Need to talk? Call 1800 882 436.
It's a free call with a maternal child health nurse. *call charges may apply from your mobile

Is it an emergency? Dial 000
If you need urgent medical help, call triple zero immediately.

beginning of content

Pregnant with twins

3-minute read

If you’re pregnant with twins, a healthy lifestyle and good antenatal care will help you cope with your pregnancy and give your babies the best start in life.

You might be thrilled at the thought of having twins. But on the other hand, you might be worried about how you’ll manage. In some cases, you might have expected it, or it might have been a surprise.

Whatever your feelings, the more you know about what's ahead, the better you'll be able to deal with it.

Antenatal care

It's important to get good antenatal care. This is the care you get while you are pregnant. You can choose to have a midwife, an obstetrician, or a doctor look after you.

Having a healthy lifestyle and diet during pregnancy is important. Eat well, take gentle exercise, drink lots of fluid and, if you feel stressed, ask for support from friends and family, or talk to your midwife or doctor.

Some people think that if you are pregnant with twins, you need a lot of extra food. That's not true. The type of food you eat is more important for your babies than how much you eat. Talk to your midwife or doctor about the best diet for you. You might also be advised to take certain supplements, such as folate and iron supplements.

Make sure you look after yourself. Being pregnant with twins can be more tiring both physically and emotionally. All of the common pregnancy discomforts are likely to be more noticeable with twins.

It's vital to attend all your appointments so your midwife or doctor can see what type of twins you have, check your dates and pick up any problems.

Potential complications with twins

Most twin pregnancies are healthy. But complications can happen, and some are more likely with twins. These include:

Having a doctor or midwife keep an eye out for these problems is important.

Options for giving birth

In Australia, you can choose to give birth in a public hospital, a private hospital, at a birth centre or at home, although home birth for twins is rare because of the higher risk of complications. You may find this decision overwhelming, so start talking about it to your midwife or doctor early in your pregnancy.

You may think that caesarean section is the only option, but talk to your midwife or doctor about whether vaginal birth is possible. Even if you try for a vaginal birth, you might eventually need to have a caesarean section, as with any other pregnancy.

Twins are more likely than single babies to be born premature (before 37 weeks) and there is a chance they may spend time in a neonatal intensive care unit (NICU) or special care nursery (SCN).

More information

Find more information about twins at the Twins Research Australia and the Australian Multiple Birth Association.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: October 2019


Back To Top

Need more information?

Types of twins

There are two types of twins - fraternal twins and identical twins.

Read more on Pregnancy, Birth & Baby website

About twins

Learn about twin characteristics and twin types

Read more on Twins Research Australia website

Fraternal twins & identical twins | Raising Children Network

Whether you’re having fraternal twins or identical twins, it’s good to find out during pregnancy. Get the facts you need about different types of twins.

Read more on raisingchildren.net.au website

Raising twins

Find out more on how to get your twins to sleep, what the 'twin bond' is and dealing with sibling rivalry.

Read more on Pregnancy, Birth & Baby website

Types of twins

There are two different types of twins: monozygotic or identical (MZ) and dizygotic, fraternal or non-identical (DZ). Learn more about each type of twin.

Read more on Twins Research Australia website

Expecting twins?

Congratulations from Twins Research Australia on your happy news. No doubt you are keen to find out as much as possible about twin pregnancy and the early days of parenting.

Read more on Twins Research Australia website

Feeding twins

Find practical tips on breastfeeding or bottle feeding your twins.

Read more on Pregnancy, Birth & Baby website

Zygosity testing doubly important for twins

The official website of Twins Research Australia.

Read more on Twins Research Australia website

Why twin research?

Research with twins has the potential to contribute transformative insights to our understanding of health and disease for us all. Specifically, twin research can play an important role in understanding the interplay between genes and environment. By studying the differences and similarities between and within twin pairs, crucial insights into complex diseases have been discovered.

Read more on Twins Research Australia website

Pregnant with twins? About twin pregnancy | Raising Children Network

Pregnant with twins? Twin pregnancy can have more complications, so you’ll need more check-ups. Here’s what to expect in your pregnancy and antenatal care.

Read more on raisingchildren.net.au website

Call us and speak to a Maternal Child Health Nurse for personal advice and guidance.

Need further advice or guidance from our maternal child health nurses?

This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes.

The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care. If you have a particular medical problem, please consult a healthcare professional.

Except as permitted under the Copyright Act 1968, this publication or any part of it may not be reproduced, altered, adapted, stored and/or distributed in any form or by any means without the prior written permission of Healthdirect Australia.