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You’re Pregnant with Twins. Now What?

  • Writer: The Twintellectuals
    The Twintellectuals
  • Aug 30
  • 2 min read

Updated: Nov 18

So you’ve just left your ultrasound appointment with two heartbeats instead of one.  Cue the adrenaline. Whether you are thrilled, terrified, or somewhere in between (all totally normal), take a deep breath. You’re not alone — and you can do this.  Here are five things to keep in mind as you start your twin pregnancy journey.


Tip #1: Find a Provider Experienced with Twin Pregnancies

Not all pregnancies are created equal.  A multiples pregnancy brings unique risks and monitoring needs, from twin-to-twin transfusion syndrome (TTTS) to preterm labor.  What is “typical” for a multiples pregnancy is different from a singleton.  Ask your provider if they have specialized experience.. You may need to transfer to a high-risk OB (often called a maternal-fetal medicine specialist), and that’s okay. You want someone who’s delivered a thousand twins.


Tip #2: Prepare for More Appointments (and More Snacks)

Expect more ultrasounds, more bloodwork, and more check-ins than a singleton pregnancy. It’s all part of keeping two babies (and one mama) safe. Also: double the babies = more calories. You don’t need to "eat for three," but proper nutrition becomes extra important. Think high-protein, high-iron, and whatever version of leafy greens you can tolerate this trimester.


Tip #3: Get Real About Rest

Fatigue hits different when you’re growing two humans. Listen to your body. Build in rest early — not just physical rest, but mental permission to pause. Cancel things. Say no. Take the nap. You’re already doing double duty, and your body knows it.


Tip #4: Don’t Panic-Shop (Yet)

Resist the urge to buy two of everything right now. Most twin parents will tell you: you don’t need two swings, two changing tables, or 400 onesies. Wait until you understand your babies’ personalities and your parenting style. Join a local or online multiples group — they’re a goldmine for gently-used gear, survival hacks, and emotional support.


Tip #5: Make Space for Big Feelings

Shock, joy, fear, guilt, awe — it’s all part of the ride. You might mourn the one-on-one pregnancy experience you thought you were going to have, and that’s okay. You might wonder how you’ll afford diapers for two. Also valid. Big feelings don’t mean you’re not grateful — they just mean you’re human. Talk to someone.  Journal. Cry.  Celebrate. This is big.


Twin pregnancies can be intense — but they can also be as magical as a singleton pregnancy.   You’re stronger than you know, and you’re already exactly the parent these babies need. One step at a time.  You are not alone.  In fact, you may never be alone again for the foreseeable future.  And we are  here for you at The Twintellect.


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