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Hidden inequalities of raising multiples

In most areas, policy still treats multiple births the same as singleton births. That might look equal on paper, but it can create unfairness in practice and add to the challenges of a multiple pregnancy and birth.

4 min read

The gap shows up in everyday life, from higher costs and childcare to accessing healthcare, education and suitable housing.

We're working for changes that recognise multiple births and give families the support they need.

Financial support that reflects real costs

Families with twins, triplets or more often face much higher costs, but support is usually designed for one baby at a time. Essentials like nappies, clothes, formula and childcare can cost two or three times as much, as set out in our report.

Maternity pay and leave are usually provided per pregnancy, not per baby. This can leave families with multiples with less support than a family who has two babies in succession. High childcare costs can also affect work. One parent may cut hours or leave employment, reducing household income and making it harder to return to work later.

Take action

We're campaigning for fairer maternity pay for families with twins, triplets or more. You can help by emailing your MP and asking them to raise this issue in Parliament.

Access to services that meets families' needs

Multiple pregnancy is higher risk, but specialist care can be limited and varies by area. Mental health support can also be hard to access, even when families are under significant pressure.

Practical barriers add to this. Appointments may be in buildings without lifts or on upper floors, with no extra help at clinics or vaccination appointments. Daily life can be harder too. Supermarkets, public transport and leisure facilities often don't have suitable space or provision for families managing more than one child at the same time.

Educational costs and support in school

School costs can quickly add up. Uniforms, books, trips and clubs are often needed for each child, so families may need to buy the same items two or three times. Some twins and triplets are more likely to be born early, which can increase the chance of developmental delay and additional educational needs. Support isn't always consistent or easy to secure.

Housing that fits family life

Families may struggle to afford a home with enough space, leading to overcrowding and limited privacy. Housing offered by local authorities isn't always suitable either. Some families are placed in accommodation that makes everyday tasks harder, such as a third-floor flat with no lift.

Tell us about your area

Visit your local supermarkets and tell us how many double and triple trolleys they have. Use our simple form to share the information quickly and easily.

Social and emotional pressures

Parents of multiples can feel isolated, especially when local groups and services aren't accessible or practical with more than one young child. The demands of caring for more than one baby can also affect the wider family. Older siblings may get less one-to-one time, even when parents are doing all they can.

Health and wellbeing for parents and children

Pregnancy and the postnatal period can carry higher health risks for people expecting twins, triplets or more, including postnatal depression. Despite this, extra mental health support isn't always built into care. The physical and emotional load can also lead to stress and burnout. When parents are stretched, it can affect the wellbeing of the whole family.

Your experience can help drive change

Real change is only possible when the voices of families with twins, triplets or more are heard. Help drive the changes that families need now and in the future: share your story or talk to us about our campaigning work.