Very Early Signs and Symptoms of Having TWINS

Some women view the thought of having twins as being an absolute highlight, but others dread the possibility. Your own perception will be influenced by your personal experiences, history and supports. 

For women who have been informed of the risk, or who have a history of twins in their biological family, having their own twin pregnancy confirmed is not such a shock. But for women who did not expect to conceive with more than one baby, or who may not having been planning to conceive at all, then finding out they are pregnant with twins can come as a real surprise. 

Denial, shock, feeling numb and even angry are common emotions in the early days of having a twin pregnancy diagnosis. But with time reality soon descends and most women just learn to accept the fact that they are having two babies. 

Symptoms of twin pregnancy 

• Some women will “just know” they are pregnant with twins. This may be before they have even had confirmation that they are pregnant. They may dream, sense or have a vision or inherent belief that they are pregnant with twins. 
• Some women will be told they are pregnant with twins by their partner, relatives, family or very close friend. Although there is often no evidence to support this claim, when their twin pregnancy is confirmed it really comes as no surprise. 
• Feeling very nauseous from early in the pregnancy. This is sometimes so extreme that the mother finds it difficult to tolerate anything but the blandest, easiest to digest foods. 
• Extreme intolerance to foods, smells, textures and appearance of some foods. Commonly meat, seafood, coffee and tea are the first substances to be found repugnant. 
• The uterus is “large for dates” which reflects the fact that two embryos, rather than one is present. 
• Extreme breast tenderness – to the point where it may be too uncomfortable to wear a bra. Some women find they need to wear crop tops or bandeau style tops as an alternative until their breasts become more comfortable. 
• Wanting and needing to pass urine much more frequently. Although urinary urgency is a common early pregnancy symptom, when pregnant with twins, this is much more magnified. 
• Utter exhaustion and a feeling of being unable to get through each day. This again, is a common pregnancy symptom but is exacerbated during a twin pregnancy. 
• Higher levels of hCG. This may be reflected in a very early pregnancy urine test. Even before a missed period, the level can be so high that there is an immediate, strong and clear positive confirmation on the pregnancy testing stick. For women who have undergone fertility assistance, blood tests may reflect a very high concentration of hCG early after conception. 
• Some women will experience more uterine cramping which is not associated with any blood loss. This can be a symptom of round ligament pain and is due to the uterus expanding relatively quickly. 
• A sense that your heart has to work harder than it usually does. Many women are aware that their resting heart/pulse rate is higher than normal. This is a sign of their heart having to pump out a greater blood volume with each heart muscle contraction in order to supply the uterus with oxygen saturated blood. 
• Moodiness, being prone to tears and feeling mentally unstable. Again, labile moods are a common pregnancy symptom, but when pregnant with twins, they tend to be more extreme. 
• You may find you can feel your baby/babies moving much earlier in your pregnancy. Women who are pregnant with twins say that they are conscious of feeling movements, known as quickening, earlier than the standard 15-16 weeks. 

How is a twin pregnancy confirmed? 

Although you, your partner or your health care practitioner may suspect you are pregnant with twins, it is not until twins are confirmed that you can be 100% sure. 

• Ultrasound, where two embryos are clearly defined on the screen. 
• Hearing two, separate heartbeats on a Doppler. 
• In the absence of sound ante-natal care, it is still possible that a twin pregnancy may not be evident until two babies are born. 

Complications of a twin pregnancy 

Unfortunately, the overall risks of pregnancy are increased during a twin pregnancy. But many women have an uneventful gestation and just because you are pregnant with twins, is not a guarantee you will have complications. But it does help to be informed and keep an open mind. 

• Premature birth – e.g. before 38 weeks of gestation. 
• Smaller babies with lower birth weight – simply because there have been two growing in the same space. 
• One baby which is smaller than the other. It is common during twin pregnancy for one twin to receive more nutrition and space allocation than the other. 
• Preeclampsia. This is why it is so important for you to have your BP monitored during your pregnancy. Fluid retention and passing protein in urine are other signs of preeclampsia. 
• Gestational diabetes.