Synchronized Schedule Development:
- Establishing feeding times that work for all babies
- Coordinating sleep schedules to maximize parental rest
- Creating efficient diaper changing rotations
- Staggering individual attention time for each baby
- Developing systems that grow with babies as they mature

Tandem & Individual Care:
- Tandem feeding techniques (for breastfeeding or bottle feeding)
- Managing one baby while another waits (minimizing stress for both)
- Individual tummy time and developmental activities
- Ensuring each baby's unique needs are met
- Rotating which baby gets individual attention first

Breastfeeding Multiples:
- Tandem nursing positions and techniques
- Rotating which baby nurses on which side
- Supplementation strategies if needed
- Pumping schedules for multiples
- Supply management for multiple babies

Formula Feeding Multiples:
- Efficient bottle preparation systems
- Tandem bottle feeding techniques
- Feeding one while the other waits (or feeding simultaneously)
- Tracking individual intake for each baby
- Managing nighttime feeding logistics

Combination Feeding:
- Coordinating breast and bottle feedings
- Ensuring each baby receives balanced nutrition
- Managing supply alongside supplementation
- Creating sustainable feeding plans

Sleep Training Considerations:
- Whether to room-share or separate babies
- Coordinating sleep schedules vs. independent schedules
- Managing when one baby wakes the other
- Establishing individual sleep associations
- Gradually consolidating nighttime sleep

Safe Sleep for Multiples:
- Proper sleep space setup for multiple babies
- AAP guidelines specific to multiples
- Managing sleep environment when room-sharing
- Creating optimal sleep conditions for each baby

Multiples-Specific Techniques:
- How to hold and burp two babies at once
- Efficient bathing routines for multiples
- Managing solo care when specialist isn't present
- Prioritization strategies during challenging moments
- Self-care strategies for parents of multiples

Overnight Care (Most Common)
Many families with multiples hire overnight specialists (8-12 hour night shifts) to handle nighttime feeding, diapering, and soothing for all babies while parents sleep. This allows parental recovery while remaining primary caregivers during daytime hours.

Benefits:
- Parents get essential uninterrupted sleep
- Parents remain primary daytime caregivers during the day
- Sustainable arrangement for extended engagements
- Allows gradual transition to independent nighttime care

24/7 Live-In or ROTA Care
Families with multiples often need continuous support, especially in early weeks or when both parents need to return to work quickly. 24/7 arrangements provide round-the-clock coverage through live-in specialists or rotating shifts.

Benefits:
- Comprehensive support for overwhelmed parents
- Essential for single parents or parents without family support
- Allows both parents adequate recovery time
- Provides consistent care and routine development

Daytime Support
Some families prefer daytime specialists who help during the day while parents handle nights, or who provide support during specific challenging times (like the "witching hour" when all babies are fussy).

Benefits:
- Parents maintain nighttime bonding
- Support during most challenging daytime hours
- Help managing older siblings alongside multiples
- Assistance with daytime outings and errands

Industry-Leading Standards
Our agency was founded by Tonya Sakowicz, former co-president of the International Nanny Association and creator of the only CACHE International-accredited newborn care training program in the United States. That background shapes how we evaluate every specialist—particularly those handling the complexity of multiples care.
Documented Multiples Experience Required
We specifically match families with specialists who have extensive documented experience caring for multiples, proven ability to establish synchronized routines, knowledge of tandem feeding techniques, patience and adaptability for complex care situations, and references from previous multiples families. General newborn experience isn't enough—we verify multiples-specific capability.
Understanding the Investment
Specialists experienced in multiples typically command rates $5-10/hour higher than singleton care, reflecting the increased complexity and physical demands. We provide realistic guidance about costs for various coverage models during your consultation—no surprises after you've committed.
Direct Employment Model
You hire your specialist directly and contract with them independently. Our placement fee covers the vetting, matching, and support process. This keeps the employment relationship clear and gives you direct communication with your specialist without agency intermediaries.

Step 1: Specialized Consultation
Call (602) 695-6775 or email agency@newborncaresolutions.com to discuss whether you're expecting or have already delivered, number of babies (twins, triplets, more), current ages if already born, whether babies are identical or fraternal, any health considerations or premature births, and your preferred care schedule and support needs.

Step 2: Detailed Assessment
We assess your specific challenges (feeding, sleep coordination, individual attention), your family's lifestyle and support system, home layout and nursery setup, whether babies will room together or separately, and your care philosophy and preferences.

Step 3: Specialist Matching
We identify 2-3 specialists with proven multiples experience who match your needs, providing profiles highlighting multiples-specific experience, relevant certifications and training, testimonials from previous multiples families, and availability for your schedule.

Step 4: Interviews & Selection
You interview matched specialists to discuss their approach to multiples care, assess personality fit and communication style, review systems they use for coordinated care, understand rates and schedule expectations, and select your preferred specialist.

Step 5: Care Planning & Start
You establish employment agreement with specialist, coordinate routine development plans, align on communication and care logs, finalize schedule and start date, and begin care. Early outreach—ideally during your second trimester—gives you the strongest selection of specialists with proven multiples experience.

Step 6: Ongoing Support & Adjustments
The NCS Agency provides continued support as your babies grow and needs evolve, specialists adjust routines as babies mature, and we coordinate any additional support or changes needed.

Understanding Multiples Care Rates
Specialists experienced in multiples typically charge $5-10/hour more than singleton rates, reflecting the significantly increased complexity, physical demands, and specialized knowledge required.

Typical Multiples Rates: $40-60+ per hour depending on specialist's experience level, number of babies, geographic location, and schedule type.

Weekly Rate Examples for Twins

Overnight Care (10-hour shifts, 7 nights/week):
- $2,800 - $4,200/week
24/7 Live-In Care (6 days/week with backup):
- $6,720 - $10,080/week
Full ROTA Coverage (2 specialists, 12-hour rotating shifts):
- $6,720 - $10,080/week

Higher-Order Multiples
Triplets and higher-order multiples typically require even higher rates or multiple specialists working simultaneously, especially during early weeks. We provide customized guidance during consultation.

Note: These are estimated ranges. Actual rates negotiated directly with your specialist. Most families engage multiples care for 6-16 weeks, though many extend as they experience the benefits.

Most families find that one experienced specialist can handle twins efficiently, especially with established routines. For triplets or higher-order multiples, two specialists working simultaneously may be necessary, particularly in early weeks.

This depends on your preference, home layout, and babies' temperaments. Specialists experienced in multiples can help you evaluate options and decide what works best for your family.

Absolutely! Many specialists have extensive experience supporting breastfeeding mothers of multiples, including tandem nursing positions, rotation strategies, and supplementation plans if needed.

Specialists experienced with multiples excel at either coordinating schedules (usually the goal) or managing staggered schedules when babies' needs differ significantly.

Newborn care specialist services are typically not covered by insurance. However, some families successfully use HSA/FSA funds. We recommend consulting your tax advisor about potential medical expense deductions.

Most families engage multiples care for 6-16 weeks, though some continue longer. The intensive early period benefits most from professional support, after which many parents feel confident managing independently.