Preparing for twins, triplets or more

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Finding out that you are expecting multiples can be a very exciting time, yet it can often trigger anxiety.

It is important for women who are expecting twins, triplets or more to prepare for the differences that occur during their pregnancy, delivery and recovery with multiples. During pregnancy, women who are expecting multiples tend to gain more weight and often feel fatigue, and other symptoms associated with later term pregnancy, earlier on in the process. They may also have more doctor’s visits and screenings throughout the pregnancy to closely monitor the mother and babies’ health, as carrying multiples increases risk of certain complications. While multiples can be delivered vaginally, they are most often delivered through cesarean, as another measure to ensure the safety of the mother and babies.

Because the recovery period from cesarean delivery and giving birth to multiples is longer than that of a single, vaginal birth, it is important for expectant mothers to go ahead and line up help for when they return home with the babies. Sleep is absolutely essential for recovery, so arranging for family members and/or close friends to come help with household chores and caring for the babies will allow the mother to get the rest she needs. It is also important for mothers not to set too many expectations or put too much pressure on themselves. Raising multiples can be a challenge, yet a rewarding one. With time, families figure out how to make it work and enjoy this amazing chapter of their lives.

Our community is fortunate, as the exceptional care team at Cone Health Women’s Hospital is dedicated to educating families who are expecting multiples, as well as providing top-of-the-line treatment for women throughout their pregnancy, delivery and recovery. Cone Health Women’s Hospital offers a ‘Marvelous Multiples’ class every other month that teaches multiples’ families about the differences in labor, birth, parenting and breastfeeding they can expect throughout the process. To find out more, visit or call Cone Health Women’s Hospital at 832-6500.

Spokesperson Background:

Wendy Apple is a registered nurse and certified childbirth educator at Cone Health Women’s Hospital. Apple earned a Bachelor of Science in nursing from Clemson University in 1986, and received her childbirth education certification through the Academy of Certified Childbirth Educators. She leads the Marvelous Multiples class offered at Cone Health Women’s Hospital, and is the mother of twins herself.