Obstetric and Gynecological Nursing - The Carter Center

Effect of Twins on Pregnancy
- Exacerbation of minor disorder
- Nausea, Morning Sickness and heart burn may be more
persist.
- Anaemia
- Iron deficiency or folic acid deficiency anaemias are
common. Early growth and development of the uterus and
its contents make greater demands on maternal iron
stores. In later pregnancy (after the 28 th week) fetal
demands for iron deplete those stores further.
- Pregnancy induced Hypertension
• More common in twin pregnancies May be associated
with the larger placenta site or the increased
hormonal out put the incidence tends to be greater in
monozygotic twin pregnancies.
- Polyhydraminos
• It is common and associated with monozygotic twins
and with fetal abnormalities. If acute polyhydraminos
occurs it tends to lead to abortion.
- Pressure symptoms
. Tendency to oedema of ankle and varicose veins is
increased
. Dyspnoea and indigestion are more marked,
backache is common.
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