Dad's Guide to Twins

Questions to Ask Your Doctor When Expecting Twins

Once you find out that you are expecting twins, your mind races with tons of concerns and questions. Whether you’ve had children already or not, a twin pregnancy brings new unknowns that frankly can be overwhelming. It’s time to talk with your doctor. Talking to Your Doctor You’ll want to find a good doctor that you can trust and with whom you can have a comfortable relationship. You need to feel comfortable asking any questions and asking follow-ups if you still have concerns. But what should you ask when you go to the doctor? Example Questions to Ask Your Doctor Twin Pregnancy What can I expect during my pregnancy with twins? How will this pregnancy be different from a singleton pregnancy? When should we expect to feel movement with our twins? What are the risks associated with a twin pregnancy, and how can I manage them? Are my doctor visits based on my actual due date or my realistic due date (measurements of both me and the babies)? Mom’s Health During Pregnancy How often will I need to see a doctor for prenatal care, and what tests will be performed? How much weight I am I expected to gain? Exactly what does that mean in terms of how much more I should be eating? How can I make sure I’m getting enough nutrients and calories to support two babies? How much water should I drink each day? Can I exercise? What kinds are approved for moms of “high risk” pregnancies? What are the chances I’ll have to go on bed rest? What is cervical length screening and when will you check mine? Twins’ Health in Womb What are the possible complications with twins and when should I worry? Are my twins identical or fraternal, and how does this affect my care plan? Do my twins share a placenta (monochorionic) or have separate placentas (dichorionic)? How will you monitor for twin-to-twin transfusion syndrome (TTTS) if my twins share a placenta? How often will you measure each baby’s growth individually? What happens if one twin is significantly smaller than the other? How will you monitor for cord entanglement or compression? Medication & Medical History: Are any of my current medications unsafe for twin pregnancy? How does my medical history (previous pregnancies, chronic conditions, family history) specifically impact twin pregnancy risks? What over-the-counter medications should I avoid? Genetic/Screening Questions: Should we consider additional genetic testing given that we’re having twins? How accurate are standard screening tests (like cell-free DNA testing) for twin pregnancies? If one twin has a genetic condition, what are our options? Work/Lifestyle Planning: At what point in pregnancy should I plan to stop working or reduce hours? What accommodations might I need at work during pregnancy? When should we consider modifying daily activities or household responsibilities? Specialized Care: Will I need to see a maternal-fetal medicine specialist (perinatologist), and if so, when? Should I work with a nutritionist or dietitian during my pregnancy? What additional specialists might I need during this pregnancy? Emergency Preparedness: What’s your protocol if I go into labor when you’re not available? Which emergency room should I go to if I have concerns outside office hours? Should I have a backup birth plan if complications arise? Delivery Planning: Will my delivery be based on my actual due date or realistic twin pregnancy due date? What is your policy on delivery timing for twins (at what week do you typically recommend delivery)? If I’m planning a vaginal delivery, what happens if the first baby is born vaginally but the second needs a C-section? What type of anesthesia options are available during twin delivery? How many medical staff will be present during delivery, and what are their roles? What is your experience delivering twins vaginally? What are the chances that I will need a cesarean delivery, and what are the risks and benefits of this procedure? How can I prepare for the birth of my twins, and what can I expect during labor an

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