What Are the Early Signs of Twins in the First Trimester?

What Are the Early Signs of Twins in the First Trimester?

Early Signs of Twins in the First Trimester

Congratulations – it’s twins! These are the words you may hear when your obstetrician identifies not one, but two babies growing. However, many moms experience early signs of twins in the first trimester, sometimes before a doctor may even “deliver” the news that twins are on the way.

First, it’s important to understand how twins are conceived and how they grow. Sometimes, a mom may release more than one egg in an ovulation cycle. A man releases many sperms when he ejaculates, which means this sperm can fertilize not one, but two (or more) eggs, resulting in a twins’ pregnancy. This is the case for fraternal twins. However, sometimes a single egg is fertilized. After this, the embryo may split into two and twins are the result. This is the case for identical twins. Having double the babies doesn’t necessarily mean double the symptoms, but it does mean that a woman may experience enhanced symptoms compared to moms of single pregnancies. This can be due to the higher hormone levels she is experiencing to grow not one but two babies. Read on for more examples of symptoms that are early signs of twins in the first trimester.

Greater Than Expected Weight Gains

Often, many women do not start to “show” they are pregnant until the second trimester, usually around 20 weeks of pregnancy. However, women who are pregnant with twins may begin to show much sooner because they are pregnant with twins. While most women pregnant with a single baby will gain somewhere between 25 and 35 pounds, women who are pregnant with twins will usually gain anywhere from 35 to 45 pounds due to the presence of the additional baby.

At each checkup, your doctor will measure your weight as well as the growth of your uterus. However, many doctors do not recommend a prenatal checkup until a woman is about eight weeks’ along. A woman who has gained more weight than is expected or whose uterus is already starting to measure as being larger than expected could potentially be carrying twins. However, it’s possible a woman may be experiencing these symptoms due to other factors. Examples include an incorrect due date or excess amniotic fluid.

Morning Sickness

Unfortunately, morning sickness is most likely to occur during a woman’s first trimester. This is because the high amount of hormones circulating through her body may greater contribute to nausea and possible vomiting. Usually, the vomiting is worse in the morning, then improves as the day goes on due to the natural fluctuations of her hormones. Often, women pregnant with multiples experience greater bouts of morning sickness. This is because women will have higher levels of hormones, which may cause her to have greater nausea. If this is the case, it’s important that she contact her physician if she has a hard time keeping down food and water because these are very important to pregnant women wishing to nourish a baby.

High Hormone Blood Test Results

A doctor may recommend blood testing during pregnancy for a variety of reasons. One example is for alpha-fetoprotein, a protein that can indicate the presence of twins as well as some congenital disabilities, such as neural tube defects and genetic defects. The fetal liver secretes this hormone. If two babies are growing, the AFP results will be higher. Sometimes the presence of the excess hormones can indicate to a doctor that a twins pregnancy is in the works.

Another hormone that a woman may have in greater than expected amounts due to a twins’ pregnancy is human chorionic gonadotropin or hCG. This hormone is responsible for fostering fetal growth during pregnancy. If a woman has abnormally high hCG levels, one of the potential explanations is that she is pregnant with twins.

Early Fetal Movements

Toward the end of the first trimester, a woman may experience a surprise – fluttering in her belly! While most women don’t start feeling their baby move until they are in the second trimester, some women pregnant with twins may begin to feel their babies much earlier. This can be because the babies have less room to maneuver in the uterus. As a result, their movements may be easier to detect and feel at an earlier time. However, moms of twins shouldn’t worry if they don’t feel their babies move in the first trimester yet.

Extreme Fatigue

Growing a baby is hard work for mom. Growing two babies can be even physically harder on a woman. As a result, a woman is also more likely to experience high levels of fatigue in the first trimester. Some of the reasons for this increased fatigue include more time spent increasing a woman’s blood volume and delivering nutrients and oxygen to two babies. Increased amounts of the hormone progesterone can also lead to greater incidences of fatigue. Sometimes, even if a woman wanted to get pregnant and wanted to carry twins, knowing that she is carrying two babies can be the source of a great deal of anxiety. This can make a woman feel physically tired in the first trimester. These emotions are completely normal.

