by
Almog Ramrajkar
| Apr 28, 2025
Finding out that you're expecting twins can be both exciting and overwhelming. While it means double the joy, it also brings unique challenges. A twin pregnancy is high risk compared to a single pregnancy. Hence, extra care is essential.
Complications linked to multiple births
Some common risks of twin pregnancies include:
One of the most common complications in twin pregnancy is preterm birth. Here, babies are born before completing 37 weeks of gestation. Since the uterus has to accommodate two growing babies, it often reaches its limit earlier than in a single pregnancy. This could lead to labour before full term.
Babies born prematurely may face several health concerns as their organs, especially the lungs, may not be fully developed. This can result in breathing difficulties. Sometimes, they might require oxygen support or mechanical ventilation to assist with breathing.
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Twin-to-twin transfusion syndrome (TTTS)
One of the significant complications of having twins is TTTS. It’s a rare but serious condition that can occur in identical twin pregnancies when the babies share a single placenta. This condition arises due to an imbalance in blood flow between the twins through the shared placental blood vessels. As a result, one baby receives excess blood, while the other gets too little.
This uneven blood distribution can lead to severe health risks for both babies. The one receiving too much blood may develop an overworked heart, while the one receiving less blood may experience slow development, which can affect organ development.
Women carrying twins have a significantly higher chance of experiencing high blood pressure during pregnancy. This, one of the major risks of twin pregnancies, can be more intense compared to a single pregnancy.
Uncontrolled high blood pressure increases the risk of placental abruption, where the placenta detaches from the uterus too soon. This condition, known as preeclampsia, can become life-threatening if left untreated.
This is one of the major complications of having twins. When a woman carries twins, her uterus expands significantly to accommodate both babies. This excessive stretching, combined with the presence of a larger placental area, increases the risk of excessive bleeding after childbirth. This is known as postpartum haemorrhage (PPH).
After delivery, the uterus typically contracts to help stop bleeding from the site where the placenta was attached. However, in a twin pregnancy, the uterus may struggle to contract efficiently due to being overly distended. This can result in heavy, prolonged bleeding, which requires immediate medical attention.
Conclusion
Having twins is a special experience, but it comes with added responsibilities. By staying informed about the complications of multiple pregnancy, attending regular check-ups, and making healthy lifestyle choices, you can ensure a smoother journey. Also, securing maternity insurance can give you peace of mind and financial support when you need it most.
Disclaimer: The information provided in this blog is for educational and informational purposes only. It is not intended as a substitute for professional advice, diagnosis, or treatment. Please consult your general physician or another certified medical professional for any questions regarding a medical condition. Relying on any information provided in this blog is solely at your own risk, and ICICI Lombard is not responsible for any effects or consequences resulting from the use of the information shared.