Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

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
Close up on eyes of baby breastfeeding
healthtool pregnancy calendar
eddleman prepare your body pregnancy