Pregnancy Symptoms with Twins

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Pregnancy Symptoms with Twins vs. Singleton Pregnancy

For the most part, pregnancy symptoms with twins are similar to pregnancy symptoms when there is only one baby. A few things are different, though, and some symptoms may be stronger or more pronounced.

pregnancy symptoms with twins

Finding Out if You're Pregnant with Twins

Unless you have undergone fertility treatments or twins run in your family, chances are you will not suspect you are pregnant with twins until you visit your OB health professional. Your OB provider will look at many factors to help determine if you are carrying more than one baby. He/she may discover two separate fetal heartbeats or see two babies on your ultrasound exam. Pregnancy symptoms with twins often aren't pronounced enough, early on, to differentiate a twin pregnancy from a single one, but don't be afraid to ask if you're experiencing the signs listed below.

Many people feel pregnancy with a single fetus is a blessing. If so, a twin pregnancy is double the blessing. Along with double the diapers, you can look forward to double the love and double the opportunity to influence the growth and development of growing minds and bodies. You become a part of an elite group of parents to multiples, who will tell you there is nothing like experiencing life with multiples.

Weight Gain

As the uterine size increases and blood volume increases, it is not unusual for a pregnant woman to notice a steady weight gain. On average, this weight gain is five to seven pounds total for the first twelve weeks. By delivery at forty weeks, a woman carrying a single baby can expect to have gained 25 to 35 pounds. Mothers of twins can expect a five to ten pound total gain for the first twelve weeks and 35 to 45 pounds over the term of the pregnancy.

Abdomen

A uterus that is excessively large based on the date of your last period is one of the most prevalent pregnancy symptoms with twins or other multiples. While all women experience some abdomen itching as the skin stretches, it is often more pronounced and felt earlier by moms of twins. If you are experiencing this itching, make sure to mention it to your physician.

Water Retention

Women pregnant with twins tend to retain water and experience swelling in the feet and hands to a greater degree than moms of singletons.

Heaviness

Pregnancy symptoms with twins may include a feeling of heaviness in the vagina or pelvis early in the pregnancy.

Varicose Veins

Twin pregnancies tend to lead to the relaxation of the walls of blood vessels, or varicose veins, to a greater degree than with single fetus pregnancies.

Fatigue

While all expectant mothers can anticipate feeling tired much of the first trimester, mothers expecting multiples may feel fatigue to a greater degree, and they may not show the reenergizing common during the second trimester.

Movement

Mothers of multiples often report feeling movement earlier than singleton moms, and much more movement than might be expected with one baby.

Maternal Age

While a family history of twin births and the use of fertility treatments are widely recognized as increasing the odds of conceiving twins, the maternal age factor is not. The chance of becoming pregnant with twins is significantly higher in women between the ages of 35 and 45 who already have children.

Final Words

If your OB health professional determines you show the symptoms of a twin pregnancy, he will schedule an ultrasound to confirm the results. Pregnancy with twins is often considered a High Risk Pregnancy, and your OB care provider will want to monitor your progress more closely than if you were pregnant with a single fetus. Ultrasounds and electronic fetal monitoring may be scheduled more frequently during the term of the pregnancy, just to ensure your babies are developing normally.


 


Comments

Michelle, it's not uncommon for babies to have different activity levels, even though they are twins. You may just be getting a sneak preview into their personalities. As long as your doctor isn't concerned, it sounds like everything is fine to me.

-- Contributed by: HollySwanson

I am 12 weeks pregnant with twins and I had my ultrasound a week ago. One of the twins did not stop wriggling about very active indeed!! While the other twin seemed to be relaxed and did not move alot. The heartbeat and size was spot on for both, should I be concerned because one is much more active than the other? They are fraternal twins.

-- Contributed by: Michelle

Mary,

I've read that twins usually develop at the same rate as singles during the first part of pregnancy, so I would expect the size to be the same as what you'd expect if you only had one. But, there is a lot that can go into those measurements. First, make sure that you and your doctor are using the same method of counting. You are counting from your last period, but the doctor might be counting from the likely Conception Date. Also, if you are off by a few days with your period and you ovulated later, that could easily put you at least a week off.

Further ultrasounds will paint a better picture, but talk to your doctor about whether or not he's concerned.

-- Contributed by: HollySwanson
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