If you're pregnant with multiples, you should follow general pregnancy nutrition guidelines, including increasing your calcium and folic acid intake. Another dietary requirement that must be increased if you're expecting more than one baby is protein.
Getting enough protein can help your babies grow properly. During pregnancy, an increased supply of iron is needed to make enough healthy red blood cells. Low numbers of red blood cells are common in multiple pregnancies. Your doctor will probably prescribe an iron supplement, as your requirement for this mineral usually can't be met by diet alone. Iron is absorbed more easily when combined with foods that have high amounts of vitamin C, like orange juice. The doctor will also tell you what vitamins to take to get the nutrients your growing babies need.
Mothers carrying multiples are expected to gain more weight during pregnancy than mothers carrying a single fetus. But exactly how much weight you should gain depends on your pre-pregnancy weight and the number of fetuses, so make sure to talk to your doctor.
In general, though, you should consume about additional calories a day for each fetus. It might be tough to eat a lot when your abdomen is full of babies, so try to eat smaller, more frequent meals. Getting ready for a multiple birth may seem overwhelming, especially with concerns about pre-term labor.
Discuss the options of vaginal delivery versus cesarean section C-section with your doctor well before your due date. Even if you and your doctor agree to attempt a vaginal delivery, things may happen during labor or delivery that make a C-section necessary.
You may choose to have additional birthing attendants in the room during labor and birth. For example, midwives are becoming more common. Error: This is required. Error: Not a valid value. Twins are more likely to be born early, often before 38 weeks, so it's important to understand your birth options. Less than half of all twin pregnancies last beyond 37 weeks. Because of the likelihood that your babies will be born early, there is a good chance one or both of them will spend some time in special care.
As twins are often born prematurely , it's a good idea to discuss birth options with your midwife or doctor early in your pregnancy. You should also discuss where you would like to give birth. You will most likely be advised to give birth in a hospital because there's a higher chance of complications with a twin birth.
It's common for more medical staff to be involved in the birth of twins, such as a midwife, an obstetrician and two paediatricians - one for each baby. While the process of labour is the same as when single babies are born, twin babies are more closely monitored.
To do this, an electronic monitor and a scalp clip might be fitted on the first baby once your waters have broken. You will be given a drip in case it is needed later. About one third of all twins are born vaginally and the process is similar to that of giving birth to a single baby. If you're planning a vaginal delivery, it's usually recommended that you have an epidural for pain relief.
This is because, if there are problems, it's easier and quicker to assist the delivery when the mother already has good pain relief. If the first twin is in a head down position cephalic , it's usual to consider having a vaginal birth. However, there may be other medical reasons why this would not be possible. If you have had a previous caesarean section, it's usually not recommended you have a vaginal birth with twins.
If you have a vaginal birth, you may need an assisted birth , which is when a suction cup ventouse or forceps are used to help deliver the babies. Once the first baby is born, the midwife or doctor will check the position of the second baby by feeling your abdomen and doing a vaginal examination. If the second baby is in a good position, the waters will be broken and this baby should be born soon after the first as the cervix is already fully dilated. If contractions stop after the first birth, hormones will be added to the drip to restart them.
For twins, the average stay is nine to 25 days. For triplets it's 11 days to up to three months. And for quads or more, it's longer. A: If they were born prematurely, yes. Because the lungs and liver are some of the last organs to mature, preterm babies are at greater risk for respiratory distress syndrome and jaundice.
A: If you have a C-section, your recovery won't be any more difficult than if you'd had one baby. But recovering from a vaginal delivery may be tougher with multiples. Brost explains. Luthy says. All content here, including advice from doctors and other health professionals, should be considered as opinion only. Always seek the direct advice of your own doctor in connection with any questions or issues you may have regarding your own health or the health of others.
Delivering Multiples. Save Pin FB More. Parents Magazine. To find the best care provider for your twins, make sure that the physician is comfortable managing twins, including vaginal delivery of twins rather than only offering a cesarean section C-section for delivery.
A little more than half of twin pregnancies end in preterm delivery before 37 weeks. While 40 weeks is the full gestation period of the average pregnancy, most twin pregnancies are delivered at approximately 36 weeks range weeks depending on the type of twin pregnancy. Unfortunately, preventing preterm labor with multiples is more challenging than with a singleton pregnancy because the interventions used with singleton pregnancies are not as effective with multiples.
Scientific data show that bed rest does not prevent preterm delivery. In fact, bed rest can increase your risk of developing blood clots and have negative financial and social consequences. During delivery is when things differ significantly. This is a safety precaution known as a double setup. Following the vaginal delivery of the first baby, there is a small risk of an emergency cesarean section for the second baby. There is also the possibility of the second twin being delivered breech, which is a safe form of vaginal delivery if the obstetrician is experienced in this type of delivery.
Of women giving birth to twins over 32 weeks, only about 4 percent who try for a vaginal delivery will have a combined vaginal and cesarean section delivery.
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