Pregnancy and baby

Multiple babies and postnatal depression

Caring for two or more babies is hard work. For some women, the extra pressure of coping with more than one baby can lead to postnatal depression.

This doesn’t mean that you'll definitely get depressed after having your babies, but there are good reasons why mothers of multiple births can be more at risk.

What can cause postnatal depression?

The Twins and Multiple Births Association (Tamba) identifies some of the most common causes of postnatal depression (PND) in parents of multiple babies:

  • Caring for two babies is hard. You constantly have to split your time and attention between them, and cannot give them the same type of care you would a single baby. This is perfectly natural and coping with two or more babies takes some time to get used to.
  • A lack of sleep is more likely to affect mothers of multiple babies. According to Tamba, only 14% of mothers of multiples have six or more hours of sleep a night in the first year.
  • Twins are more likely to be cared for in the neontal unit. It's thought that this could lead to PND. This is because, instead of being able to celebrate your babies’ birth, you're coping with worry, stress and guilt.
  • Twin pregnancies are more prone to complications and the birth may be difficult too. This means you can begin motherhood feeling low and exhausted. If you had a bad birth experience, you may want to visit the hospital and go through your notes to help you come to terms with what happened.
  • You may find that the reality of caring for your babies doesn’t match up to your expectations of motherhood. If your twins are the result of IVF, for example, it may be hard to discuss these feelings with relatives and friends who assume you're thrilled to have the babies you longed for.
  • Mothers of multiples may envy mothers with single babies as they feel robbed of the mother-child bond that others appear to enjoy.
  • Isolation can be a big problem for mums of twins, who can find it harder to get out than mothers of single babies. 
  • Lack of support can be a serious problem for multiple mothers, and caring for two or more babies on your own is physically and emotionally draining.

It's important for you and your partner to be aware of the signs of postnatal depression (PND) because the faster it's diagnosed, the easier it is to treat.

Spotting signs of postnatal depression

Symptoms of PND can include:

  • crying a lot
  • difficulty sleeping
  • thinking you’re a bad mother
  • not being able to cope, and blaming yourself
  • anxiety and panic attacks
  • being overwhelmed by even the smallest tasks
  • feeling anxious or guilty
  • feeling tense and irritable
  • an inability to make decisions
  • poor concentration

If you have the symptoms of postnatal depression or are feeling low or unable to cope, get help as soon as possible from your GP or health visitor. You can find out more information about postnatal depression and mothers of multiples by registering with Tamba and downloading its free leaflet: Postnatal depression: a guide for mothers of multiples.

Further information


Page last reviewed: 10/07/2012

Next review due: 10/07/2014

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