Common questions about twin pregnancy

You’ll need two of everything on your registry when you’re expecting twins. But what about maintaining your health while you’re expecting? Is it necessary to increase your food intake, weight growth, and doctor appointments by a factor of two? Are there two placentas and two amniotic sacs for the babies, or are they able to share them?

Is a placenta and amniotic sac shared by twins?

While occasional twins may have the same placenta and amniotic sac, this is not the case in the great majority of pregnancies. The following are three major options:

Two amniotic sacs and two placentas Because each kid has its own feeding source and protective membrane, a twin pregnancy with two placentas and two amniotic sacs is ideal.
Two amniotic sacs and one placenta. You will have identical twins if you have a pregnancy with one placenta and two amniotic sacs. Additionally, issues such as twin-to-twin transfusion syndrome are more likely when your babies share a placenta. Your doctor will keep a careful eye on your pregnancy for any concerns that may arise.
There is one amniotic sac and one placenta. This form of twin pregnancy is the most dangerous and uncommon. Tangling of the umbilical cords, as well as an imbalance in nutrition, blood, or other important life-sustaining systems, can cause fetal problems.

During a twin pregnancy, do I need to increase my calorie intake?

A widespread misunderstanding about twin pregnancy is that you need to increase your caloric intake to provide enough nutrition for your infants. Pregnancy nutrition requirements, on the other hand, aren’t only determined by the number of children you’re carrying. They’re instead based on your BMI at the time you got pregnant.

Based on your beginning weight, your doctor will provide customized suggestions. The caloric requirements of a woman during a twin pregnancy are expected to increase by roughly 40% on average. What matters most is that a lady eats as healthily as she possibly can.

Do I need to take any special prenatal vitamins because I’m expecting twins?

If you’re expecting twins, you should take the same prenatal vitamins as you would for any other pregnancy, but your doctor may advise you to supplement with more folic acid and iron. Iron deficiency anemia is more likely when you’re pregnant with multiples, so the extra folic acid and iron will help you avoid it.

Will I have to see my doctor on a more regular basis now?

While each pregnancy is unique, most women who are expecting twins will have more prenatal appointments than women who are expecting a single child. If your twins share a placenta, you’ll need to monitor them more often.

Prenatal checkups may not alter significantly from a singleton pregnancy until the end of the second trimester if your pregnancy isn’t complicated. Because there’s a greater chance of pre-eclampsia and premature delivery at that point, you’ll be examined more frequently.

When I’m pregnant with twins, do I need to consult a maternal-fetal medicine specialist?

High-risk pregnancies are seen by maternal-fetal medicine specialists, although not all twin pregnancies are.

If you’re looking for the greatest care for your twins, make sure the doctor is experienced with twins and can deliver them vaginally rather than through a cesarean surgery.

Is it true that all twin pregnancies end in an early birth?

Preterm delivery occurs in about half of all twin pregnancies (before 37 weeks). While the typical pregnancy lasts 40 weeks, most twin pregnancies last 36 weeks (range 32-38 weeks depending on the type of twin pregnancy).

Unfortunately, preventing preterm labor in multiples is more difficult than in singleton pregnancies, because the therapies employed in singleton pregnancies are ineffective in multiples.

Is bed rest a good way to avoid a premature birth?

Bed rest does not prevent preterm birth, according to scientific evidence. In fact, bed rest can raise your risk of blood clots, as well as have financial and societal implications.

If you’re showing signs of early labor at the end of your second trimester or early in your third trimester, your doctor may recommend limiting your activity level, though bed rest isn’t as common as it previously was.

Is there a major difference in labor and delivery between twins and singletons?

Whether you’re having one or two babies, labor is usually the same. Things start to diverge dramatically during delivery.

Even if you’re having your twins vaginally, you’ll have to go to the operating room to deliver them. A double setup is a form of safety measure. There is a slight probability of an emergency cesarean section for the second baby after the first baby was delivered vaginally. The second twin could also be born breech, which is a safe method of vaginal birth if the obstetrician is familiar with it.

Only around 4% of women who try for a vaginal delivery after 32 weeks will have a combination vaginal and cesarean delivery. Physicians are better prepared to preserve the health of the woman and the babies by delivering both babies in the operating room, even if it doesn’t happen very often.

Although being pregnant with twins may appear to be a unique experience, your doctor will handle your pregnancy in the same way as any other unless a complication arises.

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