Skip to content

    Health & Pregnancy

    Font Size

    2nd Trimester: 4th Prenatal Visit

    Your babies are growing fast! Today, your doctor will discuss the risks of pre-term labor, or delivering your babies before 37 weeks. He or she will also examine you and your twins to make sure that everyone is doing well.

    What You Can Expect:

    Half of women who are pregnant with twins deliver their babies early. Your doctor will want you to recognize the signs of pre-term labor, which include changes in vaginal discharge, abdominal or pelvic pain, and regular contractions. Your doctor will tell you who to call, what to do, and where to go if you experience pre-term labor. He or she may also restrict some of your activities (including exercise, sex, and lifting) if you're at high risk of pre-term labor.

    If you're carrying twins that share a placenta, your doctor will use ultrasound to check that the babies are growing well and don't have TTS.

    As with other appointments, your doctor will:

    • Check your weight and blood pressure
    • Check your babies' heart rates
    • Ask if your babies' movements are occurring about as often as your last appointment
    • Ask you to leave a urine sample to check sugar and protein levels

    Be Prepared to Discuss:

    Your doctor will want to make sure that you're as comfortable as possible as your belly grows. Be prepared to talk about:

    • Back pain. Your center of gravity changes as you get bigger, and you may lean backward to compensate, which can strain your back. Your doctor will suggest ways to support your back during the day and while you sleep.
    • Sleep issues. You may be having trouble falling asleep or staying asleep because your growing belly makes it harder to get comfortable. Your doctor can suggest helpful sleep positions and good places to place pillows for extra support.

    Ask Your Doctor:

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

    • Can I do anything to avoid pre-term labor?
    • Is it safe to get a professional massage during pregnancy?
    • Is exercise good for an aching back? What about bed rest?
    • If I'm having trouble sleeping at night, can I take naps?

    WebMD Medical Reference

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

    Pregnancy Week-By-Week Newsletter

    Delivered right to your inbox, get pictures and facts on
    what to expect each week of your pregnancy.

    Today on WebMD

    hand circling date on calendar
    Track your most fertile days.
    woman looking at ultrasound
    Week-by-week pregnancy guide.
    Pretty pregnant woman timing contaction pains
    The signs to watch out for.
    pregnant woman in hospital
    Are there ways to do it naturally?
    slideshow fetal development
    pregnancy first trimester warning signs
    What Causes Bipolar
    Woman trying on dress in store
    pregnant woman
    Woman looking at pregnancy test
    calendar and baby buggy
    dark chocolate squares