Insomnia during triplet pregnancy driving you nuts? Try these cool tricks for better sleep.

Insomnia during triplet pregnancy driving you nuts? Try these cool tricks for better sleep.

So you’re pregnant with triplets or more and you’re not sleeping? I hear you, sister. While insomnia during pregnancy is pretty common, it is often exacerbated for those carrying a multiple pregnancy ( as are most of the usual joys including heartburn, morning sickness and fatigue). When you’re already feeling exhausted throughout the day due to the load of growing a six-legged sea monster in your belly, the frustration of lying awake all night despite being completely wrecked is complete torture.

So why can’t you sleep? The common reasons for insomnia during pregnancy include:

 – Needing to wee
. The group of tiny humans using your bladder as a beanbag means you have to get up and go to the toilet frequently.

 – Stress and anxiety. There is a lot to process when you’re expecting triplets or more. Not only are there the fears over preterm labor and health complications due to the increased risk factors that go with multiples, but you now have a logistical dilemma to sort out as well that you probably weren’t anticipating when you said, “Let’s have a baby.” Specialised equipment such as prams, potentially a new car to fit three car seats, financial concerns might all be racing through your mind making it hard to switch off at night.

 – Back Pain. Not surprising really, but your back is copping quite a load at the moment. As you gain weight in the front, your back muscles have to work harder to maintain balance. Unfortunately, hormonal changes loosen ligaments, which can mean its’ easier to injure yourself too whilst pregnant, so remember to take it easy when you can.

 – General discomfort. As your babies grow, the chance of finding a comfortable position to sleep will shrink. Since it isn’t considered safe to sleep on your back or your right side, and your tummy is, um, well…it pretty much leaves your left side for sleeping. Hot tip here: Try a long body pillow or even a couple of standard pillows to support your body as you sleep.

 – Gas. Pregnancy hormones inhibit digestion, so it’s not your fault that you’re farting like jersey cow and burping like a truck driver. The feeling of bloating can cause pain and discomfort.

 – Respiratory changes. If your babies are squished up against your diaphragm, you may find that you feel shirt of breath and this can make it hard to drift off and relax.

 – Metabolism. Your metabolism is working like crazy right now, growing tiny fingers, organs and eyebrows! You may have trouble eating enough because you have crazy morning sickness and can’t keep anything down, or your babies are squashing your stomach so you feel full easily. If you aren’t having these problems, you’re probably starving hungry all the time! The absolute BEST advice I was given when I suffered from insomnia during my triplet pregnancy was to EAT! A protein snack in the middle of the night was the quickest way to get me back off to sleep. Prepare it the night before so it’s ready to go in the fridge. Try a hard boiled egg, some hummus, even just a small protein shake.

What can help with insomnia during pregnancy?

Well, apart from my tip just before about eating a protein snack if you wake in the night, there are some other natural things you can try to assist with getting a good nights’ sleep during your pregnancy. I’m not going to lie – “a good nights’ sleep” is probably a stretch, but surely some improvement is better than anything, right?

Exercise: As undesirable as it might feel to ‘work out’ during a triplet pregnancy, it will make you feel so much better! I’m not talking about a hard sweat session – walking if it’s comfortable to you, swimming, walking up and down the swimming pool and pilates are all really gentle forms of exercise that are usually safe to do during pregnancy. Of course discuss this with your doctor first because every pregnancy is different, but the physical and emotional benefits are worth exploring.

Vitamins and Minerals: There are some supplements and foods that can help with sleeplessness during pregnancy  – make sure you’re getting enough Vitamin D (thing fatty fish such as mackerel or salmon plus a great reason to get outdoors in the sunshine to absorb it) and magnesium (green leafy veg, bananas, avocados). You can also buy magnesium oil sprays that are absorbed through the skin.

Avoid stimulants: This might seem obvious, but if you’re snacking more than normal to keep your energy levels up during the day, you might be consuming caffeine, sugar or other additives such as flavour enhancers and preservatives that can interfere with sleep. Be especially mindful of your evening meal being low GI, as preservative free as possible and healthy.

Insomnia can be incredibly frustrating during pregnancy and in the back of your mind you’re thinking, “I’m not going to get any sleep when the babies arrive!”, which just adds to the cruelty of it all. Be kind to yourself. Set realistic expectations during the day when you’re tired – you are already doing an amazing job so please just make taking care of yourself the biggest priority.

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WHY IT’S IMPORTANT TO BE LOOKING AFTER YOUR TEETH DURING PREGNANCY

WHY IT’S IMPORTANT TO BE LOOKING AFTER YOUR TEETH DURING PREGNANCY

When you’re pregnant, there are so many things on the “to-do” list, like buying baby related products, doctors appointments and ultrasounds, clothes to fit your growing belly, maternity leave or work arrangements, finances and even considering how parenthood will affect your relationship with your partner. Dental health is not usually high on the priority list for most pregnant women, but actually, it should be.

How does pregnancy affect your teeth?

The hormonal changes of pregnancy can result in inflammation of the gums (often experienced as bleeding gums). Pregnancy gingivitis (gum disease) has been shown across several studies to affect between 30-100% of pregnant women, usually beginning in the second month of the pregnancy and increasing from there. Advanced gum disease during pregnancy can sometimes result in loose teeth and has been linked to low birth weights and premature births.

Some movement in the teeth can also occur during pregnancy due to the presence of the hormone Relaxin. This hormone is designed to help loosen and relax the ligaments that will assist with bodily changes and eventually childbirth, but it can affect other ligaments causing hip and back pain through hypermobility and also allow the teeth to shift as the ligaments that help the teeth bind to the jaw and gums soften. It’s not generally anything to be concerned about, but if you’re undergoing orthodontic treatment such as braces, it’s worth letting your orthodontist know about your pregnancy as soon as possible.

looking after your teeth during pregnancy

The risk of tooth decay can be higher during pregnancy for a few reasons:

 – Hormonal changes increase acidity in the mouth. (Acid and your tooth enamel are not friends);

 – Women suffering from severe nausea and vomiting expose their teeth to the acidic contents of their last meal on a repeated basis;

 -Sugar intake may be higher due to cravings for certain foods

– Grazing on food all day may occur due to either suppression of nausea or for some women (particularly those carrying a multiple pregnancy), they may have a reduced stomach capacity, but increased appetite). Constantly eating means your mouth keep producing acid to start the digestion process.

