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10 Things to Know When You Find Out There's More than One!

by Valorie Delp | More from this Blogger

01 Aug 2006 06:15 AM

Before starting this blog, I just want to offer a congratulations to Pattie who is recovering from just having had her baby! I plan on guest blogging here for a little while about pregnancy with multiples. We are all wishing Pattie the best with her new little bundle and look forward to her return here at the Pregnancy blog! I knew from the very beginning that I was having twins. I can't really explain it, I just knew the pregnancy was different. My husband on the other hand, was skeptic. He thought I was just getting older. But I knew, that age could not explain this nagging feeling that I was carrying more than one baby.

I'll never forget my husband's expression when they turned on the sonogram screen (at 24 weeks). Shocked he said, "Um. . .that looks like a lot of body parts."

Now if you've been pregnant and have had a sonogram, you know that one annoying thing about having a sonogram technician do your sonogram is that they're not allowed to say anything. So our sonogram technician left for what felt like an eternity, to go get the doctor to confirm what my husband and I had already seen: I was either having a two headed, multi-limbed monster or we were having twins.

Thus, we began the roller coaster ride of being pregnant with multiples. You would think that being pregnant with twins is like being pregnant with one, just a little more. Or at least I did--but I quickly found out I was wrong! Being pregnant with twins is an entirely different ball game! Here are 10 things you'll likely want to know after you find out you're pregnant with twins:

1) Sonograms cannot tell if twins are fraternal or identical. There are conditions which may be present that can tell you if your twins are identical or fraternal such as if you're expecting a boy and a girl (fraternal) or if your twins have TTTS (twin to twin transfusion syndrome is only present in identical twins). However, in the absence of some of these markers, a good sonogram picture can only help make a probable diagnosis. The only sure way to tell if twins are identical or fraternal is through a zygosity or DNA test after birth.

2) Only 14% of moms carry twins past 38 weeks. Most twins are premature. It is important for the pregnant mom to take steps to help increase her odds of carrying her twins as long as possible.

3) Twins can be born naturally. Just because you are having twins doesn't mean that you have to have a c-section, although in some obstetric practices, it is recommended. If you want to birth your twins vaginally or at least attempt it, you need to find a provider who is comfortable with it.

4) Twins can be born via c-section. It is important to know that your likelihood of having a c-section is 50% with twins. That's right--you are as likely to give birth via c-section as you are to have a boy or a girl. It is better, in my opinion, to plan for having one and be pleasantly surprised later.

5) Twins can turn during the pregnancy--even if you swore there was no more room in there! Twins turn vertex to breech all the time. This is because it is much harder for either twin to get its head "engaged" deep into the pelvis before birth. Twins can actually change positions during labor!

6) Most doctors will not attempt a vaginal delivery if baby A not vertex. If baby A is breech, you will most likely have to have a c-section. Delivering two breech babies can be traumatic on both the mother and babies and the outcome varies.

7) Laboring with twins is not necessarily harder. Research does not support that labor is necessarily longer just because a mother is carrying twins. Other factors such as how many babies you've had previously, and position of the babies is much more likely to determine how easy or how difficult your labor is. Delivery is a completely different story!

8) It is possible to give birth hours and hours apart if you are able to deliver them naturally.

9) Women who are pregnant with twins need to drink twice as much water and eat a diet high in protein to help ensure that they are carried to term.

10) Be prepared for lots of appointments and tests! Your doctor will likely want to see you weekly after 24 weeks. In addition, to regular check ups, you will be doing non-stress tests as well as bio-physical profiles once a week after week 28 and twice a week after week 32. Twin pregnancies are considered "high-risk" even if everything is going well.

The stress of finding out you're having twins can be hard. But being prepared, resting a lot and doing everything you can to keep the babies inside for as long as possible, is the best way to spend your pregnancy.

 
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Learn more about Valorie Delp
twinzplus3`s avatar

Hello everybody! My name is Valorie and I am one busy lady! When I'm not writing or editing for families, I am busy trying to get my brood of 5 in line.

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Michele Cheplic Online! (37236) 01 Aug 2006 07:31 AM

Another annoying thing about the whole sonogram experience is not being allowed to use the bathroom prior (I thought I was going to burst). Valorie, I look forward to reading your pregnancy blogs. Do you have a history of twins in your family? How many pregnancies (multiples) are naturally conceived vs. a product of un-natural means (in vitro or drugs) I assume yours was natural??? Can I ask if you were older than 33 when you conceived your twins? You don't have to answer that one if you don't want to...:) Great article!!!

