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Pregnancy

Multiple pregnancy: a distinct kind of medical follow-up

Twins, triplets, or more: this kind of pregnancy calls for a tailored approach to follow-up from the earliest weeks.

A multiple pregnancy is most often identified at the first ultrasound, which also determines whether the babies share a single placenta (chorionicity) — crucial information that shapes all follow-up care, since it directly affects the pregnancy's level of risk.

Twins sharing one placenta (monochorionic) need more frequent ultrasounds, usually every two weeks starting at 16 weeks, to screen for twin-to-twin transfusion syndrome, a complication where one baby receives more blood than the other through shared vascular connections.

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Recommended nutrition and weight gain are also adjusted upward to meet increased needs, and iron and folic acid supplements are often recommended more routinely, given the higher risk of anemia with a multiple pregnancy.

Rest and reduced strenuous activity may be recommended in some cases toward the end of pregnancy, though this isn't universal. Most multiple pregnancies go well with appropriate follow-up, and many families experience this more demanding but often extraordinary journey with the support of a specialized care team.

This information is general and does not replace advice from your healthcare professional (doctor, midwife, nurse, pharmacist). Every situation is unique: always check with them before making a decision. In an emergency, call 911 or your local emergency services.

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