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Twin Pregnancy: Answers from an Good

Staying Healthy During Pregnancy Fertility, Pregnancy and Childbirth Pregnancy and Childbirth Pregnancy Labor and Commitment

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When yous're expecting twins, you know you'll need two of everything for your registry. But what about staying good for you during your pregnancy? Do you need to double your food intake, weight gain and visits to the doc? With regard to the babies, are in that location two placentas and two amniotic sacs, or can they share these?

 Johns Hopkins maternal-fetal medicine specialist Jeanne Sheffield answers viii usually asked questions.

1. Do twins share a placenta and an amniotic sac?

   While some twins may share a placenta and an amniotic sac, that is not the case for the vast bulk of pregnancies. Hither are 3 major possibilities that exist:

   • 2 placentas and two amniotic sacs. A twin pregnancy with ii placentas and two amniotic sacs is the optimal twin pregnancy, as each baby has its ain nutritional source and protective membrane.
   • One placenta and two amniotic sacs. In pregnancies with one placenta and ii amniotic sacs, yous volition definitely have identical twins. Additionally, when your babies share a placenta, there is a greater risk for complications, such as twin-to-twin transfusion syndrome. Your physician will closely monitor your pregnancy to bank check for potential bug.
   • One placenta and 1 amniotic sac. This is the riskiest and rarest type of twin pregnancy. Fetal complications can arise due to tangling of the umbilical cords or an imbalance in nutrients, claret or other vital life supporting systems.

2. Practice I demand to double my caloric intake during a twin pregnancy?

   A common misconception surrounding twin pregnancy is that you need to double your caloric intake to provide your babies with plenty nutrients. However, pregnancy nutrition guidelines aren't simply based on the number of babies you lot're carrying. Instead, they're based on your trunk mass index at the time you became pregnant.

   Your doctor will make individualized recommendations based on your starting weight. On average, information technology'due south estimated that a woman'southward caloric requirements volition increase about 40 percent for a twin pregnancy. What's most important, though, is that a woman eats equally good for you equally possible.

3. Do I need to take different prenatal vitamins for twins?

   If yous're pregnant with twins, you should take the same prenatal vitamins you would take for any pregnancy, but your physician will recommend extra folic acid and iron. The additional folic acid and actress iron will help ward off iron-deficiency anemia, which is more common when you're pregnant with multiples.

4. Will I need to visit my doctor more frequently?

   While every pregnancy is different, most women carrying twins will have more frequent prenatal visits than women carrying only one baby. If your twins are sharing one placenta, you will automatically accept a more frequent monitoring schedule.

   If your pregnancy doesn't have complications, your prenatal visits may not differ much from a singleton pregnancy until you become to the end of your 2nd trimester. At that point, you'll be seen more frequently because there is a college risk of pre-eclampsia and preterm labor.

5. Exercise I take to see a maternal-fetal medicine specialist for a twin pregnancy?

   Maternal-fetal medicine specialists see high-risk pregnancies, but not every twin pregnancy volition autumn into this category.

   To discover the best care provider for your twins, make sure that the physician is comfy managing twins, including vaginal delivery of twins rather than just offering a cesarean section (C-section) for delivery.

6. Are all twin pregnancies delivered preterm?

   A little more than half of twin pregnancies end in preterm delivery (before 37 weeks). While 40 weeks is the total gestation period of the average pregnancy, almost twin pregnancies are delivered at approximately 36 weeks (range 32-38 weeks depending on the type of twin pregnancy).

   Unfortunately, preventing preterm labor with multiples is more challenging than with a singleton pregnancy because the interventions used with singleton pregnancies are not as effective with multiples.

7. Can bed rest reduce the risk of preterm delivery?

   Scientific data evidence that bed rest does not prevent preterm delivery. In fact, bed rest can increase your risk of developing blood clots and accept negative fiscal and social consequences.

   Although bed rest is not prescribed every bit frequently as it once was, your doctor may suggest reducing your activity level if you're showing signs of early on labor at the end of your second trimester or early in your third trimester.

8. Is labor and commitment significantly different with twins?

   Labor is generally the aforementioned whether you lot're having one baby or 2. During delivery is when things differ significantly.

   When information technology'southward time to deliver your twins, you volition become to an operating room even if you are delivering vaginally. This is a safe precaution known as a double setup. Post-obit the vaginal delivery of the beginning infant, there is a small chance of an emergency cesarean section for the 2nd infant. There is also the possibility of the second twin being delivered breech, which is a safe form of vaginal delivery if the obstetrician is experienced in this type of delivery.

   Of women giving nascency to twins over 32 weeks, only well-nigh 4 percent who try for a vaginal delivery will accept a combined vaginal and cesarean section delivery. While it doesn't happen very often, by delivering both babies in the operating room, physicians are better prepared to protect the health of the mother and the babies.

   Although being significant with twins can seem very different, your md will care for your pregnancy like any other unless a complication occurs.

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Source: https://www.hopkinsmedicine.org/health/conditions-and-diseases/staying-healthy-during-pregnancy/twin-pregnancy-answers-from-maternal-fetal-medicine-specialist