Postpartum Care for Families By Lisa Glickstein, Ph.D, Triplet Mom Originally printed in July 2003 I joke with my singleton mom friends to imagine if the first day they were home with their newborn they got a call saying – come to the hospital and pick up another one! In our case, one came home the day after another, and the last about a week later. Into our chaos, came two angels. Over the course of a month, they helped me get all three girls nursing, made us healthy snacks and light meals (and made sure I always had a glass of water), watched the girls while we took naps or a walk, taught us infant care tips and timesavers, did laundry, swept my steps, got me out of the house with the girls for our first walk to Starbucks, and even had adult conversation with my husband when I was in no shape to! Whether you are expecting triplets or more, or a subsequent singleton, you may find yourself looking for day or night help. Both of my angels were actually post-partum doulas (Greek for handmaids) that we hired through Mothercare Services (1-888- MYDOULA). Joan Singer, who runs Mothercare, describes her service as the "heart and hands" that "do whatever it takes to make the transition to parenthood easier." Along with caring for mother and infants, the doula can help with siblings, run necessary errands, and keep the house tidied up. Mothercare's post-partum providers are certified in infant, child, and adult CPR, trained in all aspects of maternal and infant care including breastfeeding support and massage therapy, and participate in continuing education and staff training. The Mothercare doula service is available a minimum of four hours per day ($29/hour), with a suggested minimum commitment of five days. Joan stresses that you do not have to take all five days consecutively; for example you might take three days the first week and two the following week. Another service, Overnight Post Partum Care (508-420-9361), provides similar family care at night for the South Shore area. Mary Joyce, who is the director and also a provider herself, states that the goal of Overnight Postpartum Care "is to allow you to get the kind of rest and care that you need to heal from your birthing experience. Our specialty is helping families get the support that they need during the immediate postpartum period." From the time she arrives, Mary takes over all care of the infants, provides advice or training on infant care or massage if appropriate, and tries to ready the home for the following day by washing and folding laundry, doing dishes including bottle washing and sterilization, preparing formula and bottles, tidying up the house and even getting breakfast for siblings while mom gets a morning shower. She usually suggests a ten hour commitment per night ($30/hour for triplets) to gain the most benefit from the service, and usually works Sunday through Thursday nights. She suggests that expectant parents sign up for 20 nights, used over a period of up to six weeks. Both Mary and Joan stress that their services are not meant to go on for months, but to help parents transition through the first rough weeks. Joan tries to make referrals, if needed, as her services come to an end. Registration for services is recommended by calling Mary or Joan about eight to ten weeks before your due date, about 24 weeks gestation for triplets. They will send a provider for a family meeting to get to know you and your needs, and will block off on the calendar (with deposit) the approximate time you expect to need services. Both stressed that they are flexible and will keep in touch with you as delivery approaches to finalize these plans. From my own experience, these services are an investment in your own sanity, and in your precious babies.