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Multiple Pregnancy: Twins or More - Home Treatment

A multiple pregnancy can make morning sickness worse during the first months of pregnancy. You can treat your symptoms at home, unless you have become dehydrated or are not getting enough to eat because of vomiting.

actionset.gif Pregnancy: Dealing With Morning Sickness

Learn the signs of preterm labor. They may include:

  • Cramping similar to menstrual cramps.
  • Abdominal cramps, possibly with diarrhea.
  • Contractions of your uterus that don't go away, about 4 or more in 20 minutes or about 8 or more within 1 hour.
  • Pressure in your lower back, especially if it comes and goes.
  • An increase in your usual amount of vaginal discharge.

Call your health professional immediately if you have symptoms of preterm labor.

Call your health professional or go to the hospital if you begin bleeding from the vagina or if your water breaks.

Self-care for multiple pregnancy

If you are pregnant with twins or more, it's important to:

  • Get enough nutritious calories, folic acid, iron, and calcium to nourish you and your babies (fetuses).
  • Avoid things that could hurt your babies, such as:
  • Reduce your physical activity. Most doctors will recommend that you stop physically demanding exercise after 24 weeks of a multiple pregnancy. Talk to your doctor about walking or swimming.
  • Get plenty of rest, especially after the 24th week of pregnancy.
  • Consider whether you need to change your daily work activities, based on how well your pregnancy is going. Be sure to follow any advice to reduce your activity level.
  • See your health professional often. Beginning in the 20th week of pregnancy, you may be checked every other week. Beginning at the 30th week, you may be checked more often.

For more information on what to expect during pregnancy, labor, and childbirth, see the topic Pregnancy.

After the babies are born

Coping. Having a multiple pregnancy and caring for two or more infants at the same time can be overwhelming and exhausting. Lack of sleep, the increased amount of work, less personal time, and trouble maintaining the home are common sources of frustration for parents of multiple infants.

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