Pregnant with Multiples

If you are pregnant with twins you may be the envy of your friends for having two babies with only one pregnancy. Neat trick! Two for the price of one is certainly a great deal but being pregnant with multiples has its own special needs, unique challenges, and potential complications. Whether it’s fraternal twins, identical twins, triplets, or even quads - as a result of IVF or just sheer luck - being pregnant with multiples is anxiety producing for moms who are carrying twins or higher-order multiples. From conception to pregnancy, delivery to post-partum, women who are pregnant with multiples are overflowing with questions. How early can I tell if I’m having twins? How much should I exercise when carrying multiples? What should I be eating for a twin pregnancy? Will I have to go on bed rest? Are c-sections inevitable when delivering multiples? Will my twins have to stay in the NICU after they are born? What is Twin-to-Twin Transfusion Syndrome? How will I be able to breastfeed both my babies? Whatever your question, we have expert answers and mom-tested tips for women who are pregnant with multiples. Find out about your babies’ growth and development, and their special prenatal needs and nutritional requirements with our Q&A’s, articles, and resources. Being pregnant with multiples can be hard on mama’s body too so get the scoop here on what you need to do to stay healthy throughout the course of your pregnancy, during labor, and after your babies are born.

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Weight Gain While Expecting Twins, Triplets or More

Gaining enough weight during pregnancy is extremely important when you’re carrying multiples. Sufficient weight gain can help stave off preterm birth and helps your babies develop and boost their birth weight. But this weight gain should be slow and steady, and your caloric intake should come from healthful and nutrient-rich foods. Eat five or six times day, and pay attention to the vitamins and minerals you consume.

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How much you should gain: If you’re carrying twins and your weight was in the normal range (body mass index of 18.5 to 25) before conception, the American College of Obstetricians and Gynecologists (ACOG) recommends that you gain 35 to 45 pounds during your pregnancy.

When to gain: This means you should be gaining about a pound a week throughout the first half of your pregnancy, and a little more each week throughout the second half.


How much you should gain: If you’re carrying triplets, experts advise you should gain between 58 and 75 pounds before delivery.

When to gain: Try to gain the first 35 pounds within weeks 1 through 20.


How much you should gain: Moms-to-be of quads should be gaining about 70 to 80 pounds during pregnancy, and because quads tend to arrive around 30 weeks, this weight gain should occur rapidly.

When to gain: Get those numbers on the scale to climb 45 pounds by 20 weeks.

If you were underweight before your pregnancy or you lost weight in the first trimester due to morning sickness, you should try to make up that weight gain as early as possible. If you experience very sudden changes in weight gain or loss, contact your doctor.

Plus, more from The Bump:

What to Eat While Pregnant With Multiples

Pregnancy Nutrition and Exercise

The Obsession With Pregnancy Weight Gain

-- Excerpted from The Baby Bump, Twins and Triplets Edition

See More: Multiples , Pregnancy Health


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