Firstly big squishy for you and your friend. It must be very difficult for you to also comprehend this while pregnant as well.

The food drop off it really good, it just makes things easier, also perhaps other than meals some food they can grab and run with and take with them to the hospital, ie home made trail bars or muesli bars, fruit, banana bread, savoury scones, because being in and out of NICU all day the hospital food can still get tiring and sometimes it is easier to just grab something from a machine.

Some play packs for the boys, if they go to the hospital on occassion, things for them to do, small books, colouring in books etc

How about some gardening, mowing lawns or weeding, can you DH help more with that one, or offer to vacuum the house, fold washing, ironing, wash cars, pick up some groceries, like a box of fresh fruit and vegies, nice bread or somthing along the "everyday tasks". Sometimes it is help with the "smaller" things can take a lot of pressure off.

Could you make a special sign for his isolette, name tag etc and get it laminated? Do you know if she has a journal to write down her thoughts and feelings, it can really help to write things down.

I will think more about it and if I have something else will come back.
Sending hope and courage to their little man xxoo