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Multiple Pregnancy: Twins or More - Treatment Overview

Always be sure to take extra good care of yourself when you are pregnant. When carrying twins or more (multiple pregnancy), be sure to eat a balanced and nutritious diet of quality calories. And make sure that you get enough calcium, iron, and folic acid.

You can expect to gain weight more quickly than you would with one fetus. With each additional fetus a woman carries, her range of weight gain will increase. Your range of healthy weight gain will also be different if you started your pregnancy underweight or overweight.

Prenatal care during a multiple pregnancy

If you are pregnant with twins or more, good prenatal care will help you and your health professional prevent and watch for problems. You will have more frequent checkups than you would for a pregnancy with one fetus. These checkups are important both for monitoring your own health and your fetuses' health and for giving you and your health professional time to build a working relationship.

Because you are more likely to deliver early, be sure to plan ahead. Ask your health professional about making arrangements to deliver at a hospital that has facilities for emergency cesarean delivery and a neonatal intensive care unit (NICU).

Watch for problems

Possible pregnancy problems that can be more likely when you are carrying twins or more include:

  • Preeclampsia and high blood pressure. Treatment depends on how severe your condition becomes. It may include medicine, bed rest, fetal monitoring, and early delivery. For more information, see the topic Preeclampsia and High Blood Pressure During Pregnancy.
  • Problems with the placenta, such as placenta abruptio or placenta previa. For more information, see Placenta Abruptio and Placenta Previa.
  • Anemia, which is treated with iron-rich foods and iron supplements. If this doesn't help, you can be tested for other problems that can cause anemia.
  • Too much amniotic fluid in the uterus (polyhydramnios). Treatment can include medicine and removal of amniotic fluid.
  • Urinary tract infection (UTI), which is treated with antibiotics.
  • Heavy blood loss after delivery (postpartum hemorrhage), which can require a blood transfusion.
  • The need to deliver by cesarean section (C-section). You will likely need a C-section if your babies (fetuses) are not turned head-down in time for birth (breech or transverse fetus camera.gif).
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