In Honor of Brendan, Patrick and Nora Boyle

MOST wishes to thank the Campbell family for supporting multiple birth families through their donation celebrating their triplets 27th birthday.

Smoking when Pregnant May Lead to Behavior Problems in Kids

Most people know that smoking during pregnancy is a bad idea. The CDC warns that smoking during pregnancy can increase the likelihood of a miscarriage, Sudden Infant Death Syndrome (SIDS), and certain birth defects like a cleft lip or palate, and premature birth.

New research, published in the Journal of the American Medical Association (JAMA) Psychiatry in July, is adding “conduct disorders” to that list of health risks. Mothers who smoked during pregnancy were more likely to have children who had behavioral issues, the study found.

“The evidence is emerging that smoking in pregnancy and the frequency of smoking in pregnancy is correlated with developmental outcomes after (children) are born,” senior author Gordon Harold, professor of developmental psychopathology at the University of Leicester in England, said.

The CDC estimates that 13 percent of women smoked during their last three months of pregnancy. A 2012 survey conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA) showed that an even higher amount, 21.8 percent of white women aged 15 to 44, smoked while pregnant. Black and Hispanic women’s rates lingered around 14.2 and 6.5 percent respectively.

Read more.

Next Stop Adulthood: Tips for Parents

With high school and college beginning soon, here are some things for parents of older children to keep in mind from the American Academy of Pediatrics.

Becoming a young adult is exciting, difficult, and scary for both parents and teens. It is a time of increasing independence and change, no matter what the situation.

For example:

  • Going to college
  • Moving out
  • Starting a job
  • Staying at home

Teach Independence

Learning to be independent does not happen overnight. Just like getting a driver’s license, it occurs over time and in steps.

  • Learner’s permit—learning new skills with supervision License with limitations—taking on some responsibilities, but with parental support
  • Full license—being fully responsible for one’s own actions Parents need to give up much of the control over many of their young adult’s decisions.

But parents still worry about their child’s safety, health, and success. This is where you need to trust the job you have done as a parent.

Let Go, But Stay Connected

Parents give guidance and feedback to their children at every age, but giving advice to a young adult is different from telling a child what to do or teaching a child how to do something.

Giving and Getting Advice: Young adults need to know that everybody needs advice and help from others for the rest of their lives. Parents now need to be open to getting advice and feedback from their adult children.

Effective Communication Is An Important Part of This New Relationship: Open and honest communication is key. Even though some topics may be difficult or even embarrassing for you, this is the basis of a healthy adult relationship with your child.

Understanding Each Other May Be Difficult: There may be times when you do not agree with each other, and conflicts may occur. Try not to let getting mad or angry turn into a fight. Fights don’t solve problems; they make new ones.

Be A Role Model: Solve problems and conflicts with respect for your teen. Acknowledge and apologize when you are wrong. This is an excellent way to teach your child how to peaceably solve conflicts with others.

Help Teens Learn Responsibility

As teens gain the privileges that come with being adults, they need to understand the responsibilities toward others and the community that come with these privileges. Decisions that adults make have adult consequences, both good and bad, that they will need to live with.

Do Less: Parents need to stop doing things for their teens, like making lunch or running an “emergency” load of wash that teens can do for themselves. Parents who complain most bitterly about their teens’ irresponsibility are often the ones who don’t make their kids do anything for themselves.

Let Consequences Happen: There is no need to come up with special punishments to discourage irresponsibility.

Simply let nature take its course.

  • Forgotten homework assignments result in lower grades or having to do make-up work.
  • Not putting clothes into the hamper means that there might be nothing but dirty clothes to wear.

Of course, it is hard to stand by and see your child suffer embarrassment or defeat. A parent naturally wants to jump in and help. Remind yourself that the most helpful thing you can do is allow your child to learn to take responsibility, the sooner the better.

