Twin Motherhood and the Nervous System - Why So Many Mums of Multiples Live in Survival Mode

Busy Twin Mum Summary – Key Points

If you’re short on time, here’s the heart of this piece:

  • Twin and multiple motherhood places extraordinary demands on the nervous system, often from pregnancy onwards

  • Many mums of multiples live in constant survival mode, feeling wired, vigilant, foggy, reactive or shut down

  • Feeling anxious, numb, irritable or unable to rest is a biological response to sustained demand

  • Twin motherhood can carry hidden grief and loneliness, even alongside deep love

  • Healing happens slowly through small moments of safety, nature, breath, movement and being met

  • What is supportive is understanding, time and support that honours what your body has been holding


As a twin mumma I can’t tell you how many parents of single babies have said “I don’t know how you did it”. Honestly you just kind of do your best. It’s an incredible journey and it is also really bloody hard!

While every early parenting journey stretches the nervous system, raising twins or multiples places very real, ongoing demands on the body and psyche that are often invisible to the outside world. Many mums of multiples sense this in their bones long before they have words for it.

If you are a twin mum who feels constantly on edge, foggy, reactive, shut down, emotionally flat or overwhelmed, I want you to know that holy moly I am with you on this one. Your nervous system has been doing exactly what it needed to do.

Why twin motherhood impacts the nervous system so deeply

From the very beginning, twin pregnancy and birth often involve higher levels of monitoring, medical intervention, and risk. Even before the babies arrive, many mothers of multiples are already living with a nervous system that has been asked to stay alert, prepared and vigilant.

After birth, the demands intensify and so does the emotional impacts particularly if your little ones have had time in NICU.

Then you have two babies crying. Two sets of needs. Two rhythms that rarely align. Feeding cycles that overlap or blur together. Sleep that comes in fragments. And a body that is still healing.

For the nervous system, this is not a small thing!

Human nervous systems are wired for connection and co regulation, but they are also wired for survival. When the demands exceed the available support, the body adapts by staying mobilised or by shutting down.

Many twin mums find themselves living in a near constant state of sympathetic activation. Alert and ready to respond. Even when exhausted, the system struggles to settle. This can feel like anxiety, irritability, racing thoughts, tension, or an inability to rest deeply.

At other times, the opposite happens. The system drops into collapse. A sense of being far away from yourself, which is another biological response to sustained overwhelm.

The hidden grief and loneliness of twin motherhood

There can also be a quieter layer that many twin mums carry.

Grief for the motherhood experience they imagined. Grief for slowness, for simplicity, for being able to meet one baby fully in each moment. Grief for the version of themselves that had more space, more capacity, more internal quiet.

These feelings often come with shame. Especially in a culture that says you should feel lucky, grateful, blessed. And so they are rarely spoken aloud.

Twin motherhood can be deeply lonely, even when you are never physically alone.

You may be surrounded by babies, noise, movement and tasks, yet feel profoundly unseen in your inner world.

Why “just resting” often doesn’t work

Many twin mums are told they need more rest, more self care, more regulation. While well intentioned, this advice can miss the point.

A nervous system that has been shaped by constant demand does not simply relax because you lie down. Safety has to be experienced, not instructed.

This is why so many mothers say, “I’m exhausted, but I can’t switch off.”

The work here is about slowly rebuilding a sense of safety in the body through small moments of attuned support and nervous system informed practices.

Coming back to yourself as a twin mum

Healing and integration after twin motherhood is not linear, and it is not quick.

Some things can can help are noticing your breath while nursing. Feeling your feet on the ground while pushing the pram.

Nature can also be especially regulating for overwhelmed nervous systems. So can gentle, choice based movement to bring your body back on line.

Another supportive act can be connection with another who can meet you and see you.

If you are a twin or multiple mum reading this

Please know that you are amazing and your nervous system responses make sense. Your fatigue, irritablility, numbness is real and are adaptations to extraordinary demands.

You need support, time, and spaces where your experience can be met without judgement.

Coming back into your body after raising twins is not about returning to who you were before. It is about allowing who you are now to be shaped with care, gentleness and respect.

You are doing something immense.

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