What to Expect with a Twin Pregnancy

What to Expect with a Twin Pregnancy


Nothing can be more shocking to a mom-to-be when they see two babies instead of one on that first pregnancy ultrasound. Twins are considered “twice the blessing and twice the responsibility.” Whether your news of multiples is a source of excitement or fear, you probably have questions about what you can expect during your pregnancy. Your body is growing two babies instead of one, so it is understandable that you may have some different symptoms and demands compared to a singleton pregnancy.


It can be difficult to decipher myth from fact when understanding a twin pregnancy. To set the record straight, here’s what you can expect when expecting twins:


More Doctor Visits

Twin pregnancies often demand more monitoring. This may include more testing, more ultrasounds and more office visits in general to your obstetrician. You don’t have to be considered “high risk” to warrant additional scanning.


More Intense Pregnancy Symptoms

While you aren’t likely to pee twice as much or have twice the size of swollen ankles compared to a singleton pregnancy, you can expect certain pregnancy symptoms to be stronger. For example, you may experience more severe nausea in the beginning. This is due to the extra surge of hormones (HCD) that is produced to support two fertilized eggs instead of one.


More Folic Acid

Pregnancy requires a certain set of vitamins and nutrients to support a growing baby.

Folic acid is one of the most essential to a healthy pregnancy and baby. Folic acid is known to stave off serious birth defects. If you are pregnant with twins, you may be recommended 1 milligram of folic acid per day compared to the 0.4 milligrams for a singleton pregnancy.


More Weight Gain

While you may need additional calories during a twin pregnancy, this doesn’t mean you need to gain twice the weight compared to a singleton pregnancy. The additional weight shouldn’t scare you, but it shouldn’t give you a free pass either.


The Institute of Medicine's provisional guidelines for weight gain in women expecting twins say:


More Risk for Preeclampsia and Gestational Diabetes

With proper follow-ups during your pregnancy, you shouldn’t be overly concerned about the dangers of this pregnancy complications. However, it is important to be mindful that you may be at greater risk for preeclampsia and gestational diabetes


Find the Right Obstetrician

If it has been determined that you are carrying two babies instead of one, the first step is finding an obstetrician who specializes in multiple births. This can ensure you have everything you need during pregnancy as well as on delivery day. Call North Pointe OB/GYN today to schedule your consult. We proudly offer comprehensive services for twin pregnancies!

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