The good news is, moms of twins usually report greater energy levels in the second and third trimesters as their hormones regulate out and their bodies are more accustomed to the growing energy demands. Taking time to get plenty of rest can always help a mom feel her best.

Conclusions on the Early Signs of Twins in the First Trimester

Many women report experiencing a sense of intuition that they are carrying more than one baby. However, this hunch can be confirmed with a trip to their physician for ultrasound viewing of their fetus. A doctor may also use Doppler ultrasound technology to listen for baby’s heartbeat. When a woman is pregnant with twins, she will hear not one, but two pulses coming through the Doppler. These are just some of the exciting signs of what is to come as she continues to grow not one but two babies to welcome into the world.

References:

American Pregnancy Association: Signs and Symptoms of Multiple Pregnancy

Bounty: Top 5 Signs You’re Pregnant With Twins

Huggies: Twin Pregnancy Symptoms

KidSpot: Twins or More: Signs of a Multiple Pregnancy

Mayo Clinic: Twin Pregnancy: What Multiples Mean for Mom

Pregnancy Week by Week: Twin Pregnancy Symptoms

IUI vs. IVF

IUI vs. IVF

If you’ve recently begun to suspect you may have fertility issues, or if you’ve received an infertility diagnosis, you’re probably wondering about your next steps. You have a number of options, but sorting through them can be complicated. The acronyms IUI and IVF almost always come up in conversations about infertility, but what are they? Understanding these common infertility treatments can help you make the right choices for treatment. Herein, we’ll look at te ways in which IUI vs. IVF are different, their advantages and disadvantages, and the chances of successfully conceiving using them.

IUI vs. IVFWhat’s the Difference Between IUI vs. IVF?

Intrauterine insemination, or IUI, is one of four types of artificial insemination. Artificial insemination is a common solution to infertility that involves inserting sperm directly into the vagina, cervix, uterus, or fallopian tubes. During IUI, sperm is placed directly into the uterus.

In vitro fertilization, or IVF, is a procedure involving extracting a woman’s eggs and placing them in a test tube or petri dish, where they’re fertilized by a man’s sperm. The embryos are then transferred directly to the uterus.

In general, couples struggling with infertility will first undergo IUI before trying IVF.

A Closer Look at IUI

Artificial insemination, including IUI, can be successful for a variety of infertility issues, such as when:

  • A couple is unable to have intercourse because of erectile dysfunction or another problem.
  • A man doesn’t produce enough sperm, or the sperm has trouble reaching the egg.
  • A man or woman is allergic to sperm.
  • A woman’s cervical mucous contains an antibody that kills sperm before they can reach the egg, or the mucous won’t allow sperm to pass through.
  • A woman has mild or moderate http://www.pregmed.org/endometritis.htm endometriosis, which occurs when tissue from the uterus grows outside of the uterus and affects the functioning of the fallopian tubes, ovaries, and uterus.
  • A same-sex couple wants to conceive with donor sperm.
  • The cause of infertility can’t be found.

The IUI procedure is scheduled for just after ovulation, when you’re more likely to get pregnant. For women with a regular 28-day cycle, the procedure will typically occur on day 14. For those with an irregular menstrual cycle, an ovulation prediction kit will be used to detect hormones to accurately predict the day of ovulation.

If your partner’s sperm will be used for the IUI, a sample will be collected through masturbation on the day of the procedure. If he is unable to ejaculate because of a medical condition, the sperm will be removed surgically from the epididymis or testicles. If donor sperm will be used, it will be tested for transmittable diseases before insemination. Prior to the procedure, the sperm is washed to separate them from the seminal fluid, and the sperm with the highest motility—the healthiest, fastest sperm—are collected for the procedure.

The procedure itself is simple. A speculum opens the vaginal walls, and a catheter is inserted through the cervix. The sperm are injected through the catheter and into the uterus. After resting for a short time, you’ll go home. After six to 14 days, a home pregnancy test will give you the results, and a follow-up blood test will confirm the results either way.

