What can i expect a twin pregnancy to be like?

2 babies 2 sacs DZ: Twin pregnancies that end without complications and with successful vaginal delivery of both babies at term are rare. Women with multiple gestations are at higher risk for cesarean birth, premature delivery, preterm labor, preeclampsia, diabetes. The best way is to look at the pregnancy one week at a time, to be happy having no problems and getting to go home each visit and to accept what comes.

2 babies 2 sacs MC: Some monozygotic (mz, identical) pregnancies have 1 placenta mass but 2 sacs and are called monochorionic diamniotic. There is a risk of twin-twin transfusion which is a serious problem for both babies. Less worrisome is when it appears to be 1 but really 2 placentas are adjacent or "fuse"; there are 2 if boy+girl seen on ultrasound or tests after delivery show dz twins or dichorionic mz placenta.

2 babies 1 sac MZ: If there are twins in only one sac, it is a monozygotic (mz) monochorionic-monoamniotic pregnancy: 2 babies, 1 placental mass, 1 sac. That can be a very high-risk situation for both babies for many reasons. It is essential that couples meet with their OB physicians often, get early expert imaging and referrals to perinatologists (and often neonatologists) and discuss all possible outcomes.

More of everything: Generally women who carry twins tend to have more morning sickness, higher risk for diabetes of pregnancy, preeclampsia, and preterm labor. For this reason women with twins are seen more often and have more ultrasounds.