Give A Regular Allowance, But No Extras: When you are seen as a source of ready cash, your child has no incentive to handle money responsibly. Decide on a fair amount, and discuss how to budget by spending a little and saving for larger purchases. Then refuse to pay for any items that are not needed. If teens don’t have money for something they want, they soon will learn to budget.

Teach Ways To Be More organized: Teens who have trouble staying organized can appear irresponsible. By teaching specific skills, like always putting keys in a particular spot, you are helping your child become a responsible adult.

Help Your Teen Think Through Options: Adolescents make large, life-changing decisions, like whether to drink, smoke, have sex, or go to college. They also make smaller but still important decisions, like whether to try out for soccer or use the time for studying or an after-school job.

One way to help with decisions is to sit down together and actually write down the answers to the following questions:

  • What is the difficulty?
  • What are possible solutions?
  • What are consequences of each solution?
  • Which of those consequences is most desirable from a practical, personal, moral, or legal point of view?

Relating As Adults

As children become adults, the way children and parents relate needs to change. The goal is to respect each other as adults.

Continue Sharing, Listening, and Asking Questions: Parents want to hear about how their “kids” are doing. It is also important for children to know “what’s going on” with their parents.

Having lunch or dinner together is a good way to keep up-to-date with each other and have fun at the same time. Don’t stop being interested in each other’s lives.

Living At Home

Everyone Needs To Help With The Work of The Family: Whether the chores are divided up using a formal schedule or everyone just pitches in when they can, everyone needs to help out at home. You might want to have a family meeting to decide who does what. It’s all about fairness.

A Pleasant Place To Live: Teens and young adults need to know that they can’t play their music so loudly that it disturbs others. Everyone needs to pick up clothing and other items in spaces they share, especially hallways and bathrooms.

A Space To Call Their Own: Even in small homes, providing teenagers with a space to call their own is important. This allows them the freedom to express themselves and to develop their own sense of self-discipline. For example, they can decorate their room as they wish and keep it as messy or neat as they choose, within reason. It is within your rights to insist that a room be picked up if it starts to smell bad or affects the home.

Being Safe: Parents always will be concerned about their children. But as children get older, they need to begin to assume some responsibility for their own safety.

For example, when parents communicate curfews as a matter of safety, it is more likely to be accepted. Teens and young adults need to know that if they are not able to make the curfew, they need to get in touch with the person who is waiting up for them.

World Breastfeeding Week

August 1st – 7th is World Breastfeeding Week. This year’s theme: Breastfeeding: A Winning Goal – For Life! asserts the importance of increasing and sustaining the protection, promotion and support of breastfeeding.

MOST has several resources available to families who want to breastfeed their multiples.

Infant Multiples & Breastfeeding Combination Packet

Breastfeeding Higher Order Multiples

You Can Breastfeed Your Multiples

MOST Family Spotlight

Seven and a half years ago Keira’s triplet daughters were born at 25 weeks 5 days with a combined birth weight of just 4lbs 4oz.

“This was my first and only pregnancy and I was terrified.  The first few weeks, of what would ultimately be 291 days in the NICU, were simply a blur as I dealt with the shock of such an early and traumatic delivery.  Two of my girls faired pretty well, all things considered.  My third seemed to bear the brunt of their extremely preterm birth.  No one expected her to live the first few days but weeks passed and she defied the odds, my worries switched from whether or not she would live to what kind of life she would have.  Would she walk and talk?  Would she go to school, play sports or dance?  Or would the issues she was facing as an infant prohibit her from living a “typical” life.

MOST connected me with another mom whose support gave me hope.  Her situation mirrored mine in several ways, with one of her boys struggling far worse than the other two.  She was three years down the road and talking with her, hearing that the unknown is scary but it could be handled and that I would come out stronger than I ever knew, that is what got me through.  Maybe I would not have the family I envisioned with three healthy children running around my home, but we would be a family.  We might be carting around an oxygen tank and a feeding bag or two, but you learn, you adapt and you realize that there is always hope, no matter what the ultimate outcome may be.