A Closer Look at IVF

In vitro fertilization is far more complex than intrauterine insemination. IVF is an option when:

  • An ovulation disorder, such a premature ovarian failure, results in infrequent ovulation or no ovulation.
  • The fallopian tubes are damaged or blocked.
  • Uterine fibroids, which are benign tumors, grow in the uterus wall and affects the ovaries, fallopian tubes, and uterus.
  • A woman has endometriosis and IUI was unsuccessful.
  • A woman has had a tubal ligation. IVF is alternative to a tubal ligation reversal.
  • A woman chooses to have healthy eggs harvested for later use before undergoing chemotherapy or radiation treatment.
  • Poor sperm motility or impaired sperm production makes natural fertilization difficult.
  • One of the parents has a genetic disorder. IVF enables the eggs to be screened for genetic problems, although the screening can’t identify all genetic disorders.
  • Fertility problems can’t be explained, and other infertility treatments have been unsuccessful.

How IVF works for a particular couple depends on a range of variables, but in general, it occurs in five steps.

The first step of IVF involves taking fertility drugs to stimulate the ovaries into producing a number of eggs instead of just one. Having more eggs increases the chance of successful fertilization.

When the eggs are ready for harvesting—around 36 hours after the last dose of medication but before ovulation occurs—they’ll be retrieved. The most common method of retrieval is transvaginal ultrasound aspiration. During this procedure, an ultrasound probe is inserted into the vagina to locate the follicles containing the eggs, and a thin needle inserted through the vagina collects the eggs. If the ultrasound can’t locate the follicles, a tiny incision is made near the navel, and a laparoscope is inserted to find the follicles and guide the needle to the eggs. The collected eggs are kept in a culture medium and incubated.

The sperm are collected the same day through masturbation or by extracting them with a needle. The sperm are then washed to separate them from the seminal fluid. The healthiest, most mobiile sperm are chosen for fertilizing the eggs.

Once the sperm and eggs are collected, the eggs are fertilized. Fertilization takes place in a glass test tube or dish, where eggs are fertilized using one of two methods.

  • Insemination involves combining the eggs and sperm and leaving them to incubate overnight, during which fertilization occurs.
  • Intracytoplasmic sperm injection, or ICSI, is used when insemination fails or when the sperm quality is low. This procedure involves injecting a single sperm directly into a single egg.

Anywhere from two to six days after the eggs are fertilized, one or more embryos are transferred to the uterus using a long, thin catether inserted through the vagina and cervix.

If IVF is successful, an embryo implants itself into the lining of the uterus. A pregnancy test is taken around two weeks later. If the IVF cycle is unsuccessful, the couple may choose to try again.

How Invasive is an IUI vs. IVF?

Intrauterine insemination is less invasive than in vitro fertilization. Both procedures require a catheter to be inserted through the cervix to deposit the sperm (IUI) or the embryo (IVF) into the uterus. This can be painful, but pain medication and a sedative are typically administered ahead of time to reduce discomfort during and after the procedure. This is the most invasive part of the IUI.

IVF involves the additional invasive step of retrieving the eggs, which involves inserting a needle through the cervix and may also require an incision near the naval to accomodate a laparoscope.

Neither procedure is invasive for the man unless the sperm needs to be retrieved with a needle.

Use of Fertility Drugs in IUI vs. IVF

Fertility drugs can help increase the chances of success for both IUI and IVF. While they’re not always used during IUI, these medications are an integral part of IVF.

Drugs may be used during IUI if the cause of infertility is unknown or if ovarian function is impaired. The most commonly used fertility drugs associated with IUI include:

  • Ovary stimulation medications, such as Clomid, which stimulate egg development.
  • Gonadotropins, such as HCG and HMG, which promote the development of the eggs in ovarian follicles. When the follicles are large enough, a shot of HCG will trigger the release of the eggs into the fallopian tubes.
  • Aromatase inhibitors, such as letrozole, which suppress estrogen levels and increase the production of follicle stimulating hormone, or FSH.

IVF begins with taking fertility medication to stimulate the production of multiple eggs. A variety of medications may be used during IVF, including:

  • Ovary stimulation medications.
  • Oocyte maturation medications, which help the eggs mature.
  • Medications to prevent premature ovulation.
  • Progesterone supplements to prepare the lining of the uterus and promote implantation.

