What Happens After You Get a Positive Pregnancy Test? As you begin to experience pregnancy symptoms, you may wonder whether having stronger symptoms means something — are there signs you’re having twins? Women carrying twins may be initially totally asymptomatic or may have normal signs and symptoms of pregnancy including breast tenderness, fatigue, nausea, vomiting and cramping. Second-time (and more) mothers may note increased fatigue, but attribute this to the demands of having to care for young children while pregnant. Be sure to not only discuss your symptoms with your doctor, but also your anxieties, questions, and the risks involved with having a twin (or multiple) pregnancy. The Centers for Disease Control and Prevention (CDC) notes the following weight gain guidelines, which are based on pre-pregnancy body mass index (BMI), for women pregnant with twins: However, if you’re experiencing morning sickness or other issues, you may not gain (and even lose) weight in the first trimester. One reason is that these levels are not frequently checked unless you are going through fertility treatment. Many women feel twins pregnancy symptoms leading them to suspect they may be carrying more than one baby, but how can you know for sure? But complicationscan happen, and some are more likely with twins. Coupling a large gestational age measurement with some of the other factors mentioned here would be a stronger indication of a twin pregnancy or could add to your twin pregnancy symptoms. Are Home Pregnancy Tests Always Accurate? Before we dive into the early symptoms of twin pregnancy, if you’re curious about what it’s like to actually experience it first hand, check out my week by week twin pregnancy experience. Although it differs from woman to woman, these 10 twin pregnancy symptoms could indicate that you’re having more than one baby. High hCG levels could be an early indication of a twin pregnancy. In addition, much of the increase in weight gain occurs later on in pregnancy, often after an ultrasound has already confirmed or excluded a diagnosis of twins or other multiples. Again, if you’re concerned about your weight gain, you may want to speak with your doctor. Exaggerated pregnancy symptoms are signs of a twin pregnancy. 18-22 Weeks Pregnant With Twins. If your OB-GYN thinks they hear a second heartbeat, they’ll likely suggest scheduling an ultrasound to get a better picture of what’s happening. Remember, first-time moms don't have a reference point for a "normal" degree of fatigue. 1. For example, levels between 18 mIU/ ml and 7,340 mIU/ml are considered "normal" at five weeks gestation. Still, the mother's heartbeat may create background noise which can make it hard to distinguish the heartbeats of two or more babies. If you’re feeling extra tired, do what you can to get enough rest, including moving your bedtime earlier, taking naps when possible, and creating a restful sleep environment. For more tips and week-by-week guidance your pregnancy, sign up for our I’m Expecting newsletter. In some cases, the fatigue can be attributed to other factors (work, stress, poor nutrition, having other children), but it can also indicate multiples. Sleepiness, lethargy, and exhaustion during the first trimester can be enhanced because the body is working overtime to nurture more than one baby. As soon as pregnancy begins, your body begins to produce hormones and undergo physical changes. 34th Week Twins: lungs are almost closed to be fully developed. Our website services, content, and products are for informational purposes only. This is commonly known as morning sickness, but it can happen at any time of the day or night. Pregnancy Symptoms for Twins in IVF Many IVF patients are apprehensive about having twins and the effect that the multiple pregnancies will have on their body. Healthline Media does not provide medical advice, diagnosis, or treatment. "When a woman is pregnant with twins, she's at a higher risk for many things happening, over (one who is pregnant with) singletons," says Christine Greves, M.D.,an OB-GYN at Winnie Palmer Hospital for Women & Ba… Fatigue is also a very early pregnancy sign. Signs and Symptoms of a Twin or Multiple Pregnancy, Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved, Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. If you don’t have an early ultrasound, know that you’ll be scheduled for an anatomy scan around 18 to 22 weeks. What You Need to Know About hCG During Your Pregnancy, How a Doctor Can Diagnose a Miscarriage by Ultrasound, ISUOG Practice Guidelines: Role of Ultrasound in Twin Pregnancy, Being pregnant with twins, triplets and other multiples. That said, you may have a very early positive pregnancy test if you are carrying twins. Unfortunately, experiencing severe or prolonged morning sickness can also be in indicator of hyperemesis gravidarum. Know the symptoms and how to get help. Of course, there are other reasons why you may be measuring large or "showing larger or sooner" than you expected. © 2005-2021 Healthline Media a Red Ventures Company. A twin or multiple pregnancy may cause the mother's uterus to expand beyond the range of a single pregnancy. The latent phase of labor comes before the active labor stage. It's a real possibility that you may have miscalculated your missed period or when you ovulated. Also, body changes with a twin pregnancy are much more obvious than with a single pregnancy. Substantial hormonal changes – like those you have during a twin pregnancy – can cause more severe pregnancy symptoms. (That’s right, morning sickness doesn’t only happen in the morning.). Again, there’s no way to know for sure whether the fatigue that’s setting in means that you’re expecting one baby or more. Your baby’s heartbeat may be heard as early as 8 to 10 weeks using a fetal doppler. An experienced physician or midwife may be able to detect more than one heartbeat, indicating a multiple pregnancy. Weight gain. The following symptoms are commonly reported as signs that you may be pregnant with twins, from the earliest weeks of pregnancy. Extreme symptoms may indicate a twin pregnancy. It makes sense that women expecting twins—who have even more substantial hormonal changes—may experience more severe symptoms. ISUOG Practice Guidelines: Role of Ultrasound in Twin Pregnancy. If you are gaining weight faster during your first trimester, you should speak with your OB-GYN about possible causes or concerns. This measurement is more difficult earlier in pregnancy than later on, when an ultrasound may have already detected the presence of twins. Identical twins are always the same sex, so if your twins are identical, you'll have 2 girls or 2 boys. Symptoms of a multiple pregnancy include. "Generally when you are pregnant with twins, fetal movements become more noticeable at weeks 18 through 20 of pregnancy, and the same is true in singleton pregnancies," Al-Khan says. A future mother of twins usually has an increased appetite (she’s eating for three, after … Some people pregnant with multiple babies report experiencing elevated levels of morning sickness, or morning sickness that lasts longer into their pregnancy. All rights reserved. It is, however, possible that these symptoms … Thank you, {{form.email}}, for signing up. Most women pregnant with twins will gain between 15 - 20 kgs as opposed to the usual 12 -16 kgs. While a pregnancy with twins or more is exciting, it comes with some risks. Since most parents don’t report feeling movement until around 18 weeks, this isn’t an early sign either. Many different things contribute to the number of twins born each year. Whether mothers-to-be have dreams of twins or a hunch they can't explain, those who have cared for pregnant women quickly learn to listen. You may feel sick (nauseous) or be sick (vomit). 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