what's hot around the web

baby registry

need to buy a gift?

Find baby registries (at top retailers!) and websites with one easy search.

you asked...

Q&A: Nutritional recommendations for a pregnancy with multiples?

Are there different nutritional recommendations if I’m pregnant with multiples?

Re: Are there different nutritional recommendations if I’m pregnant with multiples?

The Bump Expert

Yes. If you’re carrying multiples, you’re not only “eating for two,” but potentially three or four! That means you’ll need to gain more weight than usual to support a healthy pregnancy. It’s generally recommended that moms expecting twins gain 24 pounds by 24 weeks of pregnancy (it will reduce your chance of preterm labor). The American Pregnancy Association says women carrying twins are expected to gain 35 to 45 pounds during their pregnancy and moms carrying triplets should gain 50 to 60 pounds. Also they recommend that moms-to-be of twins gain only four to six pounds during the first trimester and one and half pounds per week during the second and third trimesters. If you're expecting triplets, you should gain one and half pounds per week throughout your entire pregnancy.

Hopefully you’ll naturally have the appetite to support the weight gain, but here are some things to keep in mind that might help your nutritional intake keep up with your growing babies:

- Eating small meals (about six) frequently throughout the day can help you consume more calories without feeling too full. Try snacking on nutrient-rich foods, like complex carbohydrates and nuts.
- Incorporate foods into your diet that are high in protein and fiber. This includes leafy greens, grains, peanut butter, eggs, and oils. Like normal pregnancies, you should be careful around certain fish and processed meats. Red meat, if cooked properly, is great because it’s high in iron, which is also important throughout your pregnancy.
- Consume a dairy product before bed each night to carry you over to breakfast the next morning.

Have more questions? You can also ask your MD about referring you to a professional dietician to help you meet your daily nutritional needs.

Karen Moise, RN

Q&A: Nutritional recommendations for a pregnancy with multiples?

I am expecting twins and my OB said nothing like this to me. I am 5'3, petite and am 26 weeks. I gained 16 pounds so far. My OB says fetal growth has nothing to do with weight gain unless you are malnourished and the baby is suffering, but if all the scans show babies are progressing on schedule, my OB doesn't care how much weight I don't gain. Anyone else have an OB that is ok if your not gaining allll this weight?

EEG08 |

Q&A: Nutritional recommendations for a pregnancy with multiples?

I've been sick and have gained less than 20 lbs and I'm almost 23 weeks. My doctor said its fine because the babies measurements are good and they're healthy.

kirylou |

Q&A: Nutritional recommendations for a pregnancy with multiples?

So far i am 23 weeks and have gained 14 lbs and the babies seem to be doing great. I walk a lot during the day with my job and have been very sick with hyperemesis so my nausea deters me from wanting to eat more. I think everyone is different and everyone seems to have their own take on weight gain and what is right. As long as your MD says your good to go and not concerned thats what matters.

jenni10201 |

Q&A: Nutritional recommendations for a pregnancy with multiples?

yes

casslee33 |

Q&A: Nutritional recommendations for a pregnancy with multiples?

Multiples with the best outcome do tend to have higher pregnancy weight gain. The multiples clinics with proven higher birth rates (as much as 35% higher than national average) do recommend a weight gain of 48-52 lbs if the mom is a healthy weight at the start of the pregnancy and also says that early weight gain is vital to help ward off preterm labor and give babies that are born prematurely the best outcome. Many OBs have become a little too carefree with twins since so many trips & quads are being born now. . . but the reality is, it's still a higher risk catagory that needs to be handled with more care than a singleton pregnancy. I've known moms to carry 36+ weeks with no issues and moms who deliver between 25-30 weeks and have lots of issues, one of my friends even lost a twin (born at 25 weeks). In my opinion, I need to do everything I can to ensure healthy babies, even if that means gaining more weight than I want to and doing less activity. Thankfully, my husband is as cautious as I am and pushes me to take it easy.

polkadotJamie |

Q&A: Nutritional recommendations for a pregnancy with multiples?

This is my fourth pregnancy and I am having twins! WIth my first 3 children, I gained 19 lbs, 18 lbs, and 15 lbs. And I am not an overweight person. I wear a size 10 normally. Now that I'm having twins, my OB knows I don't gain a lot of weight and says that as long as I put on weight and the babies devekop normally, he doesn't care how much I actually put on. He joked that I might break the 20 lb mark this time, but he's not worried at all. It all depends on how well you are eating and how the babies are developing, as long as they are healthy, that is all that matters!

alpierce04 |

Q&A: Nutritional recommendations for a pregnancy with multiples?

My doc said to gain 20-30 lbs....my pre-pregnancy BMI was 26 but that still seemed like a really low range to me. I'm 25w4d and have gained 17 so far, and my face and arms look thinner.

jess2706236 |

Q&A: Nutritional recommendations for a pregnancy with multiples?

i'm 19 1/2 weeks and gained 7 pounds this pregnancy. my doctor actually told me to slow down because I put on the entire 7 pounds in one month. I didn't gain anything my first trimester and he wasn't concerned. he said to focus on gaining 1 pound a week. at 18 weeks by babies were actually measuring a few ounces bigger than the average.

kerrieann85 |

Q&A: Nutritional recommendations for a pregnancy with multiples?

Love

Lillyandcal |