Kreider became a registered nurse after completing a diploma program at the Reading Hospital and Medical Center in Reading, Pennsylvania. She then worked as a labor and delivery nurse in Wyomissing, Pennsylvania. Kreider met Jon Gosselin at a company picnic on October 5, They were married on June 12, , and on October 8, , she gave birth to twin girls, Cara Nicole and Madelyn “Mady” Kate, who were premature at 35 weeks gestation. She gave birth at just shy of 30 weeks gestation. The sextuplets were born 10 weeks premature, which is common in the multiple births resulting from fertility treatments. Following the birth of the sextuplets, the Gosselins were featured in the NBC reality TV show Home Delivery when their home in Wyomissing was renovated to accommodate the large family. The family was then featured in a special on Discovery Health in September entitled Surviving Sextuplets and Twins.
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