First few months with twins unsustainable - need help

Our two boys were born via c-section at 36 weeks due to preeclampsia. One spent about a week in the NICU but everybody has been home now for about 3 weeks. Mom is still recovering from the surgery and is in pain daily.We're first time parents. We're the first in our generation on my side of the family to have children. My family offers minor support (food delivery once a week whenever it suits them). He family is a 17 hour flight away and are terrible at communicating with her. We feel very, very isolated.While our boys are putting on weight how they should, we still feel like we have no idea what we're doing when it comes to feeding them. One spits up multiple times during every meal. We've taken to holding him upright for 20 minutes or more to reduce this, but it means feeding from start to finish requires both of us in order to finish in under an hour.I work from home and make nearly all of our income. The company I work for is extremely small, to the point that me being away for an extended period isn't possible. It's also so small as to not offer health insurance. We make enough that we're ineligible for any government assistance, but we don't make enough to hire a nanny/sitter for an extended period. My friends who have corporate jobs have no idea how expensive health insurance is outside of their employer.Night times are fine, great even. They both sleep for 3 hours and feed over the course of a half hour. Then Mom pumps breastmilk and sets up for the next feed. I get a cumulative 6 hours of sleep every night, she gets a cumulative 4.5~5 hours. Our real trouble is during the day.During the day these boys get wildly out of sync. If one is sleeping, the other is wide awake and either demanding cuddles or hungry. This gets in the way of mom being able to take care of her basic needs and requires me to assist. I'm glad to assist but I need to be working, Mom knows this too. When I help during the day it feels like it's eroding her sense of worth.Mom is clearly showing signs of Postpartum Depression. She knows this, we're both not strangers to getting mental health help. Her first appointment with a therapist is this Monday. In the meantime she sometimes wakes up very irritable. I try to help but I feel like I just make things worse.All of this feels so unsustainable. Supposedly it gets easier after the 3 month mark. The problem is I will have run out of time off long before then. Mom will be starting a part time, but still demanding, teaching job then.I can't get enough time to work. I'm running out of time off. Mom can't get enough sleep, and in her own words, isn't coping. Help during the day is out of reach, both financially and from family.It feels like I'm watching our family disintegrate. I feel so powerless to do anything about it. I want to cry but I know it will just make things worse.When a singleton parent tells me they understand what it's like, I want to tell them that's not possible. God forbid one, or both, of our twins develop colic. via /r/Parenting http://ift.tt/2svPE0i