6 up, 6 down

In other words... Leah is home!!  We were in such a routine of home/hospital that it took a few days to sink in.  Yesterday I realized I was still carrying around my cell phone 'in case the hospital calls'; then it dawned on me that the NICU would never be calling again!  We are official NICU graduates and the first set of sextuplets in Texas to all graduate :)

I realize I was horrible about updates in September which means 2 things: it was hectic and this will be a long one.

The week before Leah's homecoming was jam packed with Allison's going ons, media, and discharge planning.  Allison had her spinal ultrasound and her echo and her regular PT appointment.  The echo came back normal which was great news!  The first review of her ultrasound didn't reveal anything of concern, but on a second look the radiologist saw a possible vascular lesion so she has an MRI scheduled in a couple of months to get a better image.

Planning Leah's discharge was quite the undertaking with setting up her follow up appointments, getting medical equipment and home nursing arranged, figuring out her feeds, and negotiating the media.  We ultimately decided to do an interview with the Chronicle and Today- with the hospital videographer filming the same footage to share with local media.  We negotiated from them coming to our house to them just filming our arrival and feeding the babies at the hospital.  The Pavilion for Women hosted a 'send off celebration' for Leah and we lugged all siblings up there for the hospital staff to see.  We also got our first family photo which I LOVE!!  I literally spent days planning for this event- arranging volunteers to help us, making a timeline of when things needed to happen on our part and media's involvement, making packing lists and packing the stuff, and arranging who was going in which vehicle.  My timeline for that day started at 8am when a friend came to pick up the mega stroller and it was nonstop from then until we arrived at the hospital at 1:30pm and then home again at 5:45pm.  In all it took 4 vehicles and 7 volunteers to have the day run smoothly.  The babies did amazingly well through it all even with a feeding and lots of waiting around.  The only mishaps were dropping the stroller headrests in muddy water (last minute washing), Dave's truck not starting (last minute car seat rearranging), and Leah having an x-ray ordered when she was supposed to be discharged and on her way to the party.  Somehow none of these things made a big impact and the party started on time and went off without a hitch!  The Today show even stuck to our arrangements on when and how long they could film and interview us.  They filmed and interviewed us during a feeding which was somewhat of a challenge, but killed 2 birds with 1 stone.  It was fun to see the people who took care of us for so long and show off how big the babies are now.  They didn't recognize them :)  And of course I enjoyed the cake!

The media coverage of Leah's homecoming was quite widespread and overall well done.  I've heard of stories done in London and South America and Puerto Rico- who would've thought?!  I felt the Today Show did well, though they dramatized Leah's situation and showed me saying "I've gotten pretty good with my stroller people" (what happens when you forget you're mic-ed).  They did bump us from airing on Tuesday morning to Wednesday morning because of the breaking news of Kate Middleton's topless photos.  Boobs before babies.  The local news did nice positive stories, as did the Chronicle.  I thought it was comical they called me a 'veteran mom'- since when does 4 months in make me a veteran?!  We also got some additional tv attention- got our 4th reality show request and an invitation from the Dr. Oz show.  At this time, we have turned both down.

Being interviewed by Today

Leah's first week has been a challenge.  Overall, I think she has done well considering how long she was in the hospital and her having more issues than the others.  The pediatrician was impressed with how she's been.  She is currently using a feeding tube at night and bottles during the day and we have a home nurse for night time for a couple of weeks.  Bottle feeding has been difficult; her original formula tastes nasty and she hates it.  It was taking an hour to feed her because of her screaming fits in between every sip.  We have her on a different formula mixed with some breast milk now and it is better, but she can still scream and fight.  She is STRONG- like had to have an extra person help hold her down when blood was drawn strong and she only weighs 8.75 lbs!  She doesn't nap much, but once she goes to sleep at night she does sleep well.  She seems to have 2-3 unconsolable fits a day besides feeding and bed time.  She is adjusting though- all she knows is her NICU bed, so everything is new and confusing and overstimulating.  What's difficult at feeding times is that she requires lots of one-on-one time and I typically feed 2-3 babies when needed.  But we just love our little Leah Peah so much and are so glad she is home!!

