk about a couple scenarios.

Healthy Babies

Expect around nine to 25 days after birth if your twins need to spend some time in the neonatal intensive care unit (NICU). But remember, that not all twins need time in the NICU.

Let’s talk about the first ideal situation, which is when your twins are born, they’re super healthy and they’re ready to go home.

If your twins are born close to your due date or the average for twins, that’s 36 weeks of the pregnancy, the odds are pretty good that they will not need any time in the NICU and they can go home with mom.

Your stay in the hospital in this case is going to be very short, and it’s often dictated by how long mom needs to stay in the hospital to recover from delivery. This could be as little as two or three days or maybe three or four days if mom has had a c-section.

This was the case with our twin girls. My wife had a c-section delivery for our twin girls and she was in the hospital for about four days.

Our girls were healthy, and so when mom was ready to come home from the hospital, the babies and mom were all released at the same time. Now that’s really the ideal scenario for you and your twins a few days after birth. Everybody’s looking great and you head home.

Complicated Extreme

On the opposite side of the spectrum, your twins may be born very early, which is a possibility with twins, but it doesn’t always happen that way. In case of premature birth, they may have some serious complications that require an extended stay in the hospital.

Twins have been known to stay in the hospital for months so they can have the needed surgeries and give them time to grow and develop enough to leave all the machines of the NICU.

It’s likely that your twins will fall somewhere in the middle of these extremes.

Make sure you discuss potential risks with your doctor during ultrasounds as you get closer and closer to the twins’ birth.

Sometimes things can be identified during the pregnancy, so you, during the ultrasound or visits with a doctor, you may get a heads up that there may be potential complications at birth, which could indicate your twins may need to spend more time in the hospital. Otherwise, you just need to wait until they’re born to see how they check out and whether they’re ready to come home with you in a few days, or if they need a little extra time in the hospital.

Your exact scenario and situation with your twins will be different than mine and from other twin parents you know.

I’ve interviewed dozens and dozens of twin dads on my podcast, The Dad’s Guide to Twins Podcast so checkout their stories to get a hint at all the different variations of what could be possible with the birth of your twins.

There are many possibilities of how long your twins will be in the hospital after birth. For example:

  • Twins go home right away once mom is ready to leave
  • Twins are in the hospital for months while they get the treatment that they need to survive in the real world
  • One twin needs to stay in the hospital while the other twin comes home with you
  • Twins stay in the hospital just for a few days or weeks. Sometimes twins are born early and they just need to grow and develop a little bit. There’s really nothing wrong with them other than that.
  • While all of these are possibilities, I don’t want you to worry about some of these extreme scenarios because that may not happen to your twins.

    Discuss those possibilities with your doctors, but don’t stress out about them, and when new information comes your way from your doctor, that’s when you can deep dive into the research on that and talk about options with your doctors.

    For when you’re packing your bag to go to the hospital, I would plan for a stay of three to four days, and then you might just be coming home with the twins at the end of that time.

    If they’re going to stay a little bit longer, you can come home with mom and then go and check on the twins as they progress through the NICU.

    NICU Exit Criteria

    Your twins will need to pass several tests to be released from the NICU:

    1. Maintain Temperature: The twin must be able to maintain its own body temperature in an open crib (not an incubator).
    2. Successful Feeds: The twin must be able to coordinate suck, swallow, and breathe during feeding (either breast or bottle).
    3. Stable Breathing/Heart Rate: The twin must have stable cardiorespiratory function, meaning no significant bradycardia (slow heart rate) or apnea (pauses in breathing) for a predetermined period (often 5–7 days).
    4. The goal is usually to reach a weight of at least 4 pounds (approx. 1800-2000g) before meeting these criteria.

      For some examples from other twin dads about their NICU stays, check out these interviews:

      • Rob Kaercher’s identical twin boys, born early, required NICU care for about three weeks due to bilirubin level issues and bruising. One week was in the main NICU, and two weeks were in the “feed and grow” section.
      • Patrick Edgett’s twins required about one month of NICU care
      • James Bethe’s identical twin boys, born at 29 weeks due to twin-to-twin transfusion syndrome, spent approximately two months in the NICU.
      • Tony Rowe’s fraternal twin girls; one twin (Olivia) stayed in the NICU for about 11 hours, the other (Adeline) for 11 days due to irregular breathing.
      • Peter Esbrandt’s identical twin girls, born early, spent 34 days in the NICU.
      • Andy Shaw had twins born at 31 weeks, required NICU time following delivery.
      • Chris Barry’s triplets (identical twin boys and a fraternal girl), born early, spent about four weeks in the NICU as “feeders and growers.”
      • Steve Idlett’s twins spent time in the NICU, with the added challenge of the NICU being far from home.
      • Ian Sadler’s fraternal twin boys; one twin (Landen) spent three weeks in the NICU, and the other (Luke) spent five weeks due to bradycardia, with one twin requiring a heart monitor at home.
      • Kyle Mongold had one twin (Garret) spent one day in the NICU as a precautionary measure after birth at 32 weeks.
      • Christos Xidias had fraternal twin boys, born at about 35 weeks, spent time in the NICU; one twin came home after just under a month, while the other required two months due to breathing issues and craniosynostosis.
      • Chris Titus’ fraternal twins; daughter spent ten days in the NICU due to a cleft palate, blood sugar issues, and feeding challenges, while the son did not require NICU care.
      • The post How long do newborn twins stay in the hospital? appeared first on Dad's Guide to Twins.

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        Dad's Guide to TwinsBy Joe Rawlinson, twin pregnancy and raising twins expert

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