 – Oral hygiene can take a back seat as for some women, their gag reflex increased during pregnancy, which can make using a toothbrush uncomfortable.

How can you protect your teeth during pregnancy?

Maintaining good oral hygiene, having a professional clean with your dentist and a good diet are the best things you can do for your teeth during pregnancy. If you find yourself needing to eat more regularly throughout the day, try to make good nutrition choices and rinse your mouth out after each meal, to help remove food particles that may be stuck to the teeth. Brushing twice a day and flossing is recommended all the time in order to look after your oral health, but is especially important during pregnancy.

How can your pregnancy affect your unborn baby’s future dental work?

A lot of enamel quality is influenced by the health of the child (or the mother) in utero. The baby teeth (milk teeth) develop between the 6 and 8 week mark of a pregnancy (when many women haven’t even realised they are pregnant) and the hardening of the enamel is competed by the 20th week in utero. This means that if there are nutritional deficiencies or illness (especially one that requires antibiotics) during certain stages of the pregnancy, this can affect the enamel quality.

Nutrition is important in preconception and during pregnancy. Women need to load up on their intake of enough calories, protein and numerous vitamins such as A, C and D as well as important minerals such as calcium, phosphate for proper tooth formation.

It’s during the third trimester of pregnancy that the unborn baby accumulates overall stores of calcium and phosphate and Vitamin D. In the case of premature babies, they can miss out on some of these goodies and this may be worth talking to a health professional about after they are born to see if these can be taken as supplements. For babies who make it to full term, they are reliant on the nutritional intake of the mother during this important phase of pregnancy. Once baby teeth emerge, products such as tooth mousse may be appropriate for remineralising the teeth, but it’s worth chatting to your paediatric dentist about the options.

When should you visit a dentist during pregnancy?

visit dentist during pregnancy

Routine dental treatment can be performed safely throughout a pregnancy, but it’s important to advise your dentist regardless. Lying back for extended periods is not recommended during the later stages of pregnancy as the pressure can restrict blood flow to your unborn baby. If you’ve left it a little late, discuss how your dentist can position you in order to minimise any risks.

If you don’t manage to make it to the dentist during your pregnancy, book yourself in for after your baby is born so you can have a routine check up to make sure everything is in order.

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Divorce Rates for Parents of Triplets and what you need to know to avoid the statistics

Divorce Rates for Parents of Triplets and what you need to know to avoid the statistics

Although bringing home a new baby is never easy, you can at least prepare for many of the challenges that parenthood brings. You can psych yourself up to understand that you’re not going to sleep properly for the next 3-17 years. You can come to terms with the fact that you will be forever tripping over toys and stepping on crayons. You can even learn to love Peppa Pig. You can, I promise.

However, there are some parts of becoming a new parent that you just can’t predict, expect, or prevent. Some new parents face depression, while others may be dealing with problems breastfeeding, health concerns, or a number of other issues. For some couples, a baby puts an immense and unexpected strain on their relationship.

Even a perfect baby who is eating and sleeping and smiling ever so sweetly can lead to relationship challenges. You don’t have to be a mathematical genius to figure out that triplets can multiply those challenges by three! In fact, a 2012 study showed that divorce rates in parents of multiples were significantly higher than other families. Yes, raising multiple babies at once will put a strain on your relationship (especially for first-time parents), but it doesn’t have to break it. Read on to learn about strengthening your relationship after bringing home triplets.

Understanding why divorce rates in parents of multiples are higher

Firstly, it’s important to realise that the study mentioned above didn’t find a staggeringly high divorce rate in parents of multiples – just a little higher than other parents. Having multiples certainly doesn’t make you destined to be dividing up your belongings anytime soon. That said, there are a few reasons why divorce rates in parents of multiples seem to be higher:

  • Emotional struggles. Raising multiples can be incredibly draining. Mothers of triplets are more susceptible to postnatal depression, which can also affect the health of your marriage (and other relationships). Many new fathers of multiples also experience emotional challenges adjusting to their new life.
  • Financial uncertainty. Babies are expensive, and triplets typically come with triple the cost. You may get a few “buying in bulk” discounts, but all those hungry mouths can certainly strain a relationship or make you concerned about the future of your finances.
  • Time constraints. We always hear that relationships are built on trust, but they’re also built over time. Discussing your individual days over a glass of wine, cooking dinner together, or even just snuggling on the couch are all things that build and strengthen a relationship. If there’s one thing that triplets know how to do, it’s suck every second out of your day. Not having time with your partner can sometimes create a void between the two of you that can be difficult to fill.

If triplets are now sounding like a bad idea, please don’t be alarmed. There are so many amazing benefits of raising multiples; it’s just also important to be aware of the challenges so that you can face them head-on. Many married couples raise multiples and live happily ever after. Here are their secrets.

How to strengthen your relationship when raising multiples

Just because divorce rates in parents of multiples are slightly higher than other parents, it doesn’t mean that your babies won’t be the best thing that ever happened for you and your partner. Here are some of the ways you can use your munchkins to bring you together.

  • Celebrate the little wins together. With multiples, one baby falling asleep is the cue for the others to start screaming in harmony. Although you may not get a moment’s peace and quiet, there are other things you can celebrate, like changing nappies in record time, or finding the ideal way of rocking your new little ones to sleep. Make sure you celebrate these moments – there’s always time for a quick high five!
  • Communicate your needs. Your partner wants to help – they probably just don’t know how. Make sure you’re very specific about what you need, and definitely don’t expect them to just know what to do. This is new territory for both of you, and it needs to be conquered together.
  • Re-connect in little ways. It might be a while until you can plan your next date night at a restaurant (or until you even have the energy to stay awake to make it to dessert), but there are other ways to re-connect and reduce any distance that may be creeping in. Summon the energy to spend a few minutes hearing about your partner’s day. If you’re both too tired to talk, just hug.

Don’t let the fact that there are slightly higher divorce rates in parents of multiples put you off. Raising triplets sure is a crazy rollercoaster ride (with somehow even more screaming than an actual rollercoaster), but there’s every chance that you and your partner will love each three times as much because of it.

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Mental Health in Parents of Multiples: How to Stay Sane with your New Babies

Mental Health in Parents of Multiples: How to Stay Sane with your New Babies

Having a baby on the way is exciting, daunting, fascinating, and overwhelming – all at once! Even if you’re already a parent, you have to prepare yourself for how this will change your life (again). Finding out that you’re expecting MULTIPLE babies is a whole new ballgame – how can you even prepare for that?! Caring for one baby takes all of your time, energy, and money – how are you supposed to look after three or more of them and not go crazy?!

