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1st Trimester: 1st Prenatal Visit

It's the first doctor visit of your twin pregnancy, congratulations! Twins can be diagnosed as early as 6 weeks, so you've learned about your double surprise early. During this visit, your doctor will check your overall health and determine your due date. He or she will also look for risk factors that might affect your health or your babies' health based on your medical history, family history, and age. Your doctor will answer any questions you have about pregnancy. He or she will explain that having twins puts you at a higher risk for pregnancy complications such as preeclampsia and preterm delivery. There's a lot to cover, so this will probably be the longest of all of your prenatal visits.

What You Can Expect:

  • Your doctor will give you a full physical exam, including checking your weight and blood pressure.
  • You will also have a breast and pelvic exam. Your doctor will do a Pap test (unless you've had one recently) to check for cervical cancer and sexually transmitted diseases.
  • Your doctor will draw blood to:
    • Check for blood problems like anemia
    • Test your blood type and Rh status
    • Test for syphilis, HIV, and hepatitis B
    • Test for immunity to rubella (German measles)
    • Screen for diseases such as diabetes, thyroid dysfunction, and cystic fibrosis carrier status, depending on your family and medical history
  • You'll also leave a sample of your urine so your doctor can check for:
    • Kidney disease
    • Bladder infection
    • Sugar and protein levels
  • Your doctor may prescribe prenatal vitamins with iron or tell you to take supplemental iron and folic acid.

 

Be Prepared to Discuss:

It's important to be as open as possible with your doctor during your pregnancy so that your doctor can help both you and your babies be safe and healthy. Be prepared to openly talk about:

  • Your personal and family medical history, including any chronic health problems
  • Your ethnic background; some groups are more likely to pass on genetic disorders like cystic fibrosis
  • Your lifestyle habits that could affect your babies, such as alcohol use, smoking, or illicit drug use
  • Any incidence or history of domestic violence
  • Your current emotional state and any history of depression or mental illness
  • Diet, exercise, and optimal weight gain during pregnancy

Questions to Ask Your Doctor:

Tap the Action button above to select questions to ask your doctor.

  • What is my due date?
  • Will my symptoms be worse with twins?
  • Are there symptoms I should tell you about? 
  • Which twin pregnancy books do you recommend?
  • How much weight should I expect to gain?
  • What types of foods should I eat? Which should I avoid?
  • Is it safe to exercise? Should I avoid any activities?
  • Do I need prenatal vitamins or other supplements?
  • Are there any medications I should avoid?
  • If I have health problems, will they affect my babies?
  • How long will morning sickness symptoms last?
  • Are there precautions for sex during pregnancy?

WebMD Medical Reference

Reviewed by Kecia Gaither, MD, MPH on August 25, 2014

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