Every pregnant woman experiences pregnancy symptoms differently and each pregnancy for the same woman can be very different. My two pregnancies felt very different, the first I had relatively few symptoms, but my second, with the twins I had many more.
In terms of a twin pregnancy, the possible symptoms should be the same as a singleton, only they are often experienced more strongly, due to an increase of pregnancy hormone hCG, for example if you are suffering from extreme nausea and vomiting you may be checked to see if you are carrying twins.
Here are some possible pregnancy symptoms you may experience and some ideas and tips on things that may help you through:
Nausea and vomiting, or more commonly known as ‘morning sickness’, is probably one of the most common and well known symptoms of pregnancy, especially a twin pregnancy, though many people are lucky enough to escape this symptom. One of the causes is low blood sugar and for this reason it can be advised to eat little and often. I know this helped me, as whenever I got the slightest bit hungry I was sick, so eating little bits almost constantly throughout the day may help and maybe having a biscuit or something by your bed for whenever you wake up may be a good idea. Another reason for increased nausea and vomiting in a twin pregnancy is due to the pregnancy hormone hCG, which is higher in multiple pregnancies. This symptom usually improves by around 14 weeks, though for some it may continue throughout the pregnancy.
Severe vomiting is called hyperemesis gravidarum. If you are vomiting more than 3 times over 3 days get in touch with your GP or your midwife. It is possible you may become dehydrated and low in certain minerals. Occasionally this may mean a hospital admission until the symptoms are under control.
In pregnancy your body produces large amounts of progesterone and relaxin hormones. These hormones relax the smooth muscle, including the muscles at the entrance to the stomach, which can let the stomach acid flow back up into the oesophagus, causing heartburn (a burning sensation). Additionally, this may be more common during twin pregnancy due to the increased pressure on the stomach from the very large uterus.
Backache is very common with all pregnancies, but especially multiple pregnancies. Backache occurs as the hormone relaxin stretches and softens the ligaments in preparation for labour. However, this also increases lots of minor aches and pains. Additionally, you are carrying a lot of weight with 2 babies and possibly 2 placentas, there is no wonder women experience low back pain.
Constipation during pregnancy is very common due to high levels of hormones which cause muscles to relax, including the bowel therefore making it sluggish and also the size of the uterus cramping the bowels normal function. You shouldn’t just put up with constipation, as too much straining can increase the risk of developing piles struction of blood flow due to the babies, which causes blood to pool and the veins to enlarge or dilate. They can be a little uncomfortable and may bleed on passing stool, but are not dangerous.
Your mind is racing, your tummy is growing rapidly, you feel sick, you have heartburn and are very uncomfortable! It is no wonder that you are experiencing insomnia! However, you are also more prone to anaemia (an iron deficiency in the blood which causes tiredness), so speak to your GP or midwife if your symptoms persist as you may need a blood test to check your iron levels.
Again, there is no wonder pregnant women experience anxiety and mood swings, especially when they have just been given the news they are about to have not just 1 but 2 babies! Hormones are racing around your body, your mind is racing with so many different feelings and emotions. You are terrified how on earth you are going to cope with 2 babies at once. What will life be like? Will the babies be ok? You have so may questions! I don’t think anyone would expect you not to have some mood swings and worries. I know throughout my pregnancy, one minute I would feel so excited and happy and the next I’d be in tears, terrified of the unknown! It is all perfectly normal, but if you are worried do speak to your midwife, they are there to help.
You will probably find you spend a large proportion of your day in the bathroom. One reason is due to the increased volume of body fluids and kidney efficiency. Also, as you get bigger the pressure of the uterus on the bladder means the size of the bladder decreases. Ensure you still keep drinking plenty of fluids.
During pregnancy many people experience fluid retention or swelling, particularly of the feet and ankles (called oedema). Most swelling just means a little discomfort, however if your hands or face become puffy or if the swelling continues for more than 24 hours at a time you should contact your midwife, as it could be a sign of the beginning of pre-eclampsia.
There are studies suggesting that up to 68% of mums to be, suffer from forgetfulness and 54% find it difficult to concentrate. You are not alone if you are becoming more and more forgetful, I know I certainly did! Unfortunately it does not disappear the minute the babies are born either. However, baby brain is not harmful, just more frustrating for you and other people around you.
This is not an exhaustive list of twin pregnancy symptoms as other symptoms may include headaches, cravings, sensitivity to smell, nasal congestion, pain and discomfort, breast enlargement and itching.
This information is a guide, if you have any worries or queries please get in touch with your midwife or GP.