In conclusion, the data suggest that twins can be simultaneously held in KC without temperature
or physiologic compromise. Right and left breast temperatures differed in both mothers, but
because of the small sample size the difference needs to be confirmed before one can
confidently deduce that each breast responded independently of the other. In the four infant/
breast pairs studied here, each breast appeared to respond in a manner that correlated with the
thermal needs of the infant who was on that breast. Infant temperatures remained warm and
increased during KC while staying within neutral thermal zone. The temperatures of each twin
in a pair were different as they lay on their respective breast. Further investigation with a larger
sample size and more detailed information on baseline breast temperatures is merited. The
value of shared KC with multiples for maternal bonding and relaxation should also be
empirically studied using more rigorous design than the case study.