CareNine is a Pregnancy Program structured to educate, guide and reassure 'mothers-to-be' with the help of counselling from Specialists; all under one roof.

CareNine:
Understanding twin or multiple pregnancy: what should you know?

Even after the most elaborate pregnancy plans, there’s one thing you can never plan, that is having twins or multiple pregnancies. It is all dependent on your hormones. Managing twin or multiple pregnancies requires you to focus more aspects than a single pregnancy.

Types of multiple pregnancies

  • Identical (Monozygotic): Develop from a single fertilised egg that splits, resulting in babies with identical genes and appearance.
  • Fraternal (Dizygotic): Two or more separate eggs are fertilised by different sperm, leading to babies with unique genes and potentially different appearances. Each baby has their own placenta and amniotic sac.

When it comes to triplets or more, there can be a combination of these pregnancies.

How are multiple pregnancies detected?

Most multiple pregnancies are identified on the ultrasound which creates the image of your uterus and baby(s) with sound waves. You must also keep in mind that sometimes pregnancies start with twins but later only one baby is born. This is called the vanishing twin syndrome. Keep in touch with your healthcare provider for informed assistance at all stages.

What do multiple pregnancies mean for the mom-to-be?

Before we discuss the health complications and concerns, the most obvious care guidelines associated with carrying multiple babies are:

  • You’ll have to undergo more frequent health checkups and stay in close monitoring by your healthcare provider. You’ll also have to take more frequent ultrasounds and other tests.
  • Having two or more babies naturally means more weight gain. To manage a healthy weight, you need to focus on having a good diet as per your babies’ requirement but also engage in light exercising to stay active and fit.
  • Most multiple pregnancies require C-section, so you can expect having an earlier delivery to reduce risks and complications in the third trimester.
  • Stay hydrated at all times and include more liquid-based items to your daily diet.

Potential complications

While most multiple pregnancies progress smoothly, there's an increased risk of:

  • Preterm birth: In case of multiple pregnancies, preterm birth is common. Your babies may also face complications like difficulty in breathing and digestion, vision problems and infections.
  • Preeclampsia: A pregnancy complication involving high blood pressure and potential organ damage.
  • Gestational diabetes: Risk of high blood sugar levels during pregnancy, that require monitoring and management, increases in multiple pregnancies.
  • Anaemia: Iron deficiency is more common in multiple pregnancies due to increased nutritional demands.Placenta abruption: This is the condition of placenta detaching from the uterine wall before delivery. It is common in case of multiple births.

Preparing for multiple arrivals

  • Stock up on essential supplies like diapers, wipes and feeding equipment – more wouldn’t be enough!
  • Consider meeting more parents who had multiple births to share experiences and learn from them.
  • Don’t compromise your rest and sleep even if it seems to be hard. In case of postpartum depression, contact your healthcare provider.

A multiple pregnancy is a unique and special journey. By being informed, receiving proper prenatal care and planning ahead, you can increase your chances of a healthy pregnancy and delivery for you and your multiples. Remember, a strong support system – family, friends and healthcare providers – is key to navigating this exciting chapter.

Sources:
Mayo Clinic
Cleveland Clinic
John Hopkins Medicine