What Are the Risks of IUI vs. IVF?

Intrauterine insemination carries fewer risks than in vitro fertilization. The risks of IUI include mild cramping and spotting after the procedure. In some cases, a bacterial vaginal infection may occur, causing burning, itching, discharge, and a foul odor.

The risks of IVF include:

  • Bleeding or infection after egg retrieval.
  • Ovarian hyperstimulation syndrome, which is caused by the fertility drugs used and may cause the ovaries to become painful and swollen.
  • Ectopic pregnancy, which occurs when the embryo is implanted outside of the uterus—usually in a fallopian tube—and can’t survive.
  • Miscarriage. Although the rate of miscarriage with IVF is similar to that of natural pregnancies, older women are generally at a higher risk.
  • Premature birth or low birth weight. IVF may increase the risk of pre-term birth and low birth weight.
  • Stress. IVF can be very stressful, which can negatively affect the mother’s health. Support from friends and family is essential during IVF.

Fertility drugs carry their own risks and side effects, which may include headaches, fatigue, nausea, hot flashes, bloating, and stomach or pelvic pain. The most important risk of taking fertility drugs is the increased chance of becoming pregnant with multiples. Twins, triplets, and higher orders of multiples increase the risk of pregnancy complications, including miscarriage, premature birth, and low birth weight.

What Are the Success Rates of IUI vs. IVF?

In vitro fertilization is the most effective infertility treatment, with a success rate of 20 to 40 percent per cycle. The success rate of IUI is between eight and 22 percent.

A number of factors affect the success rate of both IUI and IVF.:

  • Age. The more advanced the age of the mother, the lower the success rate.
  • Length of infertility. The longer infertility has been a problem, the lower the chances of conceiving.
  • Type of infertility. Some causes of infertility, such as endometriosis, reduce the success rate.
  • Sperm motility. The more fast, healthy sperm in a sample, the better the outcome. High motility is associated with an 18 percent success rate, while low motility is associated wth a 2.7 percent success rate.
  • The number of dominant follicles. A higher number of pre-ovulatory follicles may increase the chances of conceiving.

Before undergoing IUI or IVF, it’s important to make healthy lifestyle changes that will increase your chances of success, no matter your age.

  • Get plenty of exercise. Exercise improves the functioning of all of your body’s systems, including the reproductive system.
  • Eat healthy food. Good nutrition is essential for good reproductive health, and it will be important once you conceive.
  • Stop smoking. Smoking can dramatically reduce your chances of conceiving.
  • Don’t drink or use drugs. Drugs and alcohol can impede conception and put the health of you and your baby at risk if you do conceive.
  • Take folic acid. Between 400 and 800 micrograms of folic acid each day may improve ovulation, and it helps prevent against birth defects.
  • Lose or gain weight. Being overweight or underweight can reduce your chances of successful conception by up to half.
  • Reduce stress. Keeping your stress levels down can help improve your chances of success, and it’s important for a healthy pregnancy and your own mental health.

IUI vs. IVF: Your Doctor Can Help You Decide

If you’ve been trying to conceive unsuccessfully for at least one year without success, it may be time to see your doctor about infertility. Schedule a visit sooner if you’re over the age of 40, your menstruation cycle is irregular, your periods are painful, or you’ve been diagnosed with endometriosis or pelvic inflammatory disease.

Before your doctor recommends any type of treatment, you’ll undergo an infertility evaluation so that your doctor can suggest changes in your lifestyle or sexual habits that could lead to conception without expensive infertility treatments.

Before undergoing IUI or IVF, a number of tests will help determine the cause of infertility, which will guide the protocol for any infertility treatments, including IUI and IVF. Tests for men may include semen, hormone, and genetic testing, imaging tests, and a testicular biopsy. Tests for women may include ovulation, ovarian reserve, and other hormone testing, imaging tests, and a hysterosalpingography, which evaluates your uterus and fallopian tubes for problems like blockages or growths.

