8. Location of Care

If it is not possible for the twins to be put together (because there is a risk of infection, for example) explain this to the parents as sensitively as you can. After a twin dies, cot occupancy will often present a challenge on the unit. There is rarely enough flexibility at hospitals to provide all parents with ideal accommodation for themselves and their babies. It is painful for parents who have lost a twin to be surrounded by other twins, or to see a new admission in the cot where your baby used to be. Where possible, and after speaking with the parents, ask if they would like to move to a different room or cot space.  Parents find hospital discharge of their surviving twin back into the ‘real world’ a difficult and stressful time. Good communication with community services is vitally important.

• Think about cot and rooms usage on the neonatal unit – where might parents want the surviving twin to be cared for?
• Demonstrate empathy when other twins are being cared for nearby
• Speak to parents and individualise care