Although looking after yourself may seem like a lower priority than caring for all of your new additions, prioritising mental health in parents of multiples is essential. Studies have shown that parents of multiples are more likely to experience depression, anxiety, and stress compared to those raising a single baby. The fact is, you can’t expect to be able to care for them well if you aren’t taking care of yourself.

Read on to learn how to manage your mental health and stay sane with multiple babes underfoot.

What challenges in mental health do parents of mutiples face?

depression after triplets

Raising multiple babies at once will likely be one of the most difficult challenges you ever experience. Even the most grounded, prepared, organised new parent will likely experience some form of mental health struggle when raising multiples – it’s just a lot to deal with. Some of the most common mental health challenges that parents of multiples may face include:

  • Baby blues. This is an incredibly common, normal condition that affects around 80% of new mothers. The cyclone of hormones in your body causes crazy mood swings, feelings of sadness/irritability, difficulty sleeping, and other fun symptoms. The baby blues can be tough, but symptoms usually resolve within around two weeks of giving birth. Since many higher order multiple births (triplets or more) involve a lengthier stay in hospital, its’ likely that you will have professional help on hand. Use this opportunity to talk through any tough emotions you’re experiencing and they can probably help you normalise those feelings and move through them easier.
  • Postnatal Depression. For many new mothers, postnatal depression symptoms are similar to the baby blues, but do not resolve within two weeks of having your baby. Once several weeks have passed and you’re still not feeling “okay”, it’s probably time to have a chat with your doctor. It’s also worth mentioning that new fathers of multiples frequently experience postnatal depression – this condition affects more than one in ten new dads. This condition should be treated seriously, not brushed off as ‘adjusting to the normal’ or ‘just exhausted’. Those are real things that are happening, but if you or your partner are having trouble bonding with your child, feeling highly agitated, teary or low mood, consider looking in to it a little further.
  • Anxiety and stress. Although constant anxiety and stress are often considered normal parts of raising a baby (or three… or four), they shouldn’t be. Of course there will be stressful moments, but constantly feeling anxious, stressed, or overwhelmed isn’t normal, and can have long-term effects on the health of you, your partner, and your new babies.

You may be more susceptible to these conditions if you have experienced any form of depression or anxiety in the past, or if it runs in your family. Similarly, new mums who have a challenging pregnancy, have previously experienced the baby blues, or have a history of postnatal depression may be more likely to experience mental health struggles when parenting multiples.

When you’re Expecting: Tips for Maintaining Good Mental Health in Parents of Multiples

Just as it’s important to prepare your home for multiple babies, it’s equally important to prepare your mind. From the day you learn you’re having triplets you can start taking action to mentally prepare yourself for the arrival of your babies and give yourself the best possible chance of staying on top of your mental health after your babies arrive. Here are some steps to take during pregnancy that will help maintain good mental health in parents of multiples:

  • Stay active. Non-weight bearing exercises that are gentle on your joints are a great way to keep both your body and your mind healthy during a multiples pregnancy. Try yoga, water aerobics, or pilates. A good, clinical pilates program helped me navigate my pregnancy without experiencing back pain and I personally found being in the water was an immense relief in the later stages of pregnancy as it took all the weight off me. Of course every pregnancy and every woman is different, so discuss your exercise plan with your doctor first.
  • Plan, plan, plan. Reduce your stress and anxiety levels by planning ahead for the arrival of your babies. Remember that triplets and quads will most likely arrive early – make sure you have all of your big baby purchases taken care of (car seats, pram, cots etc), a place for your babies to sleep, and lots of meals in the freezer. Consider having someone able to help walk your dog or feed your pets while you’re in hospital and having plenty of essentials – tinned food, toilet paper and diapers stocked up!
  • Join a support group. Even if you have a great network of friends and family to help you out, there’s value in finding a group of other expecting mums to spend time with. Sharing your fears, excitement, and struggles can be a great release, and it’s always reassuring to know that you’re not alone on this crazy journey.
    On this note, some parents of multiples can find being around a group of those expecting single babies makes them feel even more isolated. Find out if there’s a multiple births association or group in your area – these parents of twins and more will likely be more relateable and have some nuggets of wisdom to share with you.

Bringing Home Your Babies: Helping Mental Health in Parents of Multiple Newborns

Once your babies enter the world, your life will likely be turned upside down. The mental health of parents with multiples often takes a backseat when they bring their babies home as ‘survival mode’ takes over. Here are some tips for managing the mental health struggles you might face when your triplets arrive:

  • Eat the right foods. Make sure you’re not only eating enough, but that you’re also eating the right foods. Balanced meals and regular snacks every couple of hours will help to stabilise your blood sugar levels, which can boost your mental health and help you feel less frazzled or overwhelmed. It’s so easy to fall in to a trap of quick, high carb meals such as pasta, cereal or a handful of potato chips to get you by when you’re constantly on the go. Trust me when I say that good food will make you feel so much better! Pop a tray of carrots, sweet potatoes and beets in the oven once a week so you have some ready cooked veg in the fridge to simply reheat. A tub of hummus with carrot, bell pepper or a cucumber is a quick, yet healthy snack or a handful of almonds to get you through till dinnertime. Try to have easy, mess free options on hand such as bananas, berries and cherry tomatoes.
  • Reduce your social media use. Social media can be a great way to stay in touch with friends and family, but seeing pictures of your friends catching up for coffee isn’t always helpful when you’re sleep-deprived and drowning in diapers. Don’t compare yourself to others, either! Just because someone posts a picture of their baby sleeping, doesn’t mean they have a perfect baby that ALWAYS sleeps. People share their wins online and rarely the tough moments. Instead, set up a group chat with just a few trusted friends or try finding a podcast that makes you feel good and listen to that in the wee hours of the morning.
  • Communicate with your partner. It’s important to let your partner know if you feel as though you’re struggling. This will give them a chance to help you out as much as possible and look out for your mental health. You may even be surprised to learn that they’re feeling the same way, which can be oddly comforting. It’s unlikely that any parent of multiples of is feeling ‘excellent’ in the early days, but if you can be open and honest, then you may find you can lift a little when your partner is doing it particularly tough and they can do the same for you.