Once testing is done and the cause of infertility is found—or no cause is found—your doctor will work with you to determine your options, which may include medication, surgery, fertility drugs, artificial insemination, assisted reproductive technologies like IVF, adoption, or using a gestational carrier, a woman who carries the baby to term for an infertile couple.

Whatever path you choose to take, you’ll need plenty of emotional support along the way. Let your friends and family know what you’re going through, and ask for patience, understanding, and support as you embark on your journey to parenthood.

Resources:

www.mayoclinic.org/tests-procedures/in-vitro-fertilization/details/results/rsc-20207024
https://medlineplus.gov/ency/article/007279.htm
dujs.dartmouth.edu/wp-content/uploads/2011/03/23_pdfsam_11w_final.pdf

Can Pregnant Women Fly?

Can Pregnant Women Fly?

Your life changes in many ways when you become pregnant. Some of the things you used to do without thinking are now taboo, and you’re making important lifestyle changes that improve your chances of a healthy pregnancy and safe birth. But what about traveling? Can pregnant women fly? This is one of the most common questions asked during pregnancy. Pregnant women can, indeed, fly, but knowing the guidelines about pregnancy and air travel is important for keeping both you and your baby safe.

can pregnant women fly

When Can Pregnant Women Fly?

The general rule of thumb is that for women with healthy pregnancies, flying is perfectly safe before week 36. However, there are a number of caveats to this rule.

First, it’s important to check with your doctor before flying, regardless of how far along you are or how uneventful your pregnancy has been so far. Some pregnancy complications, such as diabetes and high blood pressure, can be made worse by flying, and if you’re at risk for certain problems or you have a history of premature births, your doctor may caution against it.

Many airlines have their own guidelines about when pregnant women can fly, and these can vary by destination and carrier. However, most airlines don’t allow pregnant women to travel after 37 weeks.

The best time to travel during your pregnancy is in the second trimester, or between 14 to 27 weeks. By this time, morning sickness has typically passed, and you still have plenty of energy. You’re not big enough yet that your baby bump will cause discomfort—or questions from the airline—during your travels, and your risk of pregnancy emergencies is at its lowest.

What to Consider Before Booking Your Flight

Once you’ve got your doctor’s go-ahead, here are some important things to consider before booking your flight.

  • Check the airline’s policies on pregnant travelers. Some airlines may require a note from your doctor after 28 weeks indicating that it’s okay for you to fly. You may be able to print a form from the airline’s website and have your doctor fill it out. Keep a copy of the letter in your carryon luggage in case airline staff have questions at the gate.
  • Don’t forget to take into account how far along you’ll be on the return trip, and plan accordingly based on your doctor’s recommendation and the airline’s policies.
  • Avoid flying on small planes that don’t have a pressurized cabin, which can make it harder to supply your baby with enough oxygen.
  • Check whether your travel insurance will cover any pregnancy emergencies, and look into the medical facilities at your destination, just in case.

How to Stay Comfortable During Your Flight

For some, the question may not be can pregnant women fly? but rather, can pregnant women fly comfortably? The answer is probably, if you follow these tips.

  • Wear compression socks to maintain optimal circulation during your flight. Flying while you’re pregnant may increase your risk of deep vein thrombosis, or DVT. To further reduce your risk of blood clots take a three-minute walk up and down the aisle every hour, or do some standing stretches.
  • Arrange for an aisle seat if possible for extra leg room and to make it easy to get up and move around regularly. Check in early online, or get to the airport early so that you’re more likely to get your preferred seat assignment.
  • Wear comfortable shoes, since your feet may swell during the flight. If you can put your feet up on an empty seat next to you, even better.
  • Wear loose, unrestricted clothing, and dress in layers so that you can take things off if you get too warm.
  • Drink plenty of water during your flight to avoid dehydration due to the dry air in the cabin.

Most importantly, relax and have fun. Getting away from it all for a while can be inspiring and rejuvenating, and if you plan ahead to avoid snags, a little trip can do wonders for your stress levels and mental health.

Can Pregnant Women Eat Sushi?

Can Pregnant Women Eat Sushi?

You thought your pre-pregnancy sushi cravings were bad, but now that you’re in the family way and pining for it, you’re wondering if you’ll survive another day without a big plate of spicy tuna rolls. But can pregnant women eat sushi, or are you doomed to only dream about it for the next thirty-odd weeks?

