Pregnant with twins

A twin pregnancy involves two babies growing at the same time. Early identification of placentas and amniotic sacs is essential, because a shared placenta adds risks of unequal blood distribution and growth differences. All twins also have a higher risk of premature birth and pregnancy complications.

• Nausea, tiredness, tender breasts and rapid abdominal growth may be more pronounced, but only ultrasound confirms twins.
• Breathlessness, pelvic or back pain, reflux, sleep problems and bladder pressure may occur earlier than with one baby.
• Attend every scan and check-up, even when you feel well, because growth differences and high blood pressure may cause few symptoms.
• Eat a varied diet, drink enough and discuss persistent vomiting, weight loss or uncertainty about nutritional and iron requirements.
• Call your midwife or obstetric unit immediately for bleeding, leaking fluid, regular painful tightenings or strong downward pressure.
• For urgent GP care outside office hours, call HAP 9252. Call Ambulance 912 only for an immediate threat to life.