@EKGEMS
I think she needs to try to get her babies on a predictable schedule as soon as she practically can-I'm an identical twin and my older brother is only 21 months older so my mom said that was what really helped in those really difficult days with three under three. I'm 47 and I think I'd drop from fright if I found myself expecting at that age! She's hardly whistler's mother though!
This a million times! I had donor egg twins at 44 and it was the best thing ever! But I do have a DH and stable home, finances etc.
Agree they often come early - warn her to be prepared. I was given a surprise CS at 33.5 weeks because they thought one twin 'would do better out than in' but in fact they had the weights miles out and I'm not sure it was necessary. But I was still working - massive panic....
.
Being early they spent three weeks in NICU. Best prep ever! They came out on regular 4 week feeds and I was advised to stick to that come what may, or I would spend my life feeding. This was amazing advice - I even used a dummy for the first few weeks to keep the bigger twin happy until the the next feed was due (I swore I never would - but needs must.....).
I expressed while they were in so they had the colostrum etc, but they never took to the breast as they were too small and it was harder than bottle feeding, for them. But with hindsight - thank god! If your friend is single I don't think she'd be able to feed them herself - you can do the double rugby ball hold but need someone with you to hand the second one over and assist if one chokes etc. The sooner she accepts that she'll need to bottle feed the easier that side of things will be.
Mine came out used to room temperature feeds, so I never heated their milk beyond that. I made up 12 bottles every evening and put them in the fridge - the nurses told me to ignore the SMA advice to make each one fresh. If one cried at night (for no reason) I put them in a Moses basket in the spare room so they didn't wake the other. Routine and firmness is key with two, although I'm sure some babies are trickier than others.
She'll be fine! She will be the oldest Mum at the school gates, and obviously there are issues about being older later on, as PPs have said. Also if she needs to work that's a whole other issue and I'm lucky enough not to have been in that situation, so can't comment. But it's too late to change her mind - and it will be so worth it!
I met DH later in life hence the late start - if it had been later still or I had stayed single, I would have done the same as your friend! Wish her luck from me!