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Pregnant signs of twins and complications that can happen

Pregnant twins become a hope for some women. What are the hallmarks and signs of having twins pregnant? What are the risks that can arise from this pregnancy? Consider the following explanation.

There are a variety of reasons why a marriage partner wants twins, such that their child can instantly have friends, to quickly have a big family, or just for exclamations. The couple and some even went to a gynecologist to do a program to 'make' twins. 

Pregnant twins signify that a woman has two or more children in her womb. The children can come from the same egg (identical twins) or from different eggs (non-identical twins). Pregnant twins are more common in women in their 30s and 40s. Because at this time the woman will experience an irregularly ovulatory cycle, and allows the emergence of two egg follicles at the same time.

Pregnant Marks Twin Children

Pregnant mark of twin children 

Women who are pregnant with twins will need more folic acid intake to help prevent birth defects. At least, you are advised to consume 1 milligram or 1000 micrograms of folic acid per day, if you are pregnant with twins.

Here are some signs of your pregnant twins: 

  • The main sign of twin pregnancy is the size of the larger abdomen in early pregnancy.
  • Experiencing severe morning sickness.
  • Increased levels of hormone HCG higher than normal pregnancy. HCG hormone is a hormone produced during pregnancy. However, this increase in hCG hormone does not necessarily signify multiple pregnancies.
  • Weight gain more than single pregnant women.
  • Extreme fatigue.
  • Back pain that appears earlier.
  • Fetal movement is more active in the second trimestersand further. 

The various signs and symptoms above do not directly ensure that you are pregnant with twins. The only way to ensure you are pregnant with twins is to do ultrasound at 10 to 14 weeks of gestation. Ultrasound can be suggested early if you experience bleeding due to pregnant twins, but this bleeding does not mean your pregnancy is problematic.


Frequent Complications 

Some pregnancies do have risks, however, conceiving twins can carry a greater risk than a single pregnancy. 

Here are some of the risks and complications that often occur in multiple pregnancies, including: 


Preeclampsia is a condition in pregnancy characterized by high blood pressure, presence of protein in the urine after 20 weeks of pregnancy, and sudden swelling of several limbs (face, hands, feet, and eyes). 

Gestational diabetes

Gestational diabetes is a form of diabetes during pregnancy in which the body does not produce sufficient amount of insulin to regulate body sugar levels. About 2 to 5 percent of pregnant women experience this type of diabetes. This condition is characterized by the presence of sugar in the urine, frequent thirst, frequent urination, fatigue, nausea, blurred vision, and frequent infections of the vagina and bladder. 


All expectant mothers may develop anemia, which causes pregnant women to feel weak and lethargic. This is because in pregnancy, the amount of blood flowing in the system of the body becomes more and more watery. If the condition becomes severe and not treated promptly, it may increase the risk of preterm birth. 

Twin To Twin Transfusion Syndrome (TTTS)

This complication occurs in about 15 percent of twin pregnancies. TTTS is a disorder that affects identical twins, since identical twins can get blood supply from the same placenta. In TTTS, one of the infants gets excessive blood flow while the other infants experience a lack of blood flow. As a result, infants who have excessive blood flow may be at risk for heart problems, whereas in infants with reduced blood flow may develop anemia and low birth weight.


How to anticipate? 

  • Do a pregnancy or antenatal care check on schedule determined by your obstetrician.
  • Consult a nutritionist to plan a balanced diet to meet your body's nutritional demands as well as the conjoined twin fetus
  • Allow yourself plenty of opportunities to rest. Pregnant twins need a lot of energy. You may need to consider taking a leave of absence from work and arranging household conditions.
  • Ultrasound examination may be more frequent than a single fetal pregnancy.
  • Plan a day-long labor with a doctor, whether it can be born normal or should be by way of cesarean section. 

It is important for you to immediately know whether you are pregnant with twins or single pregnant. Because of course, conceiving twins will require extra attention. Make sure you get enough nutrition and fluids when pregnant with twins. Routinely consult an obstetrician as scheduled for a pregnancy check-up, to ensure that your fetal condition and pregnancy are healthy.



Baby Centre UK (2016). Pregnant with twins: potential complications. American Pregnancy Association (2016). Signs & Symptoms of Multiple Pregnancy. Johnson, T. WebMD (2016). Anemia in Pregnancy.

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Is a health and wellness enthusiast. In him free time, she loves to travel and taste different types of teas.

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