Twin pregnancy

If the pregnancy test has been carried out and it appears that there is a pregnancy, there is of course happiness and joy because a child is on the way. At the beginning of the pregnancy, an ultrasound is done for the first time and it may then become apparent that two children are about to arrive. A twin pregnancy is generally more likely to cause complications than a singleton pregnancy.

Characteristic of a twin pregnancy

This is why a twin pregnancy is normally supervised by a gynaecologist. The chance of a twin pregnancy is approximately 1 in 80. As soon as you are told that you are expecting twins, you know that the pregnancy will be different than with a singleton, but also that the birth and family life will be different. Initially, an ultrasound usually makes it clear that twins can be expected. The abdomen is often also larger than you would expect in a singleton pregnancy.

The pregnancy

Being pregnant with twins is different from expecting just one child. There are not only practical matters such as a double dilation that need to be paid attention to, but the pregnancy will also be different physically and in terms of guidance. When making the ultrasound where it is announced that it concerns twins, there may be some initial fear and that is also very normal. If there is already a suspicion that there is a chance of twins, the ultrasound is seen more as confirmation. Physically, a woman who is pregnant with twins may suffer more from pregnancy ailments, and this can immediately manifest itself in excessive vomiting, being out of breath more quickly, hemorrhoids, varicose veins or extreme fatigue. Carrying twins can also cause more complaints later in pregnancy, such as back pain, pelvic pain and heartburn.

Possible complications

A twin pregnancy is always under the supervision of the gynecologist and there is no choice to give birth at home, because the birth will have to take place in the hospital. In the case of a singleton pregnancy, the midwife can monitor the baby’s growth from the outside, but with twins this of course becomes difficult. This is one of the reasons why the check-up will take place with the gynecologist. In addition, complications such as high blood pressure, anemia (vitamin and/or iron deficiency) and bleeding in the last trimester of pregnancy are more likely to occur in a twin pregnancy. Premature birth, i.e. delivery before the 37th week, is also more common in twins. If this occurs, depending on the duration of the pregnancy, an attempt will be made to stop the birth by administering medications. The mother is then admitted to hospital. With a twin pregnancy, the pregnancy will rarely last the full forty weeks and the delivery will almost always occur a few weeks earlier. The birth weight of the babies will also be lower than with an average singleton pregnancy.

Giving birth to twins

A natural hospital birth of twins is very possible if the babies are both head down. A caesarean section is advised if the first baby is in a breech position. If the second baby is in a breech position, the risks are discussed, but there is a choice between a natural birth and a caesarean section.