If you are experiencing any of the symptoms listed above, or just generally feel as though your babies are bringing you down, it’s important to take action. Mental health in parents of multiples should not be neglected just because you have your hands full. Talk to your partner, talk to a friend, and talk to your doctor to find a solution that helps you get back to loving life with your triplets.

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Postnatal Depression and Triplets – you’re not alone.

Postnatal Depression and Triplets – you’re not alone.

If you’ve experienced the “joys” of pregnancy, you’ll know firsthand that there’s not a single part of your body that’s unaffected by all the fun hormonal changes you’re going through. Unfortunately, hormones continue to rule your life after you give birth. They are incredibly important – they help keep you and your baby happy and allow you to do things like produce milk. Still, these intense hormonal changes can also wreak havoc on your mental health and cause severe conditions like postnatal depression.

For new mothers of triplets, postnatal depression is especially common. It’s been fairly well established that caring for multiple babies puts you at a higher risk of developing postnatal depression. Even if you’re enjoying your pregnancy (apparently it’s possible) and feeling great about life, it’s crucial to be aware of the signs of postnatal depression, because you never know what your body has in store for you after you give birth. Read on to learn all you need to know about triplets and postnatal depression.

What exactly IS postnatal depression?

Postpartum depression triplets

Firstly, it’s important to understand that postnatal depression is not the same as what is often called the “baby blues”. The baby blues is very common – it’s estimated that 70-80% of new mothers experience some form of baby blues. The baby blues usually involve feeling sad, crying for no real reason, feeling impatient, irritable, anxious, restless, and undergoing extreme mood swings.

Of course, a new baby (or especially multiple babies) is a HUGE change in your life, and it’s completely normal to feel overwhelmed by everything you’re experiencing. As you slowly adjust and settle into life with your newborn, the baby blues gradually subsides. Most new mums are feeling a lot better within around a fortnight of delivering their babies.

If your symptoms are severe or last longer than a couple of weeks, you might be experiencing something more serious than the baby blues. Postnatal (or postpartum) depression affects around one in nine new mothers (though, as mentioned, postnatal depression with triplets is more common) and needs to be addressed immediately.

It’s not known exactly what causes postnatal depression, but good old hormones are believed to play a role. The hormonal changes experienced immediately after giving birth are intense – your levels of estrogen and progesterone are sky-high at the end of your pregnancy, then plummet within 24 hours after you have your baby.

How do you know if you have postnatal depression after triplets?

Let’s be honest, there’s nothing easy about having triplets. The mood swings start during pregnancy, and they don’t let up once your bubs enter the world. You haven’t slept for months, you don’t remember the last time you had a second to yourself, and you’re seriously second-guessing your ability to look after THREE of these helpless little blobs. All of these feelings are a normal part of having triplets. Even with the most helpful support network of cheerleading champions, it’s completely normal to feel like you’ve reached your limit. Here’s what’s not normal:

  • Crying frequentlyfor no reason, especially if it is still happening a month or more after giving birth
  • Often feeling worthless or hopeless, even though your babies are healthy and happy, and everyone around you is telling you that you’re doing a great job
  • Not bonding with your babies or enjoying your time with them
  • Lack of appetite despite your body needing more calories and nutrients than ever before
  • Inability to sleep (in the rare instances you get an opportunity to) even though you’re exhausted
  • Anxiousness or panic attacks or being unable to complete daily tasks
  • Thoughts of harming your babies or yourself

These are very serious symptoms and are all indicators of postnatal depression with triplets. Speak to your doctor as soon as possible – they can help you find the right treatment so that you can get back to being a supermum.

Reducing the chances of postnatal depression after triplets

postnatal depression triplets

Once you learn you’re having triplets, it’s important to understand that your risk of postnatal depression increases. You’re also at a higher risk if you’ve experienced depression before or if it runs in your family. Although hormonal changes are out of our control, there are still a few things you can do (during pregnancy and after you give birth) that may help to reduce your chances of developing postnatal depression after triplets:

  • Rest up. Yes, yes, it’s not exactly easy to sleep comfortably when you’re pregnant with triplets, or after they’re born and refuse to go down at the same time. However, getting enough sleep will make a world of difference to your mental health. Try for a four-hour block of uninterrupted sleep if possible – you’ll feel incredible.
  • Stay active. In general, exercise is great for keeping depression at bay, and this holds true for postnatal depression as well. When you’re feeling up to it, try some light stretching, yoga, or even a short walk outside to keep stress hormones like cortisol at bay.
  • Ask for help. It’s TRIPLETS. You can’t do this on your own, and you shouldn’t try. There are probably heaps of people around you who would love to help out – you just have to tell them what you need! Make the most of your support network; it’s what they’re for.
  • Treat yourself. There’s nothing selfish about self-care. Look after your mental health by taking some time out to have a bath, call a friend, or do whatever else helps you to relax and reset.

Triplets and postnatal depression – how to find help

Postnatal depression is a very serious condition and needs to be treated right away. For postnatal depression and triplets, make sure you consult your doctor right away. There are also lots of resources available if you believe you may be suffering from postnatal depression, or if you would just like someone to talk to:

Postpartum Support International – Australian Resources

Beyond Blue

COPE

Don’t hesitate to reach out – postnatal depression after triplets is far more common than you may realise and is no reflection on you, your coping mechanisms, or your parenting skills.

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Thinking About Delivering Triplets Naturally? Here’s what you need to know…

Thinking About Delivering Triplets Naturally? Here’s what you need to know…

Of the five million decisions facing every expecting mother, figuring out how to give birth is one of the most personal and important ones to make. There are more options than ordering a sandwich at Subway – “Natural vaginal birth? C-section? Waterbirth? Homebirth? Would you like a side of epidural with that?” It’s important to consider all of your options and create a birth plan that is best suited to you and your new little one. If you’re expecting multiples (congratulations and good luck!), you definitely need to factor this into your birth plan. Read on to learn everything you need to know about delivering triplets naturally.

Why choose to deliver triplets naturally?

