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What to Expect the First Trimester of a Multiple Pregnancy

Posted by Julixa Newman on 3/31/2011 to Preparing For Multiples


The first trimester of a twin pregnancy can be a very overwhelming period. You have double the hormones, nausea, and mood swings. You figure out quickly that even though you may have had children before, now it’s a whole new ball game. So what can you expect during your first trimester?

Due date is predicted

During your first appointment your doctor will inform you of your due date. It is very important that you discuss any medical history and past pregnancy issues early on, as this will help your doctor prepare for the months ahead. You might also want to discuss the fact that most multiples are born by the 36th week. Prepare for this so that you are not too overwhelmed towards the end of your pregnancy.

Say Cheese!

Expect to go through lots of ultrasounds. Doctors want to make sure that everything is progressing in a healthy manner. There is no better way than getting ultrasounds, so start purchasing baby albums now! Do not be too alarmed if Baby A and Baby B do not measure or weigh the exact amount. Remember that no two individuals ever develop at the same rate. This rule applies to twins as well. Unless your health care provider says there is something wrong or alarming you should rest assured knowing that your little buns will be just fine. Do not be surprised if you have an ultrasound during every visit. This is perfectly normal during a multiple pregnancy.

Morning, afternoon and night sickness

Why do they call it morning sickness when you're sick all day? Beats me!  I was sick most of the day during my twin pregnancy. It is, however, very important that you keep yourself hydrated and that you try to consume at least 600 calories more a day than you normally would. Try eating healthy snacks and non-fried foods. I also found that sucking on a lollipop helped alleviate my nausea. Do not worry. The constant nausea usually passes after the first trimester.

Cramping and discomfort

Slight cramping and discomfort is a very normal feeling during your first trimester. It is often a way for your body to tell you that it is preparing for the pregnancy. Your growing uterus usually causes cramping because often the muscles in your abdominal area become affected. Sexual intercourse, constipation and gas might also produce slight cramps, but this is all perfectly normal.  Although it is very common to feel slight discomfort and occasional cramping, you should always contact your health care provider. He/she can take a closer look and give you the reassurance that you need.

 Physical exhaustion

It is perfectly normal for you to lack energy and feel drained during this time. Remember to follow the signs that your body is giving you and take it easy during your pregnancy. You will not be able to accomplish everything on your list every day. You are giving life to two human beings and your body sometimes just needs you to pause. If you feel especially tired, sit down or take a nap. Your list can wait!

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