Finding out you’re expecting twins or more can feel both magical and nerve-wracking. There’s excitement, joy, and a fair bit of anxiety. Managing two (or more) babies at once is never easy — and neither is carrying them safely. That’s where expert care steps in.
With advanced fetal medicine services in Kolkata at Fetomat Wellness, expectant mothers can navigate multiple pregnancies with confidence. From early monitoring to delivery, fetal medicine specialists ensure you and your babies stay safe at every step.
Learn how fetal medicine supports twin and multiple pregnancies, what tests are needed, and how personalised care makes the journey smoother.
Understanding Multiple Pregnancies
Types of Multiple Pregnancies
When it comes to twins, not all pregnancies are alike. Some twins are identical, sharing one placenta, while others are fraternal, with two separate placentas. In rare cases, you may even have triplets or quadruplets.
Multiple pregnancy care focuses on identifying these types early because each requires a different medical approach. Identical twins often need closer supervision due to shared blood flow and placenta-related risks. Fraternal twins usually have fewer complications, but still require frequent monitoring.
A detailed fetal ultrasound scan in the first trimester helps determine the type of twins, which guides further management throughout the pregnancy.
Risks Associated with Twins and Higher-Order Pregnancies
Carrying more than one baby increases the physical demands on your body. The uterus stretches more, nutritional needs double, and risks also rise.
Common complications in multiple pregnancies include:
- Preterm delivery before 37 weeks
- Low birth weight
- High blood pressure and preeclampsia
- Gestational diabetes
- Twin-to-Twin Transfusion Syndrome (TTTS) in identical twins
Without proper medical supervision, these risks can escalate. But with timely multiple pregnancy care and fetal medicine services, doctors can detect warning signs early and prevent emergencies.
Role of Fetal Medicine in Multiple Pregnancies
Early Monitoring and Assessments
Fetal medicine specialists play a crucial role right from the start. Through fetal medicine services, they assess the health of both babies and the placenta.
Early scans identify the number of fetuses, chorionicity (shared or separate placentas), and amniotic sacs. These details help predict risks and guide the frequency of checkups.
With advanced ultrasound and Doppler imaging, specialists monitor fetal growth, blood flow, and amniotic fluid levels. Regular assessments help detect conditions like TTTS or growth restrictions before they turn serious.
Managing Complications
Even in well-monitored pregnancies, challenges can arise. Fetal medicine teams focus on managing twin pregnancy through a proactive plan.
If growth differences appear between the babies, doctors adjust diet, rest, and monitoring schedules. For gestational diabetes or preeclampsia, they tailor medication and observation.
If one baby grows slower than the other, special ultrasound studies assess blood flow and oxygen supply. These small interventions make a big difference in keeping both babies healthy.
Common Tests and Procedures
Ultrasound Monitoring for Multiples
Fetal ultrasound scans are performed more often in multiple pregnancies than in single ones. Typically, mothers undergo scans every 2–4 weeks from the second trimester onwards.
These scans track fetal growth, fluid balance, and placental health. Specialists also check for signs of anaemia, structural defects, or cord entanglement in identical twins.
This continuous monitoring forms the backbone of fetal medicine services in Kolkata, ensuring no risk goes unnoticed.
Non-Invasive Prenatal Testing (NIPT)
Prenatal testing for multiples offers vital genetic insights without harming the babies. NIPT analyses fragments of fetal DNA from the mother’s blood to screen for genetic abnormalities such as Down syndrome or Edwards syndrome.
While not diagnostic, it’s a safe and highly accurate way to detect potential issues early. If results suggest any concerns, fetal medicine experts may recommend confirmatory tests like amniocentesis.
Other Diagnostic Procedures
Sometimes, further testing becomes essential. Procedures like amniocentesis or chorionic villus sampling (CVS) provide genetic confirmation.
Fetal specialists perform these tests under ultrasound guidance, ensuring precision and safety. Advanced fetal medicine services make these procedures smoother and reduce anxiety for parents.
Planning and Interventions
Timing of Delivery and Hospitalisation
Multiple pregnancies automatically fall under high-risk pregnancy care. Deciding when and how to deliver becomes crucial.