Firstly, a “natural delivery” means different things to different people. Some expecting mums interpret a natural birth as a vaginal delivery with only minor/necessary medical intervention. In contrast, others take it to mean a vaginal birth without any medical intervention whatsoever – no surgical procedures and no pain relief. It’s easy to be drawn to the idea of a natural delivery, especially now that phrases like “all-natural” and “naturally-derived” are splashed across products that are supposed to be better for our bodies.

vaginal delivery with triplets

These are some of the most common reasons for choosing a natural delivery:

  • It can be empowering. Have you ever wondered just what you’re capable of? Do you like testing your body and pushing it to the limit? A natural delivery will do just that, and you will know for the rest of your life that you have experienced one of the most painful sensations known to womankind, and lived to tell the tale.
  • Breastfeeding may come a little easier. The hormones produced as a result of your body going in to labour start initiating milk production. While the lactation process will still occur one your uterus begins contracting after birth, it can take a little longer for those hormones and the subsequent milk production to get flowing. Talk to your midwife for assistance in getting your milk supply up and don’t worry if a natural delivery isn;t an option for you…plenty of women have had caesarean section births and successfully breastfed triplets or more!
  • It adds to the “primal” aspect of pregnancy. Being pregnant is the most natural thing in the world – humans and other animals have experienced pregnancy since the dawn of time. For many women, keeping the experience as “pure” and as primal as possible is an important part of the journey.
  • Your little one’s lungs may get a helping hand. Contractions during labour can be great for helping clear the gunk out of babies’ lungs as they pass through the birth canal and make their journey into the world. Research publisjed in the British Medical Journal reported that babies born via caesarian section are up to four times more likely to experience breathing difficulties in the first few days following birth compared to those delivered naturally.
  • It’s certainly an experience you will remember. You won’t lose any sensation or alertness during a natural delivery. In fact, the whole experience will likely stick with you very vividly for years to come, whether you like it or not. One reassuring thought for you…while the idea of pushing multiple babies out may seem daunting, multiple births are usually smaller sized babies than their single birth counterparts!

Although some people see benefits in a natural birth, it’s not the safest option for everybody. Complications may arise if your pregnancy is considered “high risk,” or if you have certain medical conditions. Also, although single babies and often twins can be delivered naturally, delivering triplets naturally is not usually recommended.

Why delivering triplets naturally might not be your safest option

The general rule of pregnancy is that it’s better to keep the babe incubating in the uterus for as long as possible. However, this advice changes when you’re cooking multiple babes. Delivering triplets naturally rarely happens and isn’t recommended by health professionals. Getting one baby out of there is hard enough, but with three, the risks greatly increase – the placenta or umbilical cord can become compressed, or the babies can become entangled.

If the first triplet is born vaginally, the risks for the other babies are amplified. They suddenly have much more space to move around in the uterus, increasing the chances of becoming tangled or in the wrong position for birth. The risk of placental abruption also increases after the first triplet is delivered vaginally.

Most obstetricians will prefer to approach a triplet delivery via caesarian section, simply because it is challenging to monitor the foetal heartbeats when there are multiple babies. If one of your babies is in distress, it can be harder for them to detect this and intervene if necessary. These are some of the reasons why many medical professionals don’t generally recommend delivering triplets naturally.

What are the alternatives to delivering triplets naturally?

Although there are instances of delivering triplets naturally, it’s a pretty rare occurrence. Triplets are almost always delivered by cesarian section (C-section) as this offers more control over the delivery and can be scheduled in advance. Many women are relieved to have a scheduled delivery date, and as triplets often require extra medical care after birth, it’s safest to have everything arranged in advance.

If you’re expecting triplets and were hoping for a natural delivery, it may be possible if you discuss the options with your medical team. However, there are certain instances when a natural birth will definitely not be recommended, including if:

  • One or more of your babies are breeched/not in a safe position
  • Your placenta is low-lying
  • Your triplets are all sharing one placenta
  • You have previously had a C-section or a difficult/complicated vaginal delivery

If any of those scenarios apply to you, you will need to deliver your triplets via C-section in a hospital.

Naturally delivering triplets: Can it be done?

There are certainly greater risks associated with delivering triplets naturally compared to single babies or even twins. It may be possible, and if it is something you feel very strongly about, you should discuss your options with your doctor/midwife/OBGYN.

At the end of the day, the most important thing is to ensure your babies enter the world safely, and you are there to welcome them into your soon-to-be-very-full arms.

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6 Early Symptoms of Triplet Pregnancy (because you just know, right?)

Okay, so triplets was a surprise. But I had a hunch it was twins!

I’ve spoken to so many multiple birth mamas out there who had a whole range of pregnancy symptoms early on, but the following ones have been pretty damn consistent across the board. Many are also experienced in single pregnancies, but it seems that the magnitude it greater and they are felt a lot sooner when you’re infested with, I mean pregnant with more than one tiny human. It might be too soon to get an ultrasound just yet, but if you’re gut is telling you there might be more going on that usual (and let’s face it, if you’re reading this article, you must think there’s something going on), read on to hear what a whole bunch of triplet mums have reported in the early days of their pregnancies.

Fatigue in multiple pregnancy can feel like you’re soul is leeching out of your body.

There’s no mistaking this symptom. While every woman is different and the signs of more than one baby on board can vary, every mum of higher order multiples I’ve spoken to has described this overwhelming exhaustion that consumes them. It might start as an afternoon crash – the kind that makes you wonder if you’re coming down with something or overdoing it and need to turn in early for a few nights. The tiredness progresses to an all consuming heaviness that will have you wondering what the heck is going on when you pour your fourth cup of coffee before midday. You’re growing a tribe, sister – no wonder you’re exhausted!

symptoms multiple pregnancy

Need to pee all the time?

The need to urinate frequently in the later stages of pregnancy because your babies are putting pressure on your bladder makes complete sense, but many women find they need to pee more regularly in the first few weeks too. This is because of the changes in hormones, and with more babies comes (you guessed it!) more pregnancy hormones! You’ll need to make sure you keep yourself hydrated, so to give yourself the best chance at a good nights’ sleep, try to drink large amounts of fluids earlier in the day so you can cut back before you head off to bed.

Triplets will show earlier than normal on a home pregnancy test

Home pregnancy test kits work by detecting the levels of HcG hormone in your urine. Testing in the first couple of days of your missed period won’t always show a positive result in single pregnancies, but if there’s more than one baby growing in there, there’s higher levels of hormones happening and you will see results earlier and usually with stronger lines on the pee stick. If you’re getting very distinctive positive readings and its’ early in the cycle, there’s every chance you’ve got more than one passenger on board!

Everything smells awful.

I remember throwing out a dozen perfectly good eggs because they smelt off to me, then cursing the local supermarket when I opened a second carton, to find they also seemed to be bad. Turns out the smell of a raw egg continued to resemble fart for the remainder of my pregnancy.

