Medically reviewed by Angel Kerney | MD, F.A.C.O.G Obstetrics & Gynecology on May 4th, 2023.
Pregnancy always comes with some risks, but carrying twins can increase the likelihood of certain complications. However, with proper prenatal care and by being aware of potential issues, you can significantly improve your chances of having a healthy pregnancy and delivering healthy babies.
When carrying twins, you may be at a higher risk for:
Premature birth: More than half of twins are born before 36 weeks of pregnancy. Premature babies may have health problems as newborns and sometimes lasting disabilities.
Low birth weight (LBW): Over 50% of twins are born weighing less than 5 1/2 pounds, which can lead to health issues such as vision and hearing loss, mental disabilities, and cerebral palsy, especially if born before 32 weeks or weighing less than 3 1/3 pounds.
Twin-twin transfusion syndrome (TTTS): This condition affects about 10-15% of identical twins who share a placenta, where a connection between the babies' blood vessels causes one twin to receive too much blood and the other too little. TTTS can be treated with laser surgery or amniocentesis.
Preeclampsia: Women carrying twins are more than twice as likely to develop preeclampsia, characterized by high blood pressure, swelling, headaches, and vision changes. Early delivery may be necessary to prevent serious complications.
Gestational diabetes: If you develop high blood sugar during pregnancy, your babies may grow too large, increasing the risk of delivery complications and potentially requiring a cesarean section. Your babies may also have breathing problems and low blood sugar at birth.
Iron deficiency anemia: A lack of healthy red blood cells due to insufficient iron can lead to premature birth. It's essential to add iron to your diet as recommended by your doctor.
While these risks may seem daunting, it's important to remember that with proper prenatal care, you and your doctor can work together to minimize the impact of any complications. Here are some steps you can take:
Attend all scheduled prenatal appointments to monitor your health and the development of your babies.
Follow your doctor's recommendations for diet, exercise, and supplements, such as increasing your iron intake.
Be aware of the signs and symptoms of preeclampsia and gestational diabetes, and report any concerns to your healthcare provider promptly.
If diagnosed with TTTS, work with your doctor to determine the best course of treatment, which may include laser surgery or amniocentesis.
Remember, with close monitoring and proper care, most women carrying twins can have healthy pregnancies and deliver healthy babies. Don't hesitate to reach out to your healthcare provider with any questions or concerns throughout your pregnancy.
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