Author: Gauri Kshirsagar
There is a lot of difference between a twin pregnancy and a normal singleton pregnancy. For example:
- The weight gain of the mother is different
- You may require more frequent trips to your doctor, say once a month as compared to singleton pregnancy where a visit every trimester is required
- You may need more folic acid during the 1sttrimester of pregnancy, do consult your doctor
- The morning sickness may me more as compared to a singleton pregnancy
- Even the chances of pre term delivery and maternal hypertension are more
- They weight of each baby is less than what it would be say if it were a single baby
- You may require a Dexamethasone injection at 6 months for the lung development of the babies incase, if there is a premature labour/delivery
- Normally mothers-to-be are advised to perform mild exercises during their pregnancy, but in case of a twin pregnancy you may require bedrest or more rest and hence its better advised to consult your doctor first.
- A twin pregnancy may deliver some days before than the expected date of delivery, hence be prepared beforehand.
- It’s a myth that you need to eat 3 times more, just have nutritious food in proper amount
Here are some tips to follow during the pregnancy:
- Selection of a good gynaecologist, please make sure he is not on leave during the month of your delivery.
- Preferably pick up a maternity hospital nearer to your home.
- Following supplements have to be taken in consultation with the gynaecologist:
- Folic acid
- Calcium + vitamin D3
- DHA drink
- Energy powder with milk
- Avoid papayas (Medical research in animals has confirmed the contraceptive and abortifacient capability of papaya. Ripe papaya is not teratogenic and will not cause miscarriage in small amounts, but it’s better to avoid)
- Have a healthy diet
- Eat one banana everyday (Iron tablet may lead to constipation). You may require a composition of lactitol monohydrate + ispaghula Powder (Freego) incase of constipation, consult your doctor for the same
- Drink plenty of water, atleast 3-4 litres to prevent urinary tract infection which may in turn lead to preterm delivery
- Check for any swelling of the feet
- Kick counts: At only 20 weeks, it’s very hard, if not impossible to tell who is who….it won’t be until closer to 25-28 weeks where you’ll really be able to feel distinctly who is who. Most doctors don’t have you start doing kick counts until closer to 30-32 weeks, some even later.
- Always lie down on side and not facing up
- Have a good knowledge or read about ultrasonography, which will monitor the growth of your unborn baby
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4 thoughts on “How is a twin pregnancy different from a normal singleton pregnancy?”
Hi, great blog. I am expecting my twins in April 2017. My 18 week scan showed that baby A is measuring behind. It’s abdominal circumference was measuring 2 weeks behind. I am quite worried. Should I take some extra supplements so that it catches up. Thanks.
Hi, Sakshi….first of all congratulations!!! Welcome to the club!
Difference in growth in twins is common during pregnancy. But if the difference is huge in obstetric imaging, it is called as twin growth discordance. The following parameters are used in ultrasonography:
1. But to be classified as a growth discordance, some consider that the estimated fetal weight (EFW) of the smaller twin should fall under the 10th centile. In the early first trimester, the difference in crown rump length (CRL) may be used as a parameter.
2. During later stages size discordance is better assessed using the abdominal circumference (AC) and the disparity of 20mm or more is usually taken as a cut-off value for considering the pregnancy as discordant. The accuracy of using the abdominal circumference is however disputed by some authors
3. Weight discordance is assessed by taking considering the estimated fetal weight (EFW) difference at 20-25%.
I suggest you consult your doctor regarding this. Do continue drinking lots of water (to avoid UTI) and healthy high calorie foods. Add milk supplements which are available in the market. Your diet plan and overall growth of baby are usually consulted in detail when you visit your doctor. Do ask about it. Best of luck!
you have done commendable work here..one of the best blogs out there. We are epxecting our twins by Aug 2016. Your blog is going to help us a lot.
Hello…. Thanks a lot for your kind words…. gear up for the twin’s arrival!!!…. congratulations and all the best…. you can get back to me anytime if you have any queries ☺