Many women report being sensitive to smells during pregnancy and it seems that multiple pregnancies can bring this on a little sooner and stronger. Raw meat is a common culprit, so before you throw that pack of chops in the bin, maybe get a second opinion. And you might choose to leave the bbq to your partner and focus on prepping the sides instead for a while!

The hangover without the fun party the night before.

So, not only do bad smells (thats aren;t actually bad smells, but you brain thinks are bad smells) make you feel like throwing up, but now you get to feel like throwing up in between the bad smells. Fun, huh?

For the luckiest of gals, the feeling of nausea comes with real, actual throwing up. Nausea during pregnancy (especially during the first trimester) is quite common, but when those pregnancy hormones are elevated, it can start to cause a case of the voms earlier than normal and with more, er, gusto? Feeling queasy and exhausted might indicate a viral infection, but if you’re due to bleed and there’s a chance you might be pregnant, it might be worth a trip to the store for a home pregnancy test!

A blubbering emotional mess.

I used to sneer at the stereotypical portrayal of pregnant women as teary, psychopathic bags of hormones. Then I found myself pregnant with triplets. Fortunately, my irrational, unpredictable emotional rollercoaster ride only really ensued for the first few weeks of the pregnancy before leveling off to a degree of over-sensitivity than many women (or perhaps just their husbands) would describe as normal.

The surge of hormones than are racing through your body take a little getting used to and so those first weeks can be tough as you find a way to adjust. If you’re not usually a teary person (such as myself) and suddenly find yourself bursting in to heavy sobbing because it started raining (although you have no plans that require you to go outdoors), it could be a sign that there are some serious pregnancy hormones at play!

How early can you feel movement with triplets?

Believe it or not, there doesn’t seem to be a lot of difference in how early you’ll feel your babies move when compared to a single pregnancy. If you’ve been pregnant before, you’re often able to feel movement earlier than first timers, probably because you’re more tuned in to what you’re actually feeling. Many women report those first movements as flutters and even mistake them for wind. I would describe the first movements I felt as being like a goldfish in my tummy. Some women report feeling their babies move as early as 13 weeks, but more most it’s usually well in to that second trimester.

With triplets and higher order multiples, once you get past the halfway mark, you will be in for a treat as often when one baby becomes active, they tend to wake the others and you will have what feels like an octopus wriggling around in your belly. As your babies grow it can make for quite a show when you can see your belly squirming from the outside!

At the end of the day though, we’re all different. Some women have easier pregnancies than others and the end goal is to have all your babies safe and healthy at the finish line.

Whether you have one, two, three, four or more – you’re so fortunate to have this experience. The bad bits pass, but the best bits do too, so cherish it all. If you are expecting triplets of higher order multiples, check out some advice from women who have been there and done it before.

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Should I separate my triplets at school?

Should I separate my triplets at school?

The last few decades have seen a rapid increase in the birth rate of twins and multiples in the United States, Australia and much of the developed world. This is due partly thanks to fertility treatments, but also because of lower infant mortality rates and better healthcare services as a whole. In fact, some studies have placed the figure of increase as high as almost 50%, meaning there are several million twin, triplet, and higher multiple births every year.

One result of this phenomenon is that the discussion of how best to approach the education of twins and higher multiples in schools has gained more and more mainstream attention. Despite the attention, however, educators and parents often disagree on whether it’s better to keep siblings who are triplets or higher order multiples together in the same classroom, or if separating them is the better way to go. There are clear benefits to each approach, and this article covers the pros and cons of both.

How Separation May Benefit Children of Multiple Births:

Many experts have long contended that separation is the best way to encourage children to develop their own personalities without the often strong and potentially overriding influence of a sibling classmate. Their thinking is that children are more likely to become very dependent on a sibling if they are placed together in the same class at a young age. In fact, an enforced remedial solution to this issue is that many school programs mandate the separation of multiples in the classroom.

One way separation may help is that it can lower the incidence of negative comparisons between the kids. As an example, if one child is labeled ‘the troublemaker,’ he or she is more likely to behave in that manner – a self-fulfilling prophecy because the child ends up thinking that they are, in fact, predisposed to being a certain way. This becomes a barrier to change and/or improvement. What doesn’t help is the fact that parents, classmates, and even teachers may also use, even if unconsciously, either positive or negative adjectives simply in order to distinguish between each child.

Furthermore, keeping twins or triplets in the same class may lead to one child becoming the dominant member of the group, relegating the others to being shy or unwilling participants in activities. In the same vein, separation helps if there are major differences in the abilities of each child; if one is exceptionally gifted and one is average, separating them is probably best, and the same goes for separating them based on other factors, such as language ability or even gender.

The Negative implications of separating twins or triplets at school:

One study showed that an overwhelming majority (86%) of the parents of twins and higher multiples felt that their children should be kept together in class because separation has been shown to cause a lot of stress to small children who are used to always being together. Also, from the perspective of the teacher, keeping siblings together gives the teacher more opportunity to get to know the children and their family better.

In fact, there is a lot of research that indicates that children actually perform better in class when they are kept together as opposed to when they are separated. Separation has been shown to cause depression and emotional distress in children, and these are things that can be mitigated by having a sibling peer in class, someone who can be a pillar of support and who can help the other to overcome academic and social challenges when needed. Two studies – one that was conducted in the Netherlands and the other that was a joint British and American study – found that separated siblings (twins and triplets) had higher levels of stress and exhibited more emotional distress than twins and triplets who were kept together in the same class. The same study also found that the reading scores of separated siblings were lower than siblings who were kept in the same classroom.

It may be that because our culture appreciates and rewards uniqueness, people incorrectly equate sibling closeness with a lack of individuality, but based on this logic, close friends should also be separated in class as well, but you don’t find anyone pushing such an agenda to local and state policymakers. Why the conflict in reasoning?

Additional benefits of keeping multiple birth siblings together include the following:

  • Sharing textbooks and doing homework together is easier
  • You can more easily plan study and play time, as well as projects
  • It’s easier to work out parent attendance on field-trips/events, PTA meetings, and class presentations
  • You can develop a closer social circle and friends that you see at birthday parties and holidays
  • If you need to know about something that happened during school, if your child bottles up, you would never know what happened, and you wouldn’t have the other child there to speak up on his or her behalf
  • It is important for children, especially young ones, to have the reassurance that someone is by his or her side
  • If one child is inadvertently left out of class activities, he or she has their sibling or siblings around to include them
  • The simple logistics of running a household – especially with triplets or quadruplets that all have different teachers, schedules, homework assignments, and the like – can be difficult if not impossible, especially for single parents or those who work full-time jobs

So, it is best to separate triplets or keep them together?

