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The Symptoms of Pregnancy with Twins

If your pregnancy symptoms are earlier your uterus may feel more like 10 to 12
and more pronounced than you'd normally weeks to your obstetrician. This may
expect, you may be carrying a twin prompt a request for an ultrasound
pregnancy. However, only a health examination.
professional can tell for sure. 6. You are told that you have elevated
1. You just feel that you are carrying levels of AFP. AFP is one of the
more than one baby. Some mothers of twins chemicals tested to screen for Down's
(or higher order multiples) say that they syndrome and spina bifida abnormalities.
knew right from the start that they were AFP levels are higher in twin
carrying more than one baby. pregnancies.
2. You experience more nausea and/or 7. Your health care provider hears two
morning sickness. If you are having more fetal heartbeats. Two separate heartbeats
than one baby, you may have an elevated can be distinguishable with a Doppler in
hCG level (hCG is a pregnancy related your care provider's office from around
hormone). This hormone is the one 18 weeks. At around 28 weeks, it may be
associated with morning sickness. possible to differentiate two fetal heads
3. Other typical pregnancy symptoms may and multiple small parts when doing an
be exaggerated. Many women -- but not all abdominal exam.
-- who are pregnant with twins have more 8. You have a positive ultrasound. If you
intense pregnancy symptoms, probably believe you are pregnant with twins, an
related to the extra hormones circulating ultrasound can be performed quite early
through their system. You may find that in pregnancy. With a skilled
your breasts are extremely tender, you ultrasonographer, two gestational sacs,
have to urinate frequently, you are two embryos and two distinct fetal
hungry all the time and you are always heartbeats can be seen six weeks after
very tired. the first day of the last menstrual
4. A higher than average weight gain in period. Many twins have been diagnosed as
the first 16 weeks may be your first clue early as five weeks -- when you're just
that you're carrying more than one baby. one week late for your menstrual period.
Good weight gain in early twin pregnancy 9. In later pregnancy, you may experience
is associated with a favourable outcome. difficulty catching your breath, swelling
With each additional fetus a woman (oedema) of the hands and legs, an
carries, the range of weight gain will unusual rate of weight gain and abdominal
increase. For example, a woman who starts enlargement and excessive fetal movement.
a pregnancy in a healthy weight range Anaemia or low iron (decreased
might expect her weight gain to be as haemoglobin) is also common with twin and
follows: multiple pregnancies.
One fetus, 11 kg (24 lb) to 16 kg (35 lb) 10. There is considerable disagreement
Twins, 16 kg (35 lb) to 20 kg (44 lb) among medical professionals as to whether
Triplets, 20 kg (44 lb) to 23 kg (51 lb) a woman carrying twins is more likely to
Quads, 23 kg (51 lb) to 25 kg (55 lb) feel movement earlier. But many mothers
5. Your uterus seems large for do claim that those early flutters and
gestational age. If your last menstrual flips were their first clue that they
period indicates an eight-week gestation, might be having more than one.




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