Hope was the greatest gift I could have been given and even when we did ultimately lose my daughter at 14 months old, I thought I didn’t belong in the HOM community anymore.  I didn’t feel like a twin mom either and honestly considered dropping out of my same age triplet group.  But it was the MOST community that continued to embrace me, lift me up and reminded me that I still was and always would be a triplet mom.” – Keira

After her daughter’s death, Keira was connected to MOST’s Lost Angels, a private support group for families who have experienced a loss to help them through their time of grief.

Please help MOST continue to help families like the Keira’s by making a donation online today. Or you may call the MOST office at 631-859-1110. We’d love to hear from you! Thank you.

MOST eNews July 2014

Continue reading MOST eNews July 2014

In Celebration of Alexis, Ashlyn, and Gabby Lam’s High School Graduation

“MOST wishes to thank the Teresa DeVirgilio-Lam for supporting multiple birth families through her donation celebrating her triplets graduation.

In Honor of the Lisanti Family

MOST wishes to thank the Lisanti family for supporting multiple birth families through their donation in honor of their family.

The Importance of Family Routines

Why are family routines so important to children?

Every family needs routines. They help to organize life and keep it from becoming too chaotic. Children do best when routines are regular, predictable, and consistent.

One of a family’s greatest challenges is to establish comfortable, effective routines, which should achieve a happy compromise between the disorder and confusion that can occur without them, and the rigidity and boredom that can come with too much structure and regimentation, where children are given no choice and little flexibility.

Continue reading The Importance of Family Routines

Do Active Moms = Active Kids?

Researchers at England’s University of Cambridge, School of Clinical Medicine, launched a study to build on other research into how the physical activity of mothers and their kids are connected.

Parents seem to affect their kids’ physical activities in three ways — by acting as role models, by helping kids be active (by taking them to the park, for instance), and by being active with them. “All three aspects are thought to be important,” Esther van Sluijs, group leader, said, “but it has generally been unclear how directly mother and child’s physical activity are related.”

In the study, the researchers used devices called accelerometers to track 554 children, all 4 years old, and their mothers for as many as seven days. “The more activity a mother did, the more active her child,” van Sluijs noted.

Specifically, for every single minute of moderate-to-vigorous activity that the mother did, her child was more likely to do 10 percent more of a similar level of activity. Those extra minutes add up over time, according to researchers.

“If activity in mothers and children can be encouraged or incorporated into daily activities so that more time is spent moving, activity levels are likely to increase in both,” van Sluijs said. “In return, this is likely to have long-term health benefits for both.”

Another expert focused on the issue of fathers and what role they might play.

“This is a big question not addressed here,” said Leann Birch, a professor at the University of Georgia’s department of foods and nutrition who studies children and obesity. But, she said, research on parenting suggests that fathers tend to engage in more rough-and-tumble and high-action play with kids than mothers.

Also, she said, “some of our own work showed that reported activity by dads was more important than by moms in predicting the activity of daughters, especially in organized sports during later childhood.”

Adapted from an article in Medline Plus.

MOST Family Spotlight

Bill was caught between jubilation and terror when he learned he and his wife were going to have triplets. He had a lot of questions and was very concerned about his wife’s health and how they were going to manage their miracles after delivery.

The doctor referred Bill to MOST, a place where his questions could be answered and his first-time dad and triplet dad fears could be eased. Everyone at MOST “has been fully invested in the well-being of my wife, daughters, and us as a family.”

“We felt very prepared when we had our NICU tour due to our conversations with MOST and the information that we read in the MOST book. My wife and I are truly grateful for everything that you have done for our daughters and us.”

Please help MOST continue to help families like the Bill’s by making a donation online today. Or you may call the MOST office at 631-859-1110. We’d love to hear from you! Thank you.