Despite the benefits of keeping twins and multiples together, it is something that is not widely supported by schools. While it is true that such rules are often a result of the need to create a certain balance of gender, racial, and socioeconomic backgrounds in a given classroom, it sweeps aside genuine cases in which bending or breaking the rules may actually be beneficial. Having said this, school districts really should consider each specific situation on a case-by-case basis. Keeping twins and multiples together in the classroom gives them a support system as they embark on the trying rite-of-passage or starting school; in fact, separating them might even send the wrong message that it isn’t acceptable for them to work together.

If you are worried about what to do, don’t be; all is not lost! Even if siblings are kept together, teachers can still do a lot to provide them with the opportunities they need to grow and develop their own unique personalities. For example, the teacher can separate kids in the class into different groups to give every student opportunities to become friends with other classmates, and there are lots of other creative ways that children can be encouraged to work with other kids and to further promote their development of leadership and individuality.

The Bottom Line

Research seems to favour the idea that keeping twins, triplets, and children of higher multiple births together is better for the growth and development of the children, and that the children grow better academically, socially, as well as emotionally if they are kept together from a young age.

However, as your children grow up, they themselves may prefer to be separated so that they face less competition and can enjoy more independence from their siblings. Educators and parents need to consider what is best for the children, and the children themselves should be given the opportunity to share their opinions about being in class together or in separate classrooms. Remember that the most relevant insight into what’s working and what isn’t can actually be taken from the children themselves, so be sure to consult your children to hear what they would rather do or not do.

Key points:

  • There is no consensus on what the best thing to do is
  • Proponents of separation claim that separation is better for each child’s independence
  • Opponents of separation cite studies that have shown child progress to be slower when they are separated
  • The best thing to do is to consider the views of each child, the logistics of running your home, local laws, and the availability of social support mechanisms before deciding.

What has your experience been with educating triplets or quadruplets? What do you think is the right thing to do, and what can schools and teachers do to help children grow and develop in the best possible manner from a young age? Share your comments below.

Sources:
https://www.twiniversity.com/2016/03/pros-and-cons-of-separating-your-twins-in-school/
https://link.springer.com/article/10.1007/s10643-011-0501-x

Further reading:

Because of the very real and valid concern that many parents have about not being able to keep their twins or triplets together in class because of local or state laws, there are organizations that can help you fight a case to keep your kids together should you face obstacles in doing so. For example, TAMBA in the UK (the Twins and Multiple Births Association) helps parents plead their case to teachers, principals, school governors, and the relevant Department of Education when there is a valid need to keep children together, and they even provide useful downloads and forms to help you get your case initiated. Learn more here: https://www.tamba.org.uk/Parenting/Primary/Separation.
Find out what your local laws are and see if there are groups or communities that can help you with your cause.

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Questions to ask your doctor if you’ve just found out you’re expecting triplets or more.

Expecting a child is an exciting time but it can also be a physically and emotionally trying one as well. This holds true even more if you are expecting more than one child. In fact, common questions on the minds of expectant mothers often include everything from how to pay for healthcare expenses and how much weight to gain to recommended lifestyle changes to make and details about actual birth and delivery. If you are expecting triplets or more, some questions are more important than others. Below is a list of things to discuss with your doctor as your pregnancy progresses, so read on to learn about what you need to know.

What is the ideal amount of weight to gain during a triplet pregnancy?

Studies have shown that there is a strong correlation between gaining the right amount of weight and the healthy growth of your babies. These studies go so far as to say that weight gain before Week 20 can help in the proper functioning and development of the placenta. Women who are of normal weight before their pregnancy should gain between 35 and 50 pounds. Women who are somewhat overweight are advised to gain somewhere between 30 and 50 pounds.

Do I need to consult with a perinatologist if I am pregnant with more than one baby?

A perinatologist is a doctor who specializes in the treatment of high-risk pregnancies, including triplet or higher order multiple pregnancies. In case you are wondering, pregnancies with twins and above are classified as high-risk, regardless of other background or health factors you may or may not have. If you are at an advanced age or are in a particularly high risk group as a result of having diabetes, high blood pressure, or other factors, or if you have had pregnancy-related complications in the past, then it is probably better to see a perinatologist. If not, and if your doctor assures you that things are progressing normally with your pregnancy, then you can continue to only see your primary doctor.

Can I have sex during a triplet pregnancy?

what to ask my dr about pregnant with triplets

Some doctors worry that sex during a triplet pregnancy can set off preterm labor. However, research strongly suggests that having sex during a triplet pregnancy is actually quite safe, as long as you have no other health-related red flags or warning to watch out for as advised by your doctor.

Is bed rest really necessary when carrying triplets or more?

Again, many doctors prescribe bed rest for women carrying twins or more to help offset the chances of preterm labor. However, most research does not back up this somewhat antiquated practice. In fact, for some women, bed rest can actually increase their chances for preterm labor. Having said this, getting an adequate amount of rest while you are pregnant with triplets is very important, so try to take more frequent breaks and reduce your overall activity. The fewer calories you burn, the more your babies will have.

Do I need to be induced if I go past Week 35 in a triplet pregnancy?

If everything is going well, you can expect things to go normally until past week 32. Doctors don’t usually recommend that you carry your babies for too much longer than that because of the risk of complications that can arise for expectant mothers carrying triplets as a result of the reduced space in the womb, as well the speed with which the placenta breaks down

Is there any kind of specific exercise that I need to do when carrying multiple babies?

Exercise always helps, but it depends on your personal activity level and the needs of your pregnancy. Someone who frequently works out in the gym will have different needs from someone who is less active. In general, some light exercises are helpful, and your doctor may recommend that you do a few light activities a few times a day. The bottom line, however, is that you should try to be active throughout your pregnancy, but do only low-impact exercises such as prenatal yoga or walking.

What foods or vitamins do I need to take during a multiple pregnancy?

You should try to avoid raw fish and raw eggs, and you might need extra meat in case you suffer from anemia. Also, regularly taking the vitamins your doctor prescribes for you is absolutely necessary; taking adequate amounts of the right vitamins can really lower your chances of facing complications as your pregnancy progresses. The most basic of vitamin regimens include regular doses of vitamin D, iron, calcium, and folic acid (all of these are necessary for the healthy development of your babies).