Fetal medicine experts and obstetricians collaborate closely to plan your delivery. The timing depends on factors like fetal growth, maternal health, and the number of babies.
Twins are often delivered around 36–37 weeks, while triplets may arrive earlier. Doctors balance between avoiding premature birth and preventing complications from prolonged pregnancy.
Medical Interventions for Complications
If complications arise — like TTTS, abnormal growth, or placental issues — fetal medicine specialists act swiftly.
They may recommend medication, hospitalisation, or even minimally invasive procedures to correct imbalances.
Modern technology allows doctors to treat some fetal complications inside the womb, improving survival rates and reducing neonatal challenges.
Nutrition and Lifestyle Guidelines
Diet Recommendations for Multiple Pregnancies
Nutrition becomes doubly important when carrying more than one baby. You need additional calories, proteins, calcium, and iron to support healthy growth.
Doctors may recommend supplements rich in folic acid and vitamin D. A balanced diet including lentils, dairy, green vegetables, and whole grains supports steady development.
Regular check-ins with your obstetrician or nutritionist form part of comprehensive multiple pregnancy care.
Exercise and Activity Guidelines
Staying active helps maintain circulation, control weight, and reduce back pain.
Under prenatal care guidance, doctors often suggest light yoga, walking, and breathing exercises. Avoid strenuous workouts or long hours of standing.
Adequate hydration and frequent rest breaks keep your energy stable and lower stress levels.
Emotional and Supportive Care
Counselling for Expectant Parents
Expecting multiples brings emotional highs and lows. It’s natural to feel anxious about your health, delivery, or parenting journey.
Pregnancy counselling services help couples cope with these feelings. Trained counsellors guide parents through stress management, communication, and birth preparedness.
Support Groups and Resources
Connecting with other parents expecting twins or triplets can be reassuring. Support groups share real experiences and practical tips.
They help you prepare mentally and emotionally for life after delivery. Many fetal medicine services link mothers to such networks for holistic care.
Follow-Up and Postnatal Care
Monitoring Babies’ Health After Birth
After delivery, preterm or low-weight babies may need extra care. Neonatal teams closely monitor breathing, feeding, and temperature.
Early fetal health monitoring ensures each baby develops steadily. Postnatal follow-ups check growth and rule out any developmental delays.
Your care doesn’t end at delivery — it continues until your babies thrive fully.
Long-Term Care Recommendations
Even after discharge, continuous fetal health monitoring remains important. Paediatricians track your babies’ growth, immunity, and milestone achievements.
Routine vaccinations, balanced feeding, and regular sleep patterns promote healthy long-term development.
Parents also receive advice on nutrition, hygiene, and bonding techniques to strengthen family health.
Managing Twin Pregnancies
Expecting twins or triplets may feel chaotic, but it’s also deeply rewarding. With expert guidance, what seems overwhelming turns into a well-managed, memorable journey.
Specialised fetal medicine services in Kolkata make this possible through advanced technology, continuous monitoring, and personalised attention.
Consult the Experts
At Fetomat Wellness, a leading fetal medicine and prenatal care centre, mothers receive complete support — from diagnosis to delivery and beyond. The clinic’s experienced team provides comprehensive multiple pregnancy care, high-risk pregnancy care, prenatal care guidance, and fetal health monitoring to ensure every heartbeat stays safe.
Fetomat Wellness stands beside you, helping you navigate your twin pregnancy with confidence, care, and compassion. For more information, contact us at 9230997445.
People Also Ask
1. How risky is a twin pregnancy?
Twin pregnancies carry higher risks like preterm birth and high blood pressure, but proper monitoring reduces complications.
2. How often do you need fetal ultrasound scans in a twin pregnancy?
Most specialists recommend scans every 2–4 weeks for safe tracking.
3. What is the role of fetal medicine services in multiple pregnancy care?
Fetal medicine detects, prevents, and manages complications early to ensure healthy outcomes.
4. Can diet and exercise improve pregnancy outcomes?
Yes. Balanced nutrition and guided activity support both mother and babies during multiple pregnancies.
5. Where can you get specialised fetal medicine services in Kolkata?
Visit Fetomat Wellness, a trusted centre for high-risk pregnancy and advanced fetal medicine care in Kolkata.