Twin Pregnancy: Everything You Need to Know About Carrying Twins

Twin pregnancy is a joyful and unique journey, but it also needs special care and attention for the mother and babies. Many women have questions about symptoms, diet, risks, delivery, and how twins grow week by week. This guide covers everything you need to know about carrying twins in a simple and clear way, so you feel confident and prepared. From early signs of twin pregnancy to safe delivery, we share the latest, trustworthy, and useful information that answers real concerns of mothers. If you are looking for expert guidance, consulting the Best Female Gynecologist for Twin Pregnancy in Punawale can make your journey safe. At EXCELLA Woman’s Wellness Clinic, Punawale, PCMC, Pune, Dr. Shraddha Galgali, one of the Best Gynecologists in Punawale, Pune, offers expert care for mothers expecting twins.

A twin pregnancy occurs when a woman carries two babies at the same time in her womb. This happens in about 1 in 250 pregnancies in India.

There are two main types:

• Identical twins (monozygotic): One egg splits into two embryos. Babies share the same genetic material and often look alike.
• Fraternal twins (dizygotic): Two eggs are fertilised by two sperms. These twins are like regular siblings, may look different, and can be of different sexes.

Medical terms also classify twins as:

• Dichorionic diamniotic (Di/Di): Two placentas, two sacs – lowest risk.
• Monochorionic diamniotic (Mo/Di): One placenta, two sacs.
• Monochorionic monoamniotic (Mo/Mo): One placenta, one sac – rare and high risk.

Certain factors increase the likelihood of a twin pregnancy:

• Age: Women above 35 years are more likely to release multiple eggs.
• Family history: Having twins on your maternal side raises chances.
• Fertility treatments (IVF, IUI): Increase the possibility of multiple embryos.
• Previous pregnancies: Women who have had multiple pregnancies may conceive twins more often.

Many women wonder when to suspect a twin pregnancy. Some early indicators include:

• Severe morning sickness: Due to higher hCG hormone levels.
• Extreme fatigue: The Body works harder to support two babies.
• Rapid weight gain: More than normal during first trimester.
• Measuring large for gestational age: The Doctor may notice your uterus is bigger than expected.
• Stronger early fetal movements.

A twin pregnancy is confirmed through an ultrasound scan, usually between 7–12 weeks, which clearly shows two sacs or two heartbeats. In some cases, a Doppler device may detect two separate heartbeats around 10–12 weeks. Blood tests with higher levels of hCG (human chorionic gonadotropin) and AFP (alpha-fetoprotein) can also indicate twins, but ultrasound remains the most reliable method. For accurate confirmation and safe care, consult a twin pregnancy specialist in Pune like Dr. Shraddha Galgali at EXCELLA Woman’s Wellness Clinic, Punawale.

First Trimester (Weeks 1–13):

• Week 6: Two heartbeats may be detected.
• Week 8–12: Organs, limbs, and facial features begin forming.

Second Trimester (Weeks 14–27):

• Babies start moving.
• Bones harden, sex organs develop.
• By week 20, most women feel regular kicks.

Third Trimester (Weeks 28–Birth):

• Rapid growth and weight gain.
• Lungs mature by 32–34 weeks.
• Most twins are delivered between 36 and 37 weeks.

Twin pregnancies require closer observation compared to single pregnancies.

• More frequent antenatal visits – usually every 2–3 weeks.
• Growth scans and Dopplers to monitor babies.
• Blood pressure checks for preeclampsia.
• Cervical length monitoring to reduce the risk of preterm labour.

At EXCELLA Women’s Wellness Clinic, Dr. Shraddha Galgali offers personalised maternity care with advanced scans and guidance.

Nutrition plays a big role in supporting two growing babies.

• Extra calories: About 600–900 additional calories daily.
• Protein: Lean meat, eggs, milk, pulses, and nuts.
• Folic acid: To prevent birth defects.
• Iron and calcium: Essential for blood formation and bone growth.
• Hydration: Drink at least 8–10 glasses of water daily.

Average recommended weight gain for twins:

• Normal BMI: 17–25 kg/m²
• Overweight: 14–23 kg
• Obese: 11–19 kg

• Severe nausea and vomiting
• Breathlessness due to extra pressure on the lungs
• Back pain and fatigue
• Heartburn and digestive issues
• Emotional mood swings

Managing symptoms with rest, small, frequent meals, and gentle exercise is important.

Exercise helps maintain energy and reduce stress.

• Safe exercises: Walking, prenatal yoga, swimming.
• Avoid: Heavy lifting, high-impact aerobics, contact sports.
• Tip: Always consult your doctor before starting or continuing workouts.

Twin pregnancies carry slightly higher risks. Common complications include:

• Preterm birth: More than 60% of twins are born before 37 weeks.
• Gestational diabetes.
• Preeclampsia (high BP).
• Anaemia (iron deficiency).
• Twin-to-Twin Transfusion Syndrome (TTTS): Affects identical twins sharing a placenta.
• Intrauterine Growth Restriction (IUGR).

With regular monitoring, most risks can be managed effectively.

Delivery planning is crucial in twin pregnancies.

• Vaginal delivery: Possible if the first twin is head-down and no complications.
• Caesarean section: Recommended if babies are in breech, share one sac, or complications arise.
• Timing: Twins are usually delivered around 37–38 weeks, sometimes earlier for high-risk cases.
• NICU support: May be required for preterm or low-weight babies.

• Feeding: Breastfeeding twins is possible with support and correct positions.
• Essentials: Two cribs, two car seats, a double stroller, extra clothes, and diapers.
• Sleep: Following a schedule helps manage rest for both babies and parents.
• Support system: Family help is vital during the initial months.

Managing a twin pregnancy in Punawale, Pune, requires experienced hands. At EXCELLA Woman’s Wellness Clinic, Dr. Shraddha Galgali provides:

• Specialised care for high-risk and twin pregnancies.
• Advanced ultrasound and monitoring facilities.
• Personalised diet and exercise plans.
• Delivery planning with NICU backup if needed.

Her compassionate approach and expertise make her one of the Best Female Gynecologists in Punawale, Pune, and a trusted Pregnancy Doctor in PCMC.

Carrying twins is a beautiful and rewarding journey, but it requires extra attention, regular check-ups, and timely medical care. With the right guidance, balanced nutrition, and proper monitoring, most mothers can experience a safe pregnancy and deliver healthy babies. If you are looking for the Best Twin Pregnancy Doctor in Punawale, Pune, you can trust the expertise of Dr. Shraddha Galgali. At EXCELLA Woman’s Wellness Clinic, Punawale, PCMC, Pune, she provides personalised care for every stage of twin pregnancy. Recognised as one of the Best Gynecologists in Pune and a leading Twin Pregnancy Expert in Pune, Dr. Shradhha Galgali ensures safe care for mothers and babies. Call 992395 6515 to book your consultation.