Are there any specific symptoms I should watch out for during a triplet pregnancy?

Pregnancy symptoms vary from person to person. If your doctor knows you and your family well, or if they at least take your detailed history prior to becoming your consultant (which they will have done), then they will be able to tell you which symptoms are expected for you and which ones might be cause for concern. At the very least, you can expect somewhat more severe morning sickness and breast tenderness, not to mention much quicker weight increases as compared to single pregnancies with triplets.

Sources:
https://sleepingshouldbeeasy.com/2017/05/14/pregnancy-questions-to-ask-your-doctor/
http://blog.southshorehealth.org/five-questions-moms-pregnant-with-multiples-should-ask
https://www.healthline.com/health/pregnancy/pregnant-with-triplets
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What are the most common complications during triplet pregnancy?

What do you need to know about triplet pregnancy?

Being pregnant with triplets means both you and your babies are at higher risk of developing health complications as compared to a pregnancy with twins or a single baby.

Common complications of pregnancies with triplets include premature birth and low birth weight.

Extra prenatal care is needed so that your healthcare practitioner can keep a closer eye on you and your babies during your pregnancy.

Remedial actions that should be taken to reduce your exposure to risk and complications include early confirmation of the type of pregnancy you are having, and educating yourself about warning signs to watch out for.

Just found out you’re expecting triplets?

With each additional baby that a woman carries during her pregnancy, there is an increase in the chances and likelihood of developing a pregnancy complication. When it comes to having more than one baby at a time, twins, therefore, have the lowest chance of complication as compared to other types of multiple pregnancies, and the chances go up for triplets, quadruplets, and beyond.

Common Complications with Triplet Pregnancies:
multiple pregnancy complications

Here are brief explanations of some of the more common complications of birth with triplets. The same complications are common with higher order multiples such as quadruplets and the risk often increase as the number of babies goes up.

Preterm Delivery
Preterm or premature delivery can be defined as a pregnancy that lasts less than 37 weeks. The actual length of gestation usually falls with each additional baby that the mother carries, and most pregnancies last, on average, 39 weeks for single pregnancies. Pregnancies with twins typically last 36 weeks, and about half of them are delivered preterm. Pregnancies with triplets, on the other hand, usually last about 32 weeks, but 9 out of 10 of them are preterm, with higher order pregnancies almost always being preterm.

Low Birth Weight
Babies born under 5.5lbs are classified as low birthweight babies. Babies that weigh less than 3.3lbs and who are born before 32 weeks are more likely to develop complications and may suffer long-term health issues such as slow mental development, cerebral palsy, and loss of vision or hearing.

Intrauterine Growth Restriction (IUGR)
This phenomenon occurs because babies sharing the same womb, and in many cases, the same placenta, compete for nutrients and space. With multiple pregnancies, while the fetuses grow at approximately the same rate in the beginning, the rate then slows, and it slows earlier and earlier the more fetuses there are in the womb.

Anemia
Anemia is a shortage of red blood cells and hemoglobin. Symptoms of anemia include tiredness, paleness, shortness of breath, and passing out. An iron-rich diet can help fight off anemia by keeping hemoglobin levels up, and good foods to have include lentils, dark and leafy green vegetables, and anything fortified with iron. You can even take supplements to bring your iron levels back up to the recommended or required level.

Preeclampsia
Preeclampsia is another name for pregnancy-related high blood pressure. Twin pregnancies are two times as likely to develop preeclampsia as single-baby pregnancies, and 50% of triplet pregnancies develop preeclampsia.

Fetal Death
Intrauterine fetal death, while uncommon, is still a risk for multiple births. You may have to induce labor or have a caesarian to avoid the risk of losing the other fetuses, but ultimately your healthcare practitioner will determine for you what plan of action is best if you are faced with a fetus that has died while still in the womb.

Common questions from those expecting triplets:

The following questions and answers provide useful information on having triplets or higher order multiple pregnancies and the risks associated therewith.

Is it true that multiple pregnancies are riskier than single pregnancies?

In terms of simple risk, the answer is yes. While it is true that the vast majority of births in the US result in healthy babies, any pregnancy that involves two or more babies can be labeled high risk. Furthermore, the more babies there are, the higher and higher the risks are.

What is the incidence rate of premature delivery?
Roughly 6 in 10 twins and 9 in 10 triplets are born prematurely. Premature delivery does not necessarily mean you can definitely expect health complications, but the two things are correlated and the incidence rate of complications – including premature delivery – is higher with higher multiple births.

Will I necessarily have a cesarean while having triplets?
Being pregnant with multiples does not necessarily mean that you will have a cesarean birth. Twins are often delivered vaginally, and such delivery depends on the position of the babies in the womb, but with triplets and higher order multiples, a cesarean is usually recommended.

What risks are associated with premature deliveries?
The entire aura and even the science behind gestation and birth are magical for a reason. Because the undelivered baby goes through specific cues before being born, it gets ready, in a way, in a step by step manner for the outside world. Premature babies do not go through all of these steps (the same is true to a certain extent for caesarian babies that are not delivered vaginally) and as such, vital organs including the lungs and brain of preemies may be underdeveloped. Their immune systems may not be ready either, meaning they will have a harder time fighting infections, and they may not even be able to suck or swallow.

Will I need bed rest during my pregnancy?
Your doctor may put you on bedrest because reducing your overall physical activity and taking breaks can be good for you, but it really depends on you, the growth of your babies, and the recommendations of your doctor.

How can I reduce my exposure to health risks?
Many complications arise over time and don’t have as much to do with specific lifestyles or behaviors as many people think, so getting an early confirmation of the type of pregnancy you are having is the best way to give your doctor the time they need to handle any issues that may come along. You should also educate yourself about common risks and complications, learn what common warning signs of different risks and illnesses are, and keep yourself healthy and hydrated.

Sources:
https://www.marchofdimes.org/complications/being-pregnant-with-twins-triplets-and-other-multiples.aspx
https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=85&ContentID=P08021
https://patient.info/health/multiple-pregnancy-twins-and-triplets
https://www.tamba.org.uk/pregnancy/complications
http://americanpregnancy.org/multiples/complications/
https://www.babycenter.com/0_pregnant-with-multiples-potential-complications_3584.bc
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