The final verdict is still out on whether sushi is safe for pregnant women. Some experts say yea, some say nay. Here, we’ll hear out both sides and offer some advice for staying safe while enjoying those delectable, wasabi-laced rolls.

can pregnant women eat sushi

The Case Against Eating Sushi While Pregnant

The 2015 – 2020 Dietary Guidelines for Americans and the Food and Drug Administration recommend that pregnant women avoid eating any kind of meat, including fish, that’s not cooked to safe internal temperatures known to destroy any microbes that might be present. For fish and shellfish, that internal temperature is 145 degrees.

When you’re pregnant, your immune system is suppressed so that your body doesn’t attack the new organism growing inside it. This makes it more difficult to fight food-borne illnesses like Listeriosis, E. coli, and salmonella. These can be severe (and severely miserable,) and in some rare cases, a dangerous blood infection could occur, putting your and your baby’s lives at risk.

But it’s not just parasites and pathogens that concern some medical experts. It’s also the high levels of mercury found in some seafood. Elevated mercury levels can cause damage to the lungs, kidneys, brain, and nerves, and it can lead to brain damage and vision and hearing problems for babies exposed to it in the womb.

That spicy tuna roll? It’s got one of the highest mercury levels of them all, along with shark, swordfish, and king mackerel, and you should avoid these fish, cooked or uncooked, during your pregnancy. But other fish, including crab, shrimp, and salmon, have lower mercury levels, and these are considered the best choices for seafood during pregnancy. As long as you don’t eat more than three four-ounce servings per week, low-mercury fish provide you and your developing baby with essential nutrients.

The Case For Eating Sushi While Pregnant

If you’re looking for an affirmative answer to the question, can pregnant women eat sushi?, look no further. Some experts, including Dr. Amos Grunebaum, the Director of Obstetrics and Chief of Labor and Delivery at Cornell Medical Center, say eating sushi during pregnancy is just fine as long as it’s a low-mercury fish. And in fact, raw fish is an age-old staple for a healthy prenatal diet in Japan.

An article published in the journal Canadian Family Physician points out that while seafood-related pathogens in pregnancy haven’t been well-studied, when they do occur, infections are generally limited to gastrointestinal symptoms that are treated by preventing dehydration or administering pregnancy-safe antibiotics. Furthermore, the article stresses that most parasites found in seafood don’t cause illness in humans, and as long as the raw fish comes from a reputable establishment, pregnant women needn’t avoid eating it.

Can Pregnant Women Eat Sushi?

Sushi naysayers make a good case about mercury and food-borne illnesses when recommending that pregnant women eschew sushi altogether. But the pro-sushi camp also makes some good points about the low risk of illness in reputable sushi establishments and the lack of evidence showing that raw fish is dangerous for pregnant women.

The bottom line is that you should discuss your sushi craving with your doctor. If she gives the go-ahead, choose low-mercury fish for your sushi fix, and opt for the most reputable restaurant you can find. If your doctor puts the nix on your fix, enjoy a 145-degree serving of farm-raised salmon to tide you over until after Baby comes.

Twin Pregnancy Signs

Twin Pregnancy Signs

What Are the Twin Pregnancy Signs?

Twin Pregnancy SignsIf a woman is pregnant with twins, she may wonder if she will have double the symptoms associated with pregnancy. While this (hopefully) is not true, mothers who are carrying twins can expect to have different twin pregnancy signs than a woman who is pregnant with one baby only. Some women may know they were more likely to be pregnant with twins. This includes women older than age 30, women who have a family history of twins, or those who used fertility medications or techniques in order to conceive. However, sometimes a woman gets the surprise of a lifetime when her obstetrician tells her “it’s twins!”

From fluctuating hormone levels to extra weight gain, there are several hints that a woman may be carrying twins long before a doctor identifies two fetuses via an ultrasound. Read on for more information about twin pregnancy signs.

