Pregnant With Twins? Everything You Need To Know

Further, there is a misconception that twin pregnancies require the women to eat more during the antenatal period. The truth is, what you eat is more important than how much you eat. So, it would help if you eat healthy instead of doubling the quantity. Make sure you plan the diet with your midwife. You may also be required to consume supplements, including folate and iron.

Being pregnant with twins can be more tiring, and you may experience all the discomforts of pregnancies. Make sure you address all of them with your midwife. Though you can choose the birthing options, hospital birth is much preferred over health centres and home births—the primary reason being the readily available medical facilities to face all uncertainties.

Tests, Checks, and Appointments During Twin Pregnancy

Twin pregnancy requires additional appointments with the doctors and tests to be taken. The tests might not include more blood tests but may have a lot of ultrasounds. Check with your doctor for the type of twins.

If you are pregnant with twins with separate placentas, you might have regular ultrasounds during the 12th to 13th week, 20th week, and once every month until the babies are born.

If you are carrying twins with joint placenta, you may require more monitoring and involve complications. So, you might need to undergo ultrasounds once every two weeks from your 12th week of pregnancy.

In general, pregnancies with twins involve more antenatal appointments to maintain a healthy lifestyle. You can also get to know more about labour, pregnancy, early parenting, and birth.

Potential Health Complications in Twin Pregnancy

Being pregnant with twins does not mean you will indeed have difficulties. But you must be aware and ready to face any complications that may arise during pregnancy. The following are some of the potential health complications in a twin pregnancy.

1. Premature Birth

You might not complete the entire cycle of your pregnancy cycle with multiple gestations and doctors might ask you to be more cautious about the signs of preterm labour. If you notice any of the symptoms of premature delivery, you might be given shots to speed up the baby’s lung development.

Even after so much care, your babies might experience complications of any sort, including breathing and digestive difficulties, vision problems, and infections. The doctors do not encourage prolonging the pregnancies and taking bed rest because they fail to decrease complications and risk of death.

2. Gestational Diabetes

The blood sugar levels usually fluctuate drastically during pregnancy. Especially if you are carrying twins, there is an increased risk of gestational diabetes. Gestational diabetes is a medical condition in which high blood sugar levels can affect the pregnancy and the baby’s health. You can consult a dietitian or an endocrinologist to manage your blood sugar levels during pregnancy.

3. High Blood Pressure

When you are carrying multiples, you may have high blood pressure issues. This is because your heart is working harder to meet the increased blood flow and oxygen requirements of your twin pregnancy. High blood pressure or gestational hypertension during pregnancy can be risky for the mother as well as the babies. Your OBGYN will constantly monitor your BP levels throughout pregnancy making sure they are within safe limits.

4. C-Section Delivery

Vaginal delivery is possible for twins only if the first baby is head-down position. If the position is in breach, the doctors may recommend a Section delivery. There might be situations where the first baby is delivered through a vaginal birth and the second requires a C-section. If there are more multiples, the doctors won’t take the risk and recommend only C-sections.

5. Twin-to-Twin Transfusion Syndrome

Twin-twin transfusion is a situation where, in the case of a shared placenta, the blood vessels in the placenta lead to one baby receiving more blood, and the other one might receive much lesser than what is required. This is a serious issue that might lead to heart complications, and you may have to undergo fetal procedures while you are still pregnant.

Apart from the above, there are a few more complications worth noting. They are

• Miscarriage
• Vanishing twin syndrome, a condition where a twin was identified in the first ultrasound but suddenly vanished in the next one.
• Bleeding during the last weeks of pregnancy
• Low birth weight
• Complications during labor

[Read : Vanishing Twin Syndrome – Explained]

Pregnant With Twins – Symptoms and Body Changes

Pregnancy involves a lot of changes in the women’s body. Especially if you are pregnant with twins, you may notice that your pregnancy symptoms appear much earlier than usual. These include

• Tiredness
• Mood swings
• Vomiting
• Nausea
• Constipation

The significant body change with twins’ pregnancy is the number of kilograms you put up. While single pregnancies result in an upward trend of 10 to 15 kgs in weight, twin pregnancy may result in 16 – 20 kgs.

A few other body changes that are quite common in twin pregnancy are

• Stretch marks
• Bloating
• Varicose Veins
• Haemorrhoids

These changes might affect your mood and how you feel about your body. You can discuss the body changes with your midwife or doctor and gain the confidence to handle the changes.

