Pregnant with multiples? Here’s what you need to know

If you’re a mom-to-be with multiples on the way, congratulations! You’re about to embark on a special pregnancy journey. Carrying twins, triplets or more can be quite different from a singleton pregnancy, and while it may come with a few extra challenges, it also comes with plenty of joy.

Because multiple pregnancies carry a higher risk of complications for both mom and babies than singleton pregnancies, parents should stay informed and prepared. Here are a few things to know to help you navigate pregnancy with multiples.

As soon as a health care provider confirms a multiples pregnancy — typically during an early first trimester ultrasound — you’ll need additional prenatal appointments to help ensure a smooth pregnancy. In addition to regular checkups with your obstetrician/gynecologist (OBGYN), you will be referred to a maternal fetal medicine (MFM) specialist. Also known as perinatologists, we are experts in high-risk pregnancies and will work with your OBGYN on a comprehensive care plan tailored for you. We use advanced imaging, genetic testing and perform any necessary treatments and procedures — all to keep you and your babies healthy.

Pregnancy symptoms may be more frequent or intense in instances of multiples. Fatigue, morning sickness and appetite are often heightened. This is not the case in every multiple pregnancy, but certainly something to be aware of. Additionally, your pregnancy will begin “showing” much more quickly, and you can expect to gain more weight during a multiple pregnancy. Focus on eating protein and iron-rich foods, calcium and staying hydrated. Prenatal vitamins and possible additional supplementation may be advised by our team.

Because your body needs to work harder when carrying multiples, you are also at a greater risk for developing pregnancy complications, including gestational diabetes and high blood pressure. Your OBGYN and MFM will monitor you throughout your pregnancy for symptoms of pregnancy complications, which can include severe headaches and increased thirst.

Carrying multiples also comes with a few more complications for baby that your health team will watch for closely, such as slower growth and lower birth weights. But don’t worry — by keeping all your prenatal appointments, our care team can closely monitor your babies’ development and prepare for anything that may arise.

If you’re expecting more than one baby, your due date will be sooner than with a single baby. More than 50% of twins and almost all triplets and higher-order multiples arrive ahead of schedule. This increases your babies’ likelihood of being admitted to the neonatal intensive care unit, where they can receive extra special care if needed.

Pregnancy, childbirth and postpartum can be challenging for anyone, but having a strong support system can make a big difference. Seek out help from friends, family, neighbors and co-workers and accept any help offered. Join support groups or online communities. And remember, your OBGYN and MFM are always here to guide and connect you with the resources that are best for you. By getting the right support, you’re giving your little ones the best possible start.

• Children's health is a continuing series. This column was provided by Advocate Children’s Hospital. Dr. Suwan Mehra is medical director for the Center for Fetal Care at Advocate Children’s Hospital.