We have had some other fun events lately... a friend got our living room carpet and bathrooms cleaned (woo hoo!) and while that was being done we moved in to our neighbor's house for an afternoon.  It was fun to have a successful adventure even if it did throw the babies off their schedule a bit.  The best part was seeing her daughter's face when she got home from school and all the babies were there :)  Dave and I have also had a couple date nights this month thanks to some fabulous friends!  Got to do dinner and a movie and dinner with friends at their beach house in Galveston!  I've had a couple girl outings too- pedicures and lunch dates- thanks to Dave's mom coming to help and allowing me out of the house!  As much as I enjoy my babies it's always nice to get a recharge break.

Neighbor's den after we moved in

It seems like yesterday I wrote up the 4 month stats and now they're already 5 months old!  I'm really not sure where September went.  I haven't weighed them in a couple of weeks so I don't have current weights.  They are all growing like crazy though.  Caroline and Allison have flipped from their tummy to their backs.  Caroline sucks her fingers.  Ben stares at his hands.  Andrew laughs.  They are all smiling- Leah by far the least, but every now and then.  They are sleeping much much better and we may be brave and start pushing the 5 to sleep through the night very soon.  The 3 bigs are eating 5 oz/bottle, Levi is 4.5 oz/bottle, Allison is 3.5 oz/bottle.  Alli is still a finicky eater.

 
I will try to update a little sooner next time!  My parents are back (yea!!!) so I may get some more free time- maybe.

Theme Songs

What song would you want to be played as you entered the room?  For myself, I have no idea!  But for the babies, I got it covered.  Some favorite friends volunteered the other day and we came up with these...

Benjamin Luke Perkins = I'm a Man by Black Strobe

http://www.youtube.com/watch?v=LbPRGDwlfqs

This song started the whole idea of theme songs.  Marc said it made him think Big Ben.


Andrew Noah Perkins =  I'm Too Sexy by Right Said Fred

http://www.youtube.com/watch?v=39YUXIKrOFk

Would anything else be appropriate for my little flirt?


Caroline Grace Perkins = Sweet Caroline by Neil Diamond

http://www.youtube.com/watch?v=NsLyI1_R01M

Unoriginal I know, but it's so fun to sing along to!  And she is pretty sweet.


Leah Michelle Perkins = Survivor by Destiny's Child

http://www.youtube.com/watch?v=NorDwm8wk5s

With everything she's been through already and will continue to battle with, she's our little fighter and survivor!


Allison Kate Perkins = I Like to Move It by Reel to Real

http://www.youtube.com/watch?v=Dyx4v1QFzhQ

This girl is always kicking and scooting!  Only still when she's sleeping and not always then either.


Levi Thomas Perkins = Don't Worry Be Happy by Bobby McFerrin

http://www.youtube.com/watch?v=d-diB65scQU

Always serious and furrowing his brow.  At 1:11 into the video he even makes a Levi face!

Life As We Know It

It's been hectic lately, so I apologize for the delayed updates!  I'll be making up for it now though :)  Here are a few of my "this is my life now" moments...

• Doctor calls about Leah and while talking to him 3 babies are crying in the background and Maggie is vomiting on the carpet
• Someone else calls from the hospital and Caroline is crying in the background.  Lady says she'll let me go because she can hear all of them crying.  I say "Oh, that's just one"
• If I had a nickel every time someone told me "Bless your heart" we'd have the babies' college covered!
• Playing our new favorite game: 'Guess Which One is Crying'- bonus points if more than one is crying and you can distinguish between them.  I must say I'm pretty good at this one!  Of course, I am here all the time.  Several volunteers have really got it down too.
• People's reactions to us during our morning walks: driving slowly and staring, full on stopping in the middle of the street to stare, pointing while driving by, stopping to ask questions and make comments.  Some examples: "Whoa triplets", "Bless your heart", "How many babies you got?", "Are you the lady with the 6 babies?", "Need a nanny?  I'm available this Sunday."  And of course there are the "Congratulations" and "aw what cute babies".  And, no, I did not take the random lady up on her nanny offer.  

And now to answer some FAQ's...

How did you assign names to babies (apparently I never blogged this before- opps!)?

We did it based on birth weight: Big Benjamin, Average Andrew, Little Levi, Colossal Caroline, Average Allison, and Little Leah

What vehicle will you use?  When will you get it?

We've ordered a Nissan NV 12 passenger van.  It arrived on time earlier this month, but they sold it to someone else.  So, we are waiting until mid- September for our re-ordered van.  In the mean time I do have a large SUV loaner.  Our stroller will fit on the back of the van on a hitch- kinda like a bike rack.

How much sleep do you get?

