Twin Pregnancy: Your Prep List

twin pregnancy

Twin pregnancy is different.

Let’s put it this way, your experience isn’t going to be anything like your mama’s. The truth is, it probably isn’t going to be as easy-breezy as a lot of singleton pregnancies. Your pregnancy will be filled with more doctors visits, testing, ultrasounds, and let’s be real, discomfort.

But being prepared and realistic about what a twin pregnancy entails can go a really long way in making sure you have an enjoyable pregnancy. A twin pregnancy doesn’t have to completely suck!

It’s Twins!

You’re back from your ultrasound where you’ve had you’re first look at your two little sweet peas…so now what?

  • Rethink your OB or midwife if you already have one. If you are able, try to find an OB or midwife who has experience with twin births. You want a practitioner who recognizes that what your body is going through is different, and that the attention your twins need are different from a singleton. I had an experience when my twin specialist OB went on vacation and I had to have an appointment with a regular OB. Long story short, I left the appointment in tears. Basically, the man had the audacity to suggest that at 6 months pregnant my extra pain and discomfort was because I was lazy or was in my head. That being said, my specialist OB was AMAZING. I was beyond fortunate enough to live in an area that has a hospital with a specialized “multiples clinic”. If you’re curious as to what this looks like, or want to know what to look for when checking out OB’s look HERE.
  • Choose a hospital with a NICU of at least a level 3. Read more about what you need to know about NICU’s here.

Health and skincare:

  • The sooner you start with Bio Oil the better. With a twin pregnancy you are going to have stretch marks, but Bio Oil will help with the itch (your skin is going to itch. A LOT), and help keep the skin soft and smooth. It will also help to diminish the appearance of the stretch marks.
  • If you’re not already, start taking prenatal vitamins.
  • Rough morning sickness? Herbal tea with ginger and lemon will be your comfort.
  • Buy a pregnancy support band. This will help support the weight of your twins, and take some strain off of your back.
  • Most importantly, stay hydrated and rest often. Do Not Physically Push Yourself!!

twin pregnancy

Important things to discuss with your health practitioner:

  • Staying on top of your blood pressure and keeping stress to a minimum.
  • Talk to your doctor frequently about signs of preterm labour. This was something that was not discussed with me despite being put on an early leave from work at 7 months pregnant.
  • Talk to your doctor about what the plan will be if you start to feel early contractions.
  • Talk about your babies positioning. This will give you an idea of what your delivery will look like but still expect your chances of c-section to be 50/50.
  • Talk about the NICU and take a tour. Talk about what circumstances would equal a NICU stay for your babies.
  • Ask what a typical twin delivery at your hospital looks like. By this I mean asking questions such as, how many people will be in the delivery room? Will you be in a regular delivery room or in an operating room? Will there be student doctors or nurses present?
  • Talk to your doctors about epidurals. Before I found out I was pregnant with twins I had been planing on a natural birth with a midwife. So it was a big mental adjustment for me to find out that the nature of my twin pregnancy required an epidural. If your doctor is also telling you that you must have an epidural (for me, in case of emergency c-section for twin B) talk about delaying the epidural until absolutely necessary ahead of time.

Labour and Delivery Plan?

Honestly, when it comes to a twin pregnancy do not waste your time with a birth plan. I recommend going in with a mindset that you are willing to do whatever it takes to ensure the healthy delivery of two babies regardless of what you ideal delivery looks like. Too many things can happen during a twin labour and delivery, and you will save yourself a lot of stress and disappointment if you allow your only labour objective to be staying calm and relaxed during contractions and focusing on your job.

I hope this helps get you started on your twin pregnancy research! Remember to continue to read about twin pregnancies and delivery but be smart about your research. I HIGHLY recommend the book (affiliate link) by Barbara Luke:

This book was our bible before and after our twins were born. What makes this book different from singleton pregnancy books, is not only is it geared towards your twin pregnancy BUT it does an excellent job of being upbeat and positive about a twin pregnancy with exceptionally little scary stuff (the same cannot be said for other pregnancy books that only sparked anxiety). This book helped make me feel comfortable with what was going on with my body and my pregnancy, informed about about potential “what-ifs” without going into scaryland, and was a great resource for my husband as well. I honestly can’t recommend it enough.

Want to read tips on how to survive your first year with twins? Check it out here!

Have twin pregnancy questions? Ask me in the comments!

Chat soon,


***This content uses referral links. Read our disclosure policy for more info.***

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