Twin and Multiple Pregnancy Guide

Multiple pregnancy (twins, triplets) requires special monitoring and care. More frequent doctor visits, careful nutrition, and preparation for preterm delivery during this process 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 follow-ups are being done together with you, for you.

Delivery: In twin pregnancy, delivery timing is determined by placentation type. If the first baby is in head-down position, vaginal delivery may be possible; however, discussing all options openly with your doctor is best.