Multiple Pregnancy: Twins or More - Treatment Overview
Watch for problems continued...
Any pregnancy can have these complications, but there is
more concern about them happening during a multiple pregnancy.
Preterm labor is more common in a multiple pregnancy
than in a pregnancy with one fetus. If you go into preterm labor and
premature delivery is likely, your health professional
may recommend taking one or more precautions, such as:
- Limiting your activity level.
- Staying in the hospital. This is often so that you can receive
steroid medicine to help your babies' lungs develop faster. In some cases,
tocolytic medicine is used in an attempt to delay
preterm birth. You are closely watched if you are treated with a tocolytic
For more information, see the
Possible problems for the babies (fetuses) during multiple pregnancy can include vanishing twin syndrome,
twin-to-twin transfusion, twins that share one amniotic sac (monoamniotic
twins), and locking twins.
Early pregnancy decisions about triplets or more
When there are three or more fetuses in the uterus, their risks of
disability or death are higher with each additional fetus. If you are carrying
triplets or more after infertility treatment, your doctor may offer the option
of multifetal pregnancy reduction (MFPR) near the end of
trimester. A successful MFPR increases the chances of
healthy survival for the remaining fetuses and reduces risks to you. But MFPR
sometimes leads to miscarriage.1
decision to have a multifetal pregnancy reduction is difficult and may be traumatic.
If you are faced with this decision, talk to your doctor about your personal
risks from trying to carry multiple fetuses to term compared to the risks of
choosing MFPR. Also consider discussing your decision with a counselor or
- Multiple Pregnancy: Should I Have a Multifetal Pregnancy Reduction?