A Guide to Twin and Multiple Pregnancies

Multiple pregnancy (twins, triplets) requires special monitoring and care. More frequent doctor visits, careful nutrition, and being prepared for a preterm delivery can protect both you and your babies.

Nutrition: Calorie needs may be approximately 600 calories more than before pregnancy (about 300 calories more than a single pregnancy); it is best to determine the exact amount with your doctor. Protein, iron, and calcium needs also increase significantly. Evaluating your folic acid dose with your doctor is a good idea.

Risks: Preterm delivery, preeclampsia, gestational diabetes, and low birth weight can be more common in multiple pregnancies. Regular ultrasound monitoring and frequent doctor visits play a very important role in managing these risks — and these checkups are there for you.

Delivery: In a twin pregnancy, delivery timing depends on the type of placenta (whether the babies share one). If the first baby is head-down, vaginal delivery may be possible; however, discussing all options openly with your doctor is best.