Valorie Delp (49340) 01 Aug 2006 03:33 PM

Boy Michele! That's a lot of questions. Let's see. . .my husband's grandmother had twins but the genetic trait is usually passed down the mother's side. And it's only fraternal twins that are genetically passed. Identical twins are a complete fluke of nature! (Which in my opinion means that scientists can't explain it yet!) I will have to look up statistics regarding how many pg's are naturally conceived vs. the other method. Look for it tomorrow in my "vanishing twin" blog. I'm not sure with twins. With triplets only 4 in 200,00 are conceived naturally, and with quadruplets it's something like 1 in 500,000. Any more babies than that are caused by drugs! ;-) And yes, my twins are natural ;-) I am only 32, I was 30 when the twins were conceived. . .so my husband's theory about me being old is just bunk! Thanks!

Michele Cheplic Online! (37236) 01 Aug 2006 04:13 PM

Thanks Valorie!! Tell your husband that you are a spring chicken in my book! I will admit that I am always surprised when I hear about (or meet) women in their 20s and 30s having conceived twins naturally. What a blessing for your family--then again, all children are miracles--multiples just mean mutiple blessings! :)

Valorie Delp (49340) 01 Aug 2006 05:06 PM

He's only 6 weeks younger than I am so it's not like he can really talk! Hee-hee. Actually, I never really got joined up with a mother's of multiples club because many of the moms were so much older than I and their twins were their first babies. Mine are my 4th and 5th so we were in a totally different place. We are so blessed. . .I am so grateful for my children!

bean70 (5) 01 Apr 2007 05:46 PM

Hi Valerie - I just wanted to add to your number 1. If a sonogram shows two fetuses in one placenta, then they are most likely identical twins. Fraternal twins will most likely each have their own placenta, so you'll see two on the sonogram. Anomolies of this rule are very rare but do occur. For example, monozygotic (identical) twins can each have their own placenta, but that happens in less than 20% of identical twin pregnancies. And only on extremely rare occasions do fraternal twins share a placenta. As a matter of fact, there are only a few recorded instances of this ever happening, and it is usually with test tube fertilization. So if you see two fetuses in one placenta, you can be pretty much guaranteed that they are identical! And if you see two placentas, your chance of the babies being fraternal twins are pretty great. Which means that oftentimes, sonograms do give an accurate telling of whether twins are identical or fraternal.

Valorie Delp (49340) 01 Apr 2007 06:20 PM

Thanks for your comment. To my knowledge the official position of ACOG is that inspection of the placentas can probably tell you if they're MZ or DZ, and that zygosity testing is the only 100% way to know for sure. With that said, I think most people have a pretty good clue based on sonograms, placental inspection and appearance of the twins over time.

Thais92 (5) 23 May 2008 06:25 PM

This is just so interesting as I also thought that one placenta meant identical twins. However my story proves otherwise! I have 2 month old twin girls who were conceived naturally. They were born the day before my 29th birthday. I also have a 3 3/4 year old son. The girls were certainly a surprise and I will never forget my husband's reaction when the tech came back into the room (yes, she left for what seemed like forever). He could not stop laughing and pacing. I wish I had had a camera. The moment was priceless! Any ways...we were told that the babies were sharing a placenta but had their own sacks. In subsequent ultrasounds they continued to confirm the one placenta so we assumed that the girls would be identical. What a surprise it was when I delivered the girls at 36 weeks...Kara was born first and 12 minutes later Leah. The moment Leah was born I could tell they were not identical-they looked nothing like each other. I asked my OB to check the placenta and sure enough there was only one-and 2 sacs. The girls continue to look very different-Kara is blond with light blue eyes and olive skin. Leah is brunet with very fair skin. So, maybe we are one of these rare cases...

Valorie Delp (49340) 23 May 2008 06:31 PM

Well often what happens is that the two placentas fuse together and get "deemed" as one placenta. There are also other types of twinning besides identical and fraternal and that's a possibility--although EXTREMELY rare. Chances are that the girls had two placentas that fused together becoming one. ;-) But it's not like you'd ever know that now. Some hospitals have pathologists who specialize in determining identical vs fraternal. Hospitals do not routinely offer zygosity testing that I'm aware of. BTW, identical twins DO NOT have to look identical at all. ;-) Kind of interesting. . .I'll have to see if I can find the link on that one. Congratulations on your girls!

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