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  1. if you’re pregnant and over 35 you’re more likely to have non-identical twins because you’re more likely to release more than 1 egg during ovulation. non-identical twins run on the mother's side of the family, probably because of an inherited tendency to release more than 1 egg. IVF can increase the chance of twins, as more than 1 embryo ...

    • You are more likely to become pregnant with twins naturally when you are in your 30s and 40s. We all hear that the older we get, the harder it is to conceive.
    • If you have two buns in the oven, you may need extra folic acid. When you're pregnant with twins, you may need more folic acid to help stave off birth defects, says Manju Monga, MD, the Berel Held Professor and the division director of maternal-fetal medicine at the University of Texas Health Sciences Center in Houston.
    • Being pregnant with twins means more doctor visits. Twin pregnancies need more monitoring than single pregnancies, Monga says. "We tend to do more frequent ultrasounds for growth in twin pregnancies, compared with one anatomy scan and one growth scan in a singleton pregnancy."
    • Morning sickness may be worse with twin pregnancies. "One of the things that is postulated as causing morning sickness is high levels of human chorionic gonadotropin, and we know that levels of this hormone are higher in twin pregnancies, so women carrying twins have a higher incidence of nausea and vomiting in the first trimester," says Al-Khan.
  2. In the UK, more than half of twins and almost all triplets are delivered by caesarean section is a common method used during twin and triplet births. You may choose to have a planned caesarean, or your doctor may recommend a caesarean, if: the first baby is lying feet, knees or buttocks first (breech) 1 twin is lying sideways (transverse)

    • Pregnancy symptoms start earlier. You're only a few weeks pregnant, but you already have nausea, a strong metallic taste in your mouth and the smell of coffee is making you heave.
    • Strong result on your test. You've only just taken that pregnancy test, but it immediately shows up positive. Yes, it could be a sign you're pregnant with multiples!
    • You already have a bump. It's the first trimester but you're already showing? Well that little bump might be because two or more babies are growing in there.
    • Breast pain. That dull ache you get before your period can also happen in pregnancy. Some twin mums said they really felt it during those early months of their multiple pregnancy.
    • Preterm Labor and Birth. Preterm labor and birth are the most common complications in twin pregnancies. Preterm is defined as delivering a baby before 37 weeks gestation.
    • Intrauterine Growth Restriction. Intrauterine growth restriction (IUGR) or small for gestational age (SGA) is a condition that happens when one or more of your babies isn’t growing at the proper pace.
    • Preeclampsia. Preeclampsia is when a woman develops high blood pressure and a protein in her urine during pregnancy. There is a greater chance of preeclampsia with twin pregnancies.
    • Low Birth Weight. Low birth weight is another common complication with twin pregnancies since many twin pregnancies are preterm deliveries. Low birth weight is defined as a baby weighing less than 5 pounds 8 ounces at birth.
  3. Most twins and triplets are born prematurely. Around 6 in 10 twins are born before 37 weeks. Almost 8 in 10 triplets are born before 35 weeks. Planned birth. If you are expecting twins or triplets, you will be offered a planned birth at: 37 weeks for twins with a placenta each; 36 weeks for identical twins sharing a placenta; 35 weeks for an ...

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  5. Around half of women having twins give birth before 37 weeks. 1 in 5 give birth before 34 weeks. Extra care during pregnancy. Extra care likely means: more regular appointments; more scans; care from an obstetrician as well as your midwife; Conditions that can develop in pregnancy, such as high blood pressure and diabetes, are more likely when ...

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