[Read : ]

Healthy Eating When Pregnant With Twins

Healthy eating is an essential aspect of pregnancy, especially with a twin pregnancy. You need to pick up a balanced diet enriched with vitamins and minerals. Keep in mind that your food has to cater to the needs of three lives. That does not mean that you should eat more, and it just means that you need to eat more healthy food.

Your midwife or doctors might suggest you take the help of a dietician or a nutritionist to guide you through the dietary needs of protein, carbs, folate, iron, iodine, calcium, and all other nutrients. Small multiple meals spread throughout the day should do the trick for you.

[Read : Twin Pregnancy Diet Plan]

Will Your Twins be Born Early?

In most cases, moms carrying twins go into labour as early as 36 to 37 weeks compared with single pregnancies at 40 weeks. If there are any complications with the twin pregnancy, the doctors might suggest an early delivery before 36 weeks. It will depend on multiple factors such as the health of the mother and the babies, the combined weight of the babies, ultrasound reports, the placing of the babies in the uterus and the appearance of complications.

Pregnant With Twins – Vaginal or Caesarean Birth?

Many mothers have undergone vaginal birth and Caesarean birth. There is no fixed rule about the kind of birth. But you need to discuss your body and health condition with your midwife or doctor about your body and health condition. Based on your health conditions, you may be suggested a C-section if there are complications. Else, you can naturally have a vaginal birth. In general, twin pregnancies involve a lot of complications, and based on them, the doctors may recommend Caesarean birth.

[Read : I Am Carrying Twins. Is C-section Inevitable?]

Preparing to Parent Twins

Parenting twins is a much more delicate and complicated task than twin pregnancy. Here are some tips that could help you prepare for parenting twins.

• The most common element of parenting is communication. Especially when you know you are going to have twins, you need to plan the future, for which you need to communicate effectively with your partner. Communication involves expressing your thoughts and actively listening to your partner’s thoughts. Pregnancy is the best period to talk and share your thoughts. Effective communication between the partners gives way for successful twin parenting.
• Breastfeeding is essential for babies, though it might be frustrating with twins. Keep in mind that you are enriching your babies with nutritious food. You should meet a lactating consultant in case of any problems.
• Make sure you take the help of your friends and well-wishers at times of need. Parenting with twins could make your life busier.

Giving birth to twins is a miracle and a gift of nature. Twin and multiple gestations are common with assisted fertility conceptions though they can happen naturally too. Despite the joy twin pregnancy can bring in, the pregnant mother must remember to stay careful, healthy, monitor her vitals properly, keep up with all appointments and follow the doctor’s instructions carefully.

FAQ’s

1. What Are the Top 10 Things I Should Know About Twin Pregnancy?

You need to know that

• You are likely to become pregnant with twins when you are in your 30s and 40s.
• You may need extra folic to your body if you have two buns in the oven.
• You may require more appointments with the obstetrician.
• You may experience worse morning sickness.
• Spotting is normal.
• The babies start kicking earlier.
• Moms with twin pregnancies might gain more weight than others.
• There is a higher risk of developing gestational diabetes and Preeclampsia.
• You might experience early labour.

2. What Should be Avoided During Twin Pregnancy?

Never do the following things when you are pregnant.

• Do not take unnecessary risks if you are a sportsperson.
• Avoid excess exercise.
• Do not become dehydrated.
• Do not overeat or undereat.
• Do not drink alcohol.
• Avoid drugs and smoke.
• Do not soak in the hot tub.
• Do not ignore the signs of preterm labour.

3. What Gender is More Common in Twins?

There are no proven studies in India that show the common gender in twins.

4. What Symptoms to Expect at Five Months Pregnant With Twins?

During the fifth month of pregnancy, you can expect the following.

• Heartburn
• Leg cramps
• Swollen feet and ankles
• Constipation
• Increased dizziness
• Headache
• Back Pain
• Skin Changes
• Nasal Congestion

5. How Should I Sleep When Pregnant With Twins?

When you are pregnant with twins, keep an eye on your sleep patterns.

• Take quick and small naps.
• Try a body pillow for a comfortable position.
• A Recliner could be helpful.
• Eat and drink properly to get better sleep.
• Do things that can relax your mind and body and give you better sleep.
• Consult a doctor for sleepless nights.

Read Also: Danger Signs To Watch Out For When Pregnant With Twins