are early pregnancy symptoms a sign of twins?
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Experiencing nausea and vomiting that lasts beyond the 14th week of pregnancy could indicate that you're pregnant with multiple babies. Unfortunately, experiencing severe or prolonged morning sickness can also be in indicator of hyperemesis gravidarum.
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An ultrasound scan is the only way to confirm that you're pregnant with twins (McAslan Fraser nd, NICE 2011). The earliest you're likely to find out is between 10 weeks and 14 weeks, when you have your dating scan (McAslan Fraser nd, NHS 2019, NICE 2011).
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It's usually possible to find out if you're having twins through your dating ultrasound scan, which happens at around 11 to 14 weeks.
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No. 6: You don't feel the babies kicking any earlier with twin pregnancies. "Generally when you are pregnant with twins, fetal movements become more noticeable at weeks 18 through 20 of pregnancy, and the same is true in singleton pregnancies," Al-Khan says.
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Twins, on average, come out sooner — and smaller — than singletons. ... That's why full term for twins is considered 38 weeks, not the typical 40 weeks. Premature birth — delivery before 37 weeks of pregnancy — is the most common complication when you're pregnant with multiples. About 59 percent of twins are born early.
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Ultrasound. Although the factors above may be signs of a twin pregnancy, the only sure way to know you're pregnant with more than one baby is through an ultrasound. Some doctors schedule an early ultrasound, around 6 to 10 weeks, to confirm the pregnancy or check for issues.
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For many women, the signs and symptoms of early pregnancy can resemble those of her approaching menstrual period or PMS. In fact, it is not possible to tell from early symptoms alone if a woman is pregnant or having symptoms related to her upcoming menstrual period.
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If you find that you're feeling extra, extra pregnant and believe that you might have twins on the way, there's really no substitute for an ultrasound to confirm that you're carrying multiple little ones. Increased hCG levels can be an indicator of a pregnancy that includes twins, but it's not conclusive evidence.
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For women who are 11 weeks pregnant with twins, an ultrasound at this point would show the babies' umbilical cords and either one placenta or two. If the babies share a placenta, the fetuses are probably identical twins. If they have two separate placentas, they may be identical or fraternal.
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Most first-time moms of twins don't feel fetal movement, or quickening, until 18 to 20 weeks — about the same average for singletons. (That said, if this is your second or later pregnancy, you're more likely to feel the flutterings faster.)
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"Generally when you are pregnant with twins, fetal movements become more noticeable at weeks 18 through 20 of pregnancy, and the same is true in singleton pregnancies," Al-Khan says.
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While some women experience those pesky, PMS-like early pregnancy symptoms, including mood swings, bloating and cramping, others don't feel a thing. Whatever you're feeling or not feeling, it's likely still too early to see a reliable result on your pregnancy test.
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It's usually possible to find out for certain if you're having twins at your first ultrasound scan. This is done as part of your routine antenatal care at around 8 to 14 weeks of pregnancy.
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Increased hCG levels can be an indicator of a pregnancy that includes twins, but it's not conclusive evidence. (It could just mean that your pregnancy dates have been miscalculated.)
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"When you spot in the first trimester, you could be undergoing a miscarriage, and miscarriages are more common in mothers of twins, triplets, and quadruplets -- so we see more spotting in first trimester with multiples," Al-Khan says. But a little spotting is no reason to hit the panic button even in twin pregnancies.
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Your twins may be born a little early. Doctors consider 37 weeks to be full-term for most twin pregnancies. The average length of pregnancy for twins is 36.4 weeks. Babies who are born between 32 weeks and 37 weeks generally do very well.
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The only definite way to find out whether you're having twins or other multiples is to have an ultrasound scan. The best time to have this ultrasound is at 10-12 weeks of pregnancy. This is usually when your health professional can say for sure how many fetuses, placentas and amniotic sacs there are.