Saturday, May 18, 2024

What are the symptoms of twins in first trimester?

Being pregnant is an exciting and beautiful experience, and discovering that you’re carrying twins can be overwhelming, but exciting for expecting parents. However, along with the feeling of excitement comes concerns regarding your health and the health of the unborn twins. In the first trimester, expectant mothers might wonder how they will know if they are expecting twins or have questions when they experience symptoms beyond what they know to be a norm.

In this blog post, we will discuss what to expect in the first trimester of a twin pregnancy, what signs to look for, and what to do when you experience them.


Nausea and vomiting

During the first trimester of a twin pregnancy, expectant mothers may experience heightened morning sickness symptoms. Nausea and vomiting are very common in pregnant women, but it can be more severe in women carrying twins. Mornings might be challenging, and sometimes, nausea could last all day.

In case you are throwing up too much or unable to keep fluids or foods down, get in touch with your obstetrician, who can prescribe some medication to alleviate these symptoms.

Extreme fatigue

Fatigue, along with the desire for more sleep, is normal in the first trimester of pregnancy. However, fatigue might be more extreme for expecting mothers carrying twins. And this may lead you to feel more tired than normal. Allowing yourself to take a little nap in the middle of the day can help you overcome fatigue.

It’s also important to ensure you take extra care of yourself, stay hydrated, and take enough rest. A well-rested mother will reduce the risk of premature labor, which is relatively higher in twin pregnancies.

Increased appetite

In the first trimester, there is an increase in appetite, and this is also valid for twin pregnancies. You might feel hungry more often. But it’s essential to consume a healthy, balanced diet that caters to your nutritional needs along with your babies. Your doctor might recommend that you increase your calorie intake between 500 and 800 daily.

It’s essential to stick to a healthy diet rich in protein, calcium, iron and ingest plenty of fresh veggies and fruits, carbs, and healthy fats to cater to your and the baby’s nutritional needs.

Abdominal cramping

Minor cramping, occasional pressure, or stomach discomfort is regular during the first trimester of pregnancy. However, those who are carrying twins might experience more severe cramps than those who are carrying one baby.

If you feel sharp pain in your belly or experience a sudden onset of intense pressure, contact your obstetrician, right away. In some cases, preterm labor signs can mimic cramping symptoms, which need immediate attention.


When should I worry about cramping in second trimester?
Abdominal cramping

Elevated HCG levels

The pregnancy hormone HCG (human chorionic gonadotropin) is typically higher during twin pregnancies. The hormone levels can vary with each woman. Regardless of whether you have specific symptoms or not, it’s essential to get regular check-ups with your doctor to monitor your HCG levels. This helps ensure that the pregnancy is progressing healthily.


Pregnancy, especially a twin pregnancy can involve a few extra hurdles but remember that not all women will experience the same symptoms. Being aware of what to expect during the first trimester of a twin pregnancy will help prepare expectant mothers mentally, physically and emotionally.

In case you experience anything out of the norm, don’t hesitate to get in touch with your obstetrician to discuss your symptoms or concerns. Finally, take it one day at a time, and remember to take care of yourself and your babies!

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