MOST’s book, Expecting Multiples: The Most Comprehensive Guide to High-risk Twin & All Triplet, Quadruplet or More Pregnancies, is available at

Early-warning System for Preterm Labor in Development

The following is adapted from Erin Allday’s article in the San Francisco Chronicle, March 19, 2014.

A team of University of California, San Francisco, obstetricians and bioengineers is building a wireless device that can be inserted into a pregnant woman’s vagina to monitor her cervix and, when necessary, send an alert that the woman may be going into premature labor.

The device, which will be similar in size and shape to a diaphragm used for birth control, would be the first early-warning system for preterm labor, which is the main cause of death among newborns worldwide.

It’s still in early development, but the device, called the Smart Diaphragm, just got $2.7 million from the Bill & Melinda Gates Foundation to start manufacturing and expand clinical trials. A prototype has been tested in about 15 pregnant women at UCSF, and a larger study is planned for this summer.

“We need a way to have an early heads up – who needs to be seen by a doctor, who needs surveillance. That’s what drove us,” said Dr. Larry Rand, an obstetrician and the lead developer of the diaphragm.

“For 30 years, we’ve been doing research on preventing preterm birth,” Rand said. “But we’ve been focusing too much on the uterus and the contractions, and that’s sort of like trying to treat a heart attack after someone has chest pains.”

Monitoring the cervix at a molecular level, he said, may be the answer. Rand believes the cervix may be critical for understanding preterm birth because it undergoes subtle molecular changes a long time – weeks, perhaps- before labor begins.

When preterm labor is detected now – either because a woman has started having contractions or because an ultrasound has detected a change in the size or shape of her cervix – it’s usually so far advanced that there aren’t many options for doctors to stop it.

The cervix softens when the collagen starts to break up. Ordinarily, collagen forms a tight crisscross pattern, like a basket weave, that keeps the cervical tissue stiff. But something causes that basket weave to loosen.

Rand’s device cups the cervix and monitors the collagen, ideally revealing when the basket weave starts to come undone. The device is embedded with two types of sensors – one to monitor electric currents moving through the cervical tissue, and one to monitor fluorescent light. As collagen breaks down, electrical currents move more easily through the tissue and the tissue bounces back light in a different pattern.

“We’re measuring multiple times throughout pregnancy. We’re getting in essence a virtual biopsy of the cervix,” said Mozziyar Etemadi, a postdoctoral bioengineer from UCSF and UC Berkeley who’s working with Rand on building the diaphragm. “This wasn’t possible even 10 years ago. The tools that we’re using didn’t exist – the electronics and the wireless connectivity were not there.”

The idea is to insert the diaphragm into a woman’s vagina at some point early in the pregnancy to get a baseline reading on her cervix. Then, the woman would reinsert the diaphragm periodically during pregnancy – maybe every few days or so – to get more readings.

The data would be transmitted wirelessly to cloud storage, where it would be accessible by the patient and doctors. If her collagen structure was changing enough to raise concern, an alert would go out, either to the patient or her doctor, or both.

MOST eNews June 2014


week167 Continue reading MOST eNews June 2014 Summertime

Joanna, an amazing mother to Voilet Grace, Therodore James and Callum Henry

MOST wishes to thank Laurel Underwood-Price for supporting multiple birth families through her donation celebrating Joanna, an amazing mom.

Getting Out With Toddler Quadruplets

Going out of the house with multiples? Considering doing this? Read how Amber manages to get out of the house with her quadruplets.

When all four of our babies were finally discharged from the NICU, I wondered when and if we would ever take them all out anywhere.  They were so fragile that fears of returning to the NICU were painfully apparent, and hard to shake.  As the babies grew and thrived, we began itching to take them places.  Part of the fun of having a new baby is taking them out to explore the world, right?   Aside from adventures, there’s always the reality of what must be accomplished outside the home, say grocery shopping and doctor’s appointments to name a few.  Continue reading Getting Out With Toddler Multiples