Second Trimester Tips for Twins

Second Trimester Tips for Twins

  • Carrying Twins? Severe morning sickness and rapid weight gain in the first trimester are early signs you're having twins. Ask your doctor for an ultrasound to find out.
  • Choose a Doctor. If you're having twins, ask your OB about seeing a maternal fetal medicine (MFM specialist) -- an OB who specializes in high-risk births.
  • Go Ahead -- Nap! Don't feel guilty about taking a nap if you're tired. Even when resting, you're using 10% more energy than a woman pregnant with a single baby!
  • Get Your Omega-3s. Getting enough omega-3 fatty acids is especially important when you're having twins. Like fish? Get omegas-3s from salmon, herring, sardines, and trout.
  • Getting Enough Vitamins? Ask your doctor if a prenatal vitamin alone gives you all you need since you're carrying twins.
  • Don't Double Everything. Before you buy two of every baby gadget, wait and see what your babies like. Some babies enjoy swings and bouncy seats, and others don’t.
  • Know When to Call Your OB. Ask for a list of symptoms that mean you should call your doctor right away between prenatal visits.
  • Eat for Three. For you and your two babies, you need about 500 extra calories a day -- about the number of calories in two bowls of cereal with low-fat milk and a banana.
  • Cut Back on Exercise? After 20 or 24 weeks, ask your doctor if you need to cut back on any types of exercise, and if so, what's still safe to do.
  • Look Into a Breast Pump. If your twins spend any time in the NICU, you may need to pump your milk at first. Having a pump ready will make this easier.
  • Create a Birth Plan. Consider creating a birth plan to let your birth team know your labor and delivery wishes. Just try to stay flexible if things don't go exactly as planned.
  • Know Exercise No-Nos. The easiest way to learn if exercising is safe when you're pregnant with twins is to ask your doctor. Each twin pregnancy is different.
  • Skip the Extra Crib. You'll need two of many things, but a crib isn't one of them -- at least not at first. Your babies may sleep better when they're together.
  • Don't Wait to Find Child Care. The best caregivers and centers often have a waiting list. Start looking for child care early -- especially since you'll need two slots instead of one.
WebMD Medical Reference Reviewed by Trina Pagano, MD on January 20, 2019
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