Not much!  I typically get 3-4 hours of sleep a night.  I get slightly more if the babies are being sweet little angels or a fantastic friend stays the night to help.  Dave helps on weekend nights- I let him sleep during the week since he needs to be coherent at work, but he does get up for the 2am feeding.  Although he has "accidentally" slept through it several times :)  We do have regularly scheduled overnight helpers 4 nights a week!  A couple others who do so randomly.

How many volunteers do you have and what do they do?

Everyday is different.  Some days I have a ton of help and other days require more multitasking :) I decided to do our volunteer calendar as open signup.  I was worried if I did set specific shifts people wouldn't sign up if they could only come for an hour or two, and I'll take any help during feeding hours!  So everyday has 6 slots to fill and people sign up and say what time(s) they'll be here.  Some come all day, some stay overnight, some come just for a feeding, some a few hours- so far it's working out.  As for what they do- all kinds of things!! Mostly feeding and entertaining babies.  During nap times someone's always on 'pacifier duty'.  Overnight volunteers take one or both of the night shifts.  We all help with the feedings, but shift work requires responding to crying babies.  It is so nice to get a break from that!  House cleaning, laundry, errands, and yard work are also involved as needed.  I have people who clean, do yard maintenance, and baby laundry on a regular basis which is the best!!  I have a white board as you walk in with lists of Things To Do and Things To Buy that people can check out without me having to remember what to delegate.   I also have a meal sign up 3 days a week.  People have been very generous with the food; we've gotten so much I'm able to feed the volunteers who are here at meal times as well.  

What does a typical day look like?

I like to think it's not as chaotic as people expect.  It is very structured and organized, but can be crazy when all are crying (or 'the chorus' as we call it)- especially right before feedings.  The babies are on 4 hour feedings- 6, 10, 2.  We've been implementing the eat, play, sleep thing for awhile now and some days are better than others.  The babies really do take turns on who has a fussy day and who sleeps well.  For a typical schedule... we do 6am feeding, get babies dressed for the day, and I eat breakfast.  Then I load up the stroller and take babies and Maggie for a walk for about an hour.  They're pretty sweaty from the stroller after the walk, so we do tummy time to air out their backs and work on their back and neck muscles.  The 10am feeding quickly approaches and is usually when my first volunteers show up.  We feed then 'play' until they start looking sleepy and we put them in their cribs for midday nap.  During this nap time we eat lunch and I usually shower and take a short nap or get other tasks done- unless the babies are cranky!  Repeat for 2pm feeding.  The babies are always fussy between 4:30-6pm.  We do baths every other night and start these at 5:30.  If we're not bathing, we still get them ready for bed before 6pm.  We feed at 6 then put them down for bed when they start fading.  Once they're down it's bottle making time!  We make all the bottles at once for the next 24 hours.  This is usually all done between 7:30-8pm.  The babies sleep really well between 8-10, so after bottles we eat dinner and do whatever we want until 10pm.  After 10pm and 2am feedings we hope they sleep well until the next feeding so we can sleep!

How is Maggie with the babies?

She does very well with them!  Her barking does not wake them up.  The main problem is that she licks them too much and we have to push her away.  She actually walks better with the stroller than just her on her own.  When one is crying she does go up to them and lick them- so sweet!  She gets plenty of attention herself too; she has learned to bark at volunteers to get extra treats.

Other random notes:

My rules...  only change diapers at feeding times unless it's poopy or they've peed through it and are completely soaked and no rocking babies to sleep and wash hands all the time.

The babies are so cute in the morning- they are happy and smiling and ready for the day!

The number of babies fed per person varies on how many people are there- if just 2 of us then 1 feeds 3 and 1 feeds 2.  I've gotten many volunteers comfortable feeding 2 babies, but only Dave and I feed 3 at once.  There are several techniques for feeding 2 at once: both in boppies, one in a boppy one in a lap, both in lap, or using bouncy seat instead of boppy.

Once Allison came home we started using the crockpot to warm bottles.  We turn it on low about 45 min before a feed, put all the bottles in 10 min before and they're all done at once- it's great!  We do leave it on all night long because remembering to turn it on at 1am- I don't think so.

I have officially started to wean from pumping.  The hospital told me to stop bringing breast milk because they had too much and I'm out of storage room at home, so after 4 months it's being shut down.  Sure is easier to feed babies without pumping at the same time.

