Pregnant with multiples? Here’s what to know

If you are a mom-to-be with multiples on the way, congratulations! You are about to embark on a special pregnancy journey. Carrying twins, triplets or more can be quite different from a singleton pregnancy, and while it may come with a few extra challenges, it also comes with plenty of joy.

Multiple pregnancies carry a higher risk of complications for both mom and babies than singleton pregnancies, so parents should stay informed and prepared.

Here are a few things to know to help you navigate pregnancy with multiples:

More appointments

As soon as a health care provider confirms a multiple pregnancy – typically during an early first trimester ultrasound – you will need additional prenatal appointments to help ensure a smooth pregnancy. In addition to regular checkups with your obstetrician and gynecologist (OB-GYN), you will be referred to a maternal fetal medicine (MFM) specialist. Also known as perinatologists, the high-risk pregnancy experts will work with your OB-GYN on a comprehensive care plan that is tailored to you. We use advanced imaging, genetic testing, and perform any necessary treatments and procedures – all to keep you and your babies healthy.

Pregnancy symptoms

Pregnancy symptoms may be more frequent or intense in instances of multiples. Fatigue, morning sickness and appetite are often heightened. This is not the case in every multiple pregnancy, but it’s certainly good to be aware. Additionally, your pregnancy will begin “showing” much more quickly, and you can expect to gain more weight during a multiple pregnancy. Focus on eating protein and iron-rich foods, prioritizing calcium and staying hydrated. Prenatal vitamins and possible additional supplementation may be advised by your care team.

Pregnancy complications

You are at a greater risk for developing pregnancy complications, such as gestational diabetes and high blood pressure, when carrying multiples because your body needs to work harder. Your OB-GYN and MFM will monitor you throughout your pregnancy for symptoms of pregnancy complications, which can include severe headaches and increased thirst.

Carrying multiples also comes with a few more complications for baby that your health team will watch for closely, such as slower growth and lower birth weights. But don’t worry – by keeping all your prenatal appointments, your care team can closely monitor the babies’ development and prepare for anything that may arise.

A sooner due date

If you are expecting more than one baby, your due date will be sooner than with a single baby. More than 50% of twins and almost all triplets and higher-order multiples arrive ahead of schedule. This increases your babies’ likelihood of being admitted to the neonatal intensive care unit (NICU), where they can receive extra special care, if needed.

One thing remains true

Pregnancy, childbirth and postpartum can be challenging for anyone, but having a strong support system can make a big difference. Seek out help from friends, family, neighbors and coworkers and accept any help offered. Also, consider joining support groups or online communities. And remember, your OB-GYN and MFM are always there to guide and connect you with the resources that are best for you.

By getting the right support, you are giving your little ones the best possible start.

Dr. Suwan Mehra is the medical director of the Center for Fetal Care at Advocate Children’s Hospital.

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