2nd Trimester: 2nd Prenatal Visit

Today you'll get to see your tiny babies! You'll be having an ultrasound so that your doctor can check your babies' fingers, toes, and organs, and whether they are growing at a healthy rate. You may even find out your babies' genders at this visit.

What You Can Expect:

Your doctor or an ultrasound technician will carefully examine your babies using ultrasound, counting fingers and toes, taking organ measurements, and trying to identify your babies' genders. It can take a while, so you'll get a long look at your little ones. Bring your spouse or partner along, because this may be your best chance to see your babies before they are born. Be sure to tell your doctor or the technician beforehand if you don't want to know your babies' sex -- otherwise, he or she may announce it aloud! Be sure to ask for pictures or even a disc containing pictures.

If you're carrying twins that share a placenta, your doctor will check that the babies don't have TTS. Your doctor will ask you to make another appointment to check for this again at 22 weeks. If your babies are not sharing a placenta you may not need an ultrasound every two weeks, but you will likely need multiple ultrasound exams during the pregnancy to check on the growth of your babies.

During this visit, your doctor may ask you whether:

You feel tiny flutters or kicks from your twins. If you have, your doctor may have you keep track of those movements so you can learn your twin's general activity level.

You're considering breastfeeding. Your doctor will explain the many health benefits of breastfeeding for you and your babies. Even though you are having twins, you can still breastfeed -- it just takes a little extra work and patience. Your doctor may refer you to a lactation consultant to learn more about breastfeeding.

As with other appointments, your doctor will:

  • Check your weight and blood pressure
  • Check your babies' heart rates
  • Ask you to leave a urine sample to check sugar and protein levels.

Continued

Be Prepared to Discuss:

Your doctor will want to learn how your pregnancy is affecting your entire body. Be prepared to talk about:

  • Your diet and weight. Your doctor will ask if you're eating nutritious foods and check to see if you're on track to gain a healthy amount of weight. Women with a BMI between 18.9 and 24.9 should gain between 35 and 45 pounds. If you are having trouble gaining enough weight or eating the right kinds of foods, let you doctor know now. He or she may recommend that you meet with a nutritionist.
  • Your skin. Some areas of your skin may darken during pregnancy, such as the linea negra, which runs from the belly button to the pubic area. Your doctor will recommend using daily sunscreen if you're getting blotches of darker skin on your face.
  • Your energy levels. Carrying twins can be more tiring, but you should find it easier to work and exercise now. If you're dragging, you may need more sleep.

Questions to Ask Your Doctor:

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

  • Does everything look normal on my babies' ultrasound?
  • Do I need another ultrasound exam?
  • How often should I track my babies' kicks?
  • Will my babies be more active at a certain time of day?
  • What should I do if the baby is moving less?
  • Will I be able to make enough milk for two babies?
  • Will linea negra or face blotches fade after pregnancy?
WebMD Medical Reference Reviewed by Kecia Gaither, MD, MPH on August 25, 2014

Sources

SOURCES:

ACOG: "Skin Conditions During Pregnancy."

AAP and ACOG: "Guidelines for Perinatal Care, 6th ed."

ACOG: "Your Pregnancy and Childbirth Month to Month, 5th ed."

William Goodnight, III, MD, FACOG, assistant professor in obstetrics & gynecology at the University of North Carolina School of Medicine in Chapel Hill, board certified in maternal-fetal medicine.

Harish M. Sehdev, MD, FACOG, associate professor of obstetrics & gynecology at the University of Pennsylvania Perelman School of Medicine in Philadelphia, board certified in maternal-fetal medicine.

Natali Aziz, MD, assistant professor of obstetrics & gynecology at Stanford University School of Medicine.

© 2014 WebMD, LLC. All rights reserved.

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