I have the BEST friends, family, and volunteers anyone could ask for.  I am so blessed and I know it!  Everyday I thank God for my babies and all the people He's put in my life who make the day by day possible.  I don't expect anyone to help us and it amazes me that our volunteers give up their free time to come 'play baby'.

Feeding Caroline while burping Levi

Pumping while feeding Allison and Levi

Going for a walk

The 6 (minus 1)

4 month stats

I thought this time around I'd break it up by baby.  Let's go in birth order...

Andrew Noah

Also known as "Charm" and "Andy Man".  He is such a flirt with his smiles, coos, and sideways glances.  He was also the first to bust out the Perkins Pout; I was not ready for that one this early.  Andrew has no patience; he goes from calm and happy to kicking and screaming within seconds.  He will stay quite content just by looking around which is nice.  He's the easiest one to burp and definitely sucks down his bottle.  He loves being benchpressed too.  Andrew's 4 month height and weight were 23 in (2nd %ile) and 12 lb 2.5 oz (6th %ile).

Benjamin Luke

Also known as "Ben", "Cheeks", "Big Poppa", and "Benny Boo".  He's my chubster weighing in at 12 lb 6.5 oz (8th %ile) and 21 in (0 %ile).  He probably gets the most comments on being cute, but I think it's because people can't resist a baby with chubby cheeks.  He also smiles and coos a ton and has one dimple.  He stays the most content with looking around and is starting to grab at dangling objects on the play mats.  He hates tummy time and fusses the entire time; due to this, he is the worst at lifting his head and pre-crawling motions.  The back of his head is also kinda flat.  He's a good eater and races Andrew at every feeding.  

Caroline Grace

Also known as "Gassy Girl" and I do sing Sweet Caroline to her and call her Princess Caroline sometimes.  Dave calls her his 'nemesis'.  She was my long lean girl, but has grown a big belly in the last couple weeks.  She's at 10lb 12 oz (3.8%ile) and 21 in (0%ile).  She is still dainty, but can toot and burp like a man.  She smiles and coos, but on her own terms.  She likes being on her belly and is the best at supported sitting.  She has some strong lungs too.  She almost always stops crying once she gets some attention.  Caroline hangs with the big boys on the eating front too.

Leah Michelle

Also known as "Leah Peah".  These days Dave sees Leah after work and I go on the weekends.  She was moved to the Level 2 NICU a couple weeks ago which means she's stable.  We are finally seeing the light at the end of the tunnel on her though.  She is officially on full breast milk and bolus feedings.  She even got her first bottle today and took a full ounce.  Now she just has to keep it up so she can come home!  She weighs 7 lb 5.5 oz and I'm not sure on her height.  She loves her swing and her pacifier and being held.  She isn't smiling or cooing, but has started to make some eye contact.  

Allison Kate

Also known as "Alli", "Allikins", "Alli Kate", and "Miss Priss."  She still needs her formula mixed separately for higher calories.  She's weighing in at 8lb 4oz (0 %ile) and 20 in (0%ile).  Her eating has improved dramatically, but she still isn't as quick as her siblings or eating as much.  This girl can smile though!  She dishes out some big ones and looks like she has something to say.  She's a mover too; always scooting around, popping up on her side, and kicking herself over the boppy pillow.  She likes the bouncy seat the most and her tummy time.  She has started physical therapy with ECI.

Levi Thomas

Also known as "Little Man" and "Chico".  He's still my tiny baby even though he's made some major growing gains.  He's at 7 lb 4.5 oz (0%ile) and 19 in (0%ile).  He actually has a little fat on his body now!  He finally got on reflux medicine which has made a world of difference with his eating and sleeping.  I think he'll gain weight faster now.  He is so alert and makes more facial expressions than all the others combined.  He is very serious, always furrowing his brow.  He fights his sleep like no other; I think it's because he doesn't want to miss anything.  Levi also scoots a lot and moves a lot like Allison.    He loves motion and being held;  I think he's already spoiled.  Levi also gets physical therapy with ECI.

I honestly can't believe they're 4 months old already!  They amaze me and I thank God everyday for my little miracles.

Allison is home

Last Thursday our little finicky eater graduated from the NICU!  I had to put my foot down with the doctors who wanted to move her to another building with new nurses (she didn't eat for new people and I was concerned she'd stay in the NICU longer in a new place), and it paid off.  She has proven to have the most diva potential thus far; she is the pokiest eater and feeding her is as much work as feeding two at once.  With her eating issues, her weight gain has been slower than the doctors would like, so I also have to mix her formula separately so it has more calories in it- like I said, diva potential.  She did well at her discharge check up with the pediatrician.  She weighs 7 lbs 5.5 oz and is in newborn size clothes and diapers.  Still has red hair too :)

Allison ready to go! 