Weight Gain

Most women can expect to gain between five and seven pounds in the first trimester. However, women who are pregnant with twins usually gain about one pound per week, meaning their weight gain should be anywhere from 8 to 12 pounds. Women pregnant with twins unfortunately may struggle more with morning sickness and nausea in the first trimester, which can sometimes make gaining weight challenging. If a woman has difficulty keeping any foods or fluids down when she’s pregnant, she should call her physician.

Most women with a twins pregnancy will gain somewhere between 35 and 45 pounds during their pregnancy. This all depends upon if the mom was underweight (she may gain more) or overweight (may gain less) prior to getting pregnant. Doctors usually advise moms expecting twins eat about 300 extra calories for each baby a day – that’s about 600 additional calories. The more nutritious the foods the better. Incorporating more fruits, vegetables, lean proteins, and whole grains into a woman’s diet will provide much-needed nutrition for her babies to grow. Eating small meals about five times a day can help a twins mom get the nutrition she needs without overloading her stomach.

Nausea and Morning Sickness

Doctors don’t know exactly what causes morning sickness, but they have some theories. These include the rapid rise of estrogen and human chorionic gonadotropin (hCG) hormones in the body. A woman’s hCG hormone levels are especially known to peak during the first trimester, when morning sickness tends to be the most pronounced. Women pregnant with multiple babies tend to have higher levels of hCG in their body due to supporting growing more than one baby. As a result, women pregnant with twins may have more pronounced and/or severe nausea and vomiting. While not all women expecting twins have morning sickness, a greater percentage than women pregnant with just one baby do.

Also, the term “morning sickness” can be misleading. Some women pregnant with twins are simply nauseous at any time of day, not just in the morning. There are several steps a woman pregnant with twins can take to try and alleviate some of the nausea. This includes eating small, frequent meals throughout the day. High-protein snacks and carbs seem to be a winning combination to reduce pregnancy-related sickness. This includes a half-turkey sandwich on whole wheat or peanut butter and crackers.

Fatigue

Growing a baby adds new demands to a busy mom’s already hardworking body. While all pregnant women can expect some level of fatigue, moms pregnant with twins report higher levels of fatigue, especially early on in a woman’s pregnancy. Doctors often explain this because women pregnant with twins have greater energy demands to support their twins’ development. The best things that a mom-to-be can do include getting enough rest each night, eating a healthy diet, and taking steps to reduce stress whenever possible. These steps can help to promote greater energy levels.

Early Fetal Movement

While babies are frequently moving in the womb, they are too small for many months to feel the babies start moving. However, a mom of twins often reports starting to feel her babies move at an earlier time. This is most likely because there are two babies taking up a relatively small space. Most women can expect to feel their babies move between weeks 18 and 20 of pregnancy. However, some women pregnant with twins report feeling their babies move much sooner, such as 15 to 16 weeks of pregnancy. This movement is often described as “quickening” or “lightening” where they feel as if something is fluttering in their stomach. A woman pregnant with twins is also more likely to notice her babies moving at an earlier time if she has been pregnant before.

If a woman does not feel her babies move by week 16, this does not mean something is wrong with her pregnancy. However, if she is concerned about her baby’s movements after 20 weeks, she should talk to her doctor. Her doctor may recommend fetal monitoring in the office or counting the babies’ kicks at home to ensure the babies are moving at an expected rate.

Conclusions on Twins Pregnancy Signs

Being pregnant with twins is the start to an exciting adventure of a lifetime. Sometimes, women pregnant with twins report their greatest sign they knew they would have twins as personal intuition. They just had a sense that perhaps they were carrying more than one child. However, the only definitive sign that a woman is carrying multiples is through ultrasound confirmation and listening to fetal heart rates with an ultrasound Doppler. Once a woman discovers she is pregnant, a doctor will often recommend she makes her first prenatal appointment at around eight weeks after her missed period (although a doctor may make recommendations for an earlier visit based on a woman’s health history). At this time, a doctor may perform an ultrasound to visualize the baby (or babies).

References:

American Pregnancy: Signs & Symptoms of Multiple Pregnancy

Bounty: Top 5 Signs You’re Pregnant With Twins

Family Education: Signs and Symptoms of Multiple Pregnancy

Huggies: Twin Pregnancy Symptoms

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