How to Track Twins' Feeding and Nappy Changes: A Midwife's Guide

Tracking one newborn is hard. Tracking twins is a logistics operation. Here is how to make it manageable — and why a simple logbook beats every app when you are running on zero sleep.

The Twin Parent's Memory Problem

Here is what nobody tells you about having twins: your brain will fail you. Not because you are forgetful — because you are exhausted. You are running on broken sleep, managing two feeding schedules, two nappy change timelines, two sets of medication times.

Did Baby A feed at 2am or 3am? Was it the left breast or the right? When was Baby B's last nappy change? Was that wet or dirty?

These are not trivial questions. Your paediatrician will ask them. Your midwife will ask them. And at 3am with twins screaming, you will not remember.

Why Apps Do Not Work for Twins

There are dozens of baby tracker apps out there. Most are designed for single babies. Even the ones that support multiples require you to unlock your phone, navigate to the right baby's profile, tap through menus, and hope the app does not crash when you switch between babies.

At 3am, with one baby on each arm, you are not tapping through an app. You need something you can grab, scribble on, and put down in 10 seconds.

See the Midwife's Twin Tracker — designed by parents of twins

What to Track (and What to Skip)

Must Track

• Feeds — time, duration (breast) or amount (bottle), which breast/bottle
• Nappy changes — wet, dirty, or both (colour matters for newborns)
• Medication — vitamin D, any prescribed meds, times given
• Sleep — start and end times (helps identify patterns)

Skip These

• Every single cry (you will go mad)
• Exact millilitres of every feed (close enough is fine)

The Circle Method: Why Physical Beats Digital

The best twin tracking systems use a circle-and-tick method — pre-printed fields where you circle the time slot, tick the nappy type, and note the feed side. No writing sentences. No typing. Just circles and ticks.

This is why midwives recommend physical logbooks over apps:

• Speed — circle, tick, done. 5 seconds per entry.
• No battery — works at 3am when your phone is dead
• No unlock — grab and mark, one-handed
• Visual pattern — you can see the whole day at a glance
• Hand to your partner — no app syncing needed

Get the Midwife's Twin Tracker — circle-and-tick method, designed for exhausted parents

Recommended: The Midwife's Twin Tracker

The Midwife's Twin Feeding and Nappy Tracker was designed by parents of twins and reviewed by midwives. It uses the circle-and-tick method, covers the first 6 months, and includes survival tips from parents who have been through it.

Get the Midwife's Twin Tracker

Read more: The Pixly ADHD Brain Planner — for parents who need their own organisation system alongside baby tracking.