Once Allison came home, Leah was moved to the main NICU of TCH where she can easily been seen by the specialists she needs.  It is very different than the Pavilion- dark, crowded, no privacy; we're still getting used to it.  She has made good progress this first week of August.  She has doubled her amount of breast milk and has started being introduced to a bottle.  She still has quite a ways to go, but at least we're moving forward.  She is just over 6lbs and borderline between preemie and newborn sizes.  I hate that she's in the hospital all alone and I don't get to visit her often, but that's how it goes with sextuplets.  Levi finally reached 6 lbs!  Such a little guy.  He will be having surgery on his hernias in a couple months; it was fun going to his doctor appointment with just one baby and no one paying attention to us.  My favorite was the nurse's face when she asked "How many siblings does he have?"  "Five."

Leah enjoying her music

The other 3 are doing well.  Their current weights are: Andrew = 10 lb 10 oz, Benjamin = 10 lbs 5 oz, and Caroline = 9 lb 2 oz.  They are becoming more fun to play with as they look at you and objects and I believe I've gotten a few real smiles!

Before my parents left we started "schedule bootcamp"  where we changed their eating times and began training the babies to be on the 'eat, play, sleep' cycle.  The first few days were rough, but it has slowly gotten better.  The nights have been much more peaceful; they still have their moments of course, but go down easier and stay asleep longer.  We're still eating every 4 hours because Levi and Allison can't go any longer than that, but we stimulate them as little as possible at 10pm and 2am.  All the babies have been enjoying our morning walks- I take the 6 seater stroller and Maggie around the neighborhood.  We do get some double takes!

Another schedule we've been working on is the volunteer calendar.  I'll admit I was anxious about enough people signing up, or coming once and never returning.  I can't believe how our friends, family, and neighbors have stepped up!  It's only been a couple weeks, but we've had plenty of help (and food!) and I've been able to catch up with some old friends and make some new friends too.  Saying thank you does not do these people justice- especially the ones who come everyday and even spend the night!

Rainbow of bottles- a volunteer helps me make these every evening

Many people I know were convinced that once I mailed into formula and diaper companies that they would come to our rescue- no such luck.  I'm getting the same deals people with twins get: Similac is sending 18 cases of free formula (should last us a month since Allison and Leah won't be using it) and Pampers sent some coupons and half were for a $1 or 2 off = lame.  There were some coupons for free diapers, so it was worth the stamp.

The 5 (starting with P1 and going clockwise: Ben, Caroline, Andrew, Allison, Levi w/puppy)

3 months old!

I'm getting to the 3 month update a few days late, but the babies have started staying awake more, so I've been busy entertaining them and trying to stop them from crying.  Luckily it's usually only one or two crying at once; when all 4 are going it can kinda drive you crazy.

They sure are growing!  As of last weekend their weights are: Ben 9lb 5oz, Andrew 9lb 8oz, Caroline 8lb 5oz, Leah 5lb 11oz, Allison 6lb 7oz, and Levi 5lb 3oz.  Ben and Andrew are in size 1 diapers and large newborn or small 0-3 mo clothes.  Caroline and Allison are in newborn diapers and clothes, and Leah and Levi are in preemie stuff still.  They are all focusing their eyes more; Andrew and Benjamin will somewhat make eye contact.  They all like looking at lights and are lifting their heads really well- even Leah and Levi.  A problem we've come across is that Levi's head is so big that we can't get preemie items over his head even though they fit his body.

Levi says "Sic Em Bears!"

Health-wise we do have some updates.  Leah's ROP has cleared up!!  She is still working on tolerating breast milk, so still no NICU graduation in sight for her.  Allison on the other hand got off the feeding tube last week and has been eating well since, so if she keeps it up she may be discharged in a week or so!  Levi developed an inguinal hernia last week and will need surgery to repair it.  Meeting with the surgeon next week to get a plan in place.

I got my 6 seater stroller last week!!  I'm so excited to be able to get out with all the babies.  We'll definitely be cruising the neighborhood, so watch out!

