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What are the common health conditions that you should be aware about when expecting more than one baby? 

Twins & Triplets
Written by - Shaveta GuptaLast updated: May 4, 2026
What are the common health conditions that you should be aware about when expecting more than one baby? 
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  • Pregnancy with twins or multiples brings joy but also higher risk of complications like premature delivery, with nearly half of twins born early due to issues such as iron deficiency anaemia.
  • Gestational diabetes is more common in multiple pregnancies, so sharing your medical and family history helps your doctor decide if a glucose tolerance test is needed.
  • More than half of twins are born underweight, and preeclampsia causing high blood pressure, swelling and headaches can deprive babies of oxygen and nutrients if untreated.
  • A healthy lifestyle with nutritious food, adequate rest, proper footwear for leg pain and regular doctor visits is the best way to support a safe multiple pregnancy.

Pregnancy in itself is exciting and can become even more joyful with the news of twins. But it also comes with increased risks for complications like premature birth, even if not profound. While there is a rush of many emotions, we understand you want to be as aware as possible about everything. This is why we have compiled a list of common complications that you might face when pregnant with twins or more than one baby.

Premature Delivery

Premature delivery is the most commonly faced complication associated with twins or triplets. Almost half the twins are born early, which often leads to some health-related problems in babies.

Lack of healthy red blood cells from too little iron can lead to premature birth. It is called iron deficiency anaemia, making it essential for you to add iron to your diet as recommended by your doctor.

Diabetes

There is a higher probability of having diabetes when expecting twins or triplets, also called Gestational diabetes. It is essential to disclose your medical history and family history for the doctor to check for signs of gestational diabetes. If needed, your doctor might prescribe a glucose tolerance test to check for signs of gestational diabetes by assessing everything.

Underweight

More than half of twins are born underweight, weighing less than 5 1/2 pounds. These babies are also more prone to health problems when compared to babies born alone. Conditions such as vision and hearing loss and mental disabilities are commonly seen in these babies.

Preeclampsia

High blood pressure, swelling, headache, and vision-related challenges are regular in multiple-pregnancy and are called preeclampsia. However, if not treated on time and properly, preeclampsia can end up depriving your baby of oxygen and nutrients while also posing a serious risk to your organs.

Sensations of pain and tingling

Sensations of pain and tingling in the leg and lower-back are common during multiple pregnancies but are not considered dangerous. Taking certain precautions like wearing shoes that fit you properly and are comfortable can make the real difference.

Miscarriage

No matter how heart-breaking it sounds but miscarriage also has higher chances when pregnant with twins and is also called vanishing twin syndrome. This syndrome is due to chromosomal problems that happen during fertilization.

Healthy Lifestyle - the solution to everything

Eating nutritious food, taking enough rest and regularly visiting the doctor are important steps for any pregnant woman to take towards a healthy pregnancy.

These steps are especially important during multiple pregnancies. Expecting twins means additional dietary needs as you now have to eat for three humans. If your diet is not proper or nutritious, it can lead to problems that can be dangerous for the babies and you. And we know that as a mother, you don't want to leave anything to chance.

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Shaveta Gupta
Shaveta Gupta

An expert in content marketing, Shaveta is an alumnus of IIT, Bombay, she knows what the audience is looking for. Mother of a 6 year old, she has been instrumental in planning the content strategy at Mylo.


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Questions about this article

  • Asked when 13 weeks pregnant

    I have monochorionic diamnotic Pregnancy. My babies are sharing one placenta so worried for premature delivery. I want to complete 36 weeks at least. What should I do for it? Which type of care should I take?

  • Asked by 24 weeks pregnant

    Twins pregnancy week development

  • Asked when 22 weeks pregnant

    I m having monochorionic and monoamniotic twins my babies are caring same placenta n sac i m so worried..who else having mono mono twins?

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Consult with a physician or other health care professional if you have any concerns or questions about your health. If you rely on the information provided here, you do so solely at your own risk.

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