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 January 27, 2019



ACOG's "Having Twins."

ACOG's "Preterm Labor."

ACOG's "Easing Back Pain During Pregnancy."

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

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

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