We've had some fun dinners lately too.  The local Chick Fil A has a new mom program where they deliver a meal for free!!  Nuggets, fruit, salad, and brownies- yum!  They even included some Chick Fil A burp clothes and tiny stuffed cows...

A few girlfriends have been coming over every week to watch The Bachelorette and feed babies.  For the finale, and to give my parents a break, Mike and Dave cooked dinner for us girls.  Megan and I had to have an impromptu baby photo shoot to avoid making too many cooking suggestions :)  The boys did great though!

Next week begins our true test as parents of multiples.  My parents are leaving Sunday to go back home for a couple of months, therefore Dave and I will be relying on the help of volunteers.  We are SO thankful for all the hours and hours of hard work my mom and dad have put in the past 5 weeks- every feeding, night shifts, yard work, house work...  really everything that needs to be done.  I'm a little nervous about August and September, but have faith that God will pull us through.  Support from friends and family and sheer determination can't hurt either :)

What's going on

You know the coordination trick of patting your head and rubbing your stomach at the same time?  Well Maggie just came and got in my face so I was petting a dog and bouncing Levi in the bouncy seat at the same time and that's what it felt like.

It's been a couple of weeks since I updated for several reasons: I don't have any major updates, I didn't realize it had been that long, and 4 babies has been a bigger adjustment than 3.  After about a week we started to feel like we got a better handle on 4, plus Levi started sleeping better with his mattress elevated.  At home they are all doing well!  When I weighed them a few days ago Benjamin and Andrew were up to 8 1/2 lbs and able to fit in the Baby Bjorns- yea for hands free holding!  Caroline was 7 lb 11 oz, and Levi was just barely 5 lbs.  He still feels like a tiny smidgen when you pick him up.  Ben and Andrew are eating just over 4 oz, Caroline's eating just under 4 oz, and Levi's at 2 1/2 oz per feeding.  They've all started to enjoy their tummy time and usually fall asleep.  They are all starting to focus better with their eyes, especially Benjamin.  He seems to like looking at lights.  We're also figuring out who likes what- Ben and Caroline like swings, Andrew likes the vibrating bouncy seat, and Levi likes being walked around (really doesn't help me out too much when they're all crying).  One of Levi's NICU nurses walked him around every morning, so I blame her.  I often feel like it's Groundhog Day here at home with the schedules and routines; it does get broken up by different visitors and my random outings, which I love!

Benjamin and Levi

Gammy and Caroline in their matching orange

Speaking of outings, Dave and I celebrated our 5th Anniversary last Saturday!  We weren't planning on really doing anything, but my parents and grandparents insisted on babysitting, so we went out for a movie, dinner, and dessert :)  I'm so thankful that my family is here to help so much and that Mama and Jeanie clean the house every time they come over- even if they just did it two days before and I tell them not to.  

NICU babies are still slowly progressing.  Allison is eating more, but it depends on who is feeding her. Yesterday she took 3 whole bottles which is the best yet.  She's weighing almost 6 1/2 lbs these days and Leah is 5 lbs. 4 oz.  Allison may come home with her feeding tube if she doesn't get it together soon.  Leah's up to half breast milk/half IV nutrition, so she's slowly working her way up to all breast milk.  Her scar looks way better already.  That's about it for them.  All the babies are getting big so fast- Leah and Levi are the only ones still in preemie clothes.  

I got my 6 seater stroller today!!  Now it just needs to be put together.  I also got a double jogging stroller for cheap from my neighbor; between the rain and the mosquitos I've only tested it out once (walking), but it was so easy.  

Benjamin and Andrew ready to roll

Today while I was visiting the NICU, a neonatalogist came to ask me how I manage 4 babies at home because he wanted to share with some of his patient moms.  Then I thought other people are probably curious as well.  First of all, my parents are here which is the main reason things are somewhat under control and any of us are sleeping.  The babies are still on the ready-to-use preemie formula so bottle making is time consuming, but simple.  I make all the bottles for 24 hours at once, right now this takes about 20 minutes.  Bath time is a team effort (2-3 people); from start to finish it takes us 20-30 minutes depending on how many of us are involved in the assembly line.  Feedings are usually my parents and I - I feed 2 babies and they each feed one; however, my mom has now learned to feed 2 at once so we may be switching it up sometimes.  Luckily the babies still sleep a lot so we all have time to do other things during the day and get some naps in when we want.  I'm a little nervous for August when my parents leave and it'll be us and whoever volunteers to help out.