Twins and Multiple Pregnancies

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A Twin and Multiple Pregnancy happens when two babies grow in the uterus at the same time, making it a type of multiple pregnancy. Twins aren’t super common, occurring naturally in about 1 out of every 250 pregnancies. There are two ways this can happen: fraternal twins form when two separate eggs are fertilized, while identical twins come from a single fertilized egg that splits. Things like genetics, age, and even fertility treatments can increase the chances of having twins!

How is a twin pregnancy confirmed?

A twin pregnancy is usually confirmed during your first ultrasound. This scan, usually done around 6-8 weeks, can show two babies or two sacs in the womb. Sometimes, your doctor might suspect twins earlier if your hCG levels are higher than expected or if your uterus feels larger during an exam.

What tests, checks, and appointments are needed during a twin pregnancy?

If you’re having twins, you’ll need extra care during your pregnancy, which means more appointments and tests. Don’t worry—you probably won’t need many extra blood tests, but you will have more ultrasounds. If your twins have separate placentas, you’ll likely have ultrasounds at 12-13 weeks, 20 weeks, and then every four weeks until they’re born. Sometimes, more frequent scans are needed. If your twins share one placenta, things can get a bit trickier. Fraternal twins (from two separate eggs) usually have two placentas, one for each baby. Identical twins (from one egg that splits) can either share one placenta or have two, depending on when the egg splits. If the babies are growing in one placenta, ultrasounds are usually recommended every two weeks starting at 12 weeks. You’ll also have more antenatal appointments, which is a great chance to ask questions, get tips on staying healthy, and learn about pregnancy, labor, and parenting. It’s all about keeping you and your babies safe and well-prepared!

Doctor’s Voice

What are the twin pregnancy symptoms?

Twin pregnancy symptoms can include faster weight gain, severe morning sickness, and feeling fetal movements earlier. You might also notice a larger belly sooner, extreme fatigue, or increased appetite. Other signs include higher hCG levels, a faster-growing uterus, and more intense pregnancy symptoms overall. An early ultrasound confirms the diagnosis.

What are the physical changes with a twin pregnancy?

Physical changes with a twin pregnancy are more obvious than with a single pregnancy. If you’re expecting twins, you might gain more weight during pregnancy—typically around 16-20 kg, compared to up to 16 kg for a single pregnancy. Physical changes like stretch marks, bloating, varicose veins, and hemorrhoids are also common. These changes can sometimes impact how you feel about your body. Remember, these are natural adjustments as your body supports two babies.

How can I get pregnant with twins?

Several factors can increase the likelihood of conceiving twins, but there is no guaranteed way to intentionally achieve a twin pregnancy. The chances of having twins depend on factors like genetics, age, and fertility treatments. Women over 30 or those with a family history of twins are more likely to conceive twins naturally. Fraternal twins occur when two eggs are released and fertilized. Fertility treatments, such as in vitro fertilization (IVF) or ovulation-stimulating medications, can also significantly boost the chances. Maintaining a healthy lifestyle, managing your weight, and consulting a fertility specialist can help improve overall fertility and increase the likelihood of twins.

How do fertility treatments raise the likelihood of twins?

Fertility treatments like IVF or medications that stimulate ovulation can increase your chances of having twins. They work by helping your body release more eggs or by placing more than one embryo in your uterus. If two eggs are fertilized or two embryos implant, you could end up with twins. These treatments are designed to improve fertility but often lead to higher chances of multiple pregnancies.

What are the most common complications of Twins & Multiple Pregnancies?

Twin pregnancies are high risk and can have many complications, including:

Preterm labor: Preterm delivery occurs in about half of twin pregnancies.
Gestational diabetes: Increased risk of developing diabetes during pregnancy.
Low birth weight: Twins often have lower birth weights.
Placental issues: Including placenta previa or placental abruption.
Hypertensive disorders: Women carrying multiples may be more likely to develop high blood pressure.
Anaemia: Women carrying multiples have a higher risk of developing anaemia due to greater nutritional demands.
Miscarriage: The risk of miscarriage is higher in twin pregnancies, especially in early pregnancy.
Caesarean delivery: Abnormal fetal positions increase the chances of caesarean birth.

My Experience:

Mreganka Patel, chartered accountant, Jaipur

We had twins in 2020, which was such a blessing, though it really tested my energy levels. I remember my belly being much bigger than usual. By 7 months, the babies felt heavy, and I could no longer lie on my back, which is my most comfortable position, especially at night. Turning over became quite the workout! But it was a minor issue compared to the overall experience. My pregnancy went smoothly otherwise. My twins were born at 8 months, two healthy girls, Mira and Hera.