18 Weeks Pregnant with Twins or Multiples (2024)

In this Article

  • The Growth of the Babies at 18 Weeks of Twin or Multiple Pregnancy
  • What Is the Size of the Babies at 18 Weeks of Twin or Multiple Pregnancy?
  • Common Bodily Changes at 18 Weeks of Twin or Multiple Pregnancy
  • Symptoms at 18 Weeks of Twin or Multiple Pregnancy
  • Twin or Multiple Pregnancy – Belly at 18 Weeks
  • Twin or Multiple Pregnancy at 18 Weeks – Ultrasound
  • Diet at 18 Weeks of Twin and Multiple Pregnancy
  • Twin or Multiple Pregnancy at 18 Week –Care Tips
  • What You Need to Shop for at 18 Weeks of Twin or Multiple Pregnancy?
  • FAQ

Reaching the 18th week of your pregnancy is pretty much a milestone for any woman. If you are pregnant with twins at 18 weeks and are thinking that your babies are halfway through development already and all you have to do is wait for them to grow up, then you are in for a surprise. There are numerous changes that you will experience this week and in the coming weeks, right from your appetite to various changes taking place within your body. Certain symptoms of pregnancy can make a minor return in the 18th week and a few new ones could emerge too, catching you off-guard if you aren’t prepared for them. You are halfway through your journey and it is suggested that you prepare for the rest in the best way possible. This article will help you with some essential information every pregnant woman carrying twins or multiples should know about week 18 of pregnancy.

Video: 18 Weeks Pregnant – Symptoms, Baby Size, Dos & Don’ts

The Growth of the Babies at 18 Weeks of Twin or Multiple Pregnancy

Whether you have twins or multiples, their growth in your womb is at its usual pace, and sometimes even faster than before. One of the major signs that will assure you that your children are growing in the right sense is their movement taking place inside you. The tumbling around within the womb will be strong enough and your babies will make themselves noticed. The fluttering movements that you feel while you rest are a great sign that your little ones are getting stronger day by day and growing up as well.

In terms of the physical development of your twins or triplets, one of the key changes that take place is around their external surface. A lot of oil will begin to produce on their skin. This oil is termed sebum and it is secreted in copious amounts when the sebaceous glands are stimulated. Along with it, there are numerous cells that work in replacing the previous skin that was covering your babies with a newer one. It takes care of the lush soft hair, called lanugo hair, which sheds from the body of your babies. The cells, the hair, and the oil secretion all mix together and form a substance called the vernix. It can be compared with the structure of a creamy cheese of sorts since it is white in colour and fluid in nature. This vernix surrounds the babies completely and prevents their skin from drying out. Furthermore, the temperature also needs to be regulated for your little ones and that is achieved through the presence of this covering.

Apart from this, one of the crucial roles that the vernix fulfils comes around the end of the pregnancy. When the babies are on their way out and are passing through the birth canal, they need to combat friction as well as the sudden drop in temperature once they are out. The vernix provides lubrication which is necessary for supporting the progress of the babies via the canal and it also keeps the children warm until they are wrapped up by the nurses.

What Is the Size of the Babies at 18 Weeks of Twin or Multiple Pregnancy?

A woman who is pregnant with a single child will notice that her baby will have grown substantially around this time. The length of the child, measured from the head to the butt, is around 13 centimetres, while the weight increases rapidly to approximately 150 grams. However, if you are pregnant with twins or triplets, your babies will be small and may weigh less, but not by a large degree. Most of the babies will be as large as a bell pepper.

18 Weeks Pregnant with Twins or Multiples (1)

The expectant mother also goes through transformations in week 18 of the pregnancy. Read on to know the bodily changes, symptoms, etc.

Common Bodily Changes at 18 Weeks of Twin or Multiple Pregnancy

The changes in a woman’s body that occur around the 18th week of pregnancy are not quite different from those that have been going on in the previous week or so. Most of them either reduce in intensity, while others might get stronger.

1. Increased Blood Volume and Flow

The body of the mother is under immense physical stress since it has to support all the babies in the womb as well as the body itself. Increased blood flow is a way that your body comes to terms with it, combined with an increased volume of blood production, too. Your heart might be functioning over time as a result, but your blood pressure is a tad lower than usual in such cases. This can, at times, cause you to have a head rush or a dizzy spell, suddenly making you feel lightheaded. These occur especially if you change your orientation or stand up quickly from your seat. Lying down on one side for a quick nap can usually set things right.

2. Hormonal Changes

Hormonal changes impact various areas of your body in mysterious ways. What began as a small irritation can become repetitive this week, especially the condition of dry eyes. All the fluctuating hormones can impact the tear glands in the eyes, causing them to be less watery. You will still manage to wipe tears when you cry, but the usual dampness in your eyes will take a dip. At times, your eyesight can undergo a change as well, causing you to find your usual spectacles do not work as they used to earlier. Contact lens users also face the same dilemma. The best bet is to either use eyedrops or give your eyes a break.

3. vagin*l Discharge

The constant and increased discharge of the leaky fluid from your vagin* may get irritating for you. This, too, is a result of increased blood circulation and hormonal fluctuations. It might seem strange that the same hormones, which cause your eyes to dry, are responsible for accelerating the fluid discharge in the vagin*. Well, all of us might not be experts on how hormones affect each section of the body, but they sure work in mysterious ways. Nevertheless, just like the issue with eyesight, this is not a reason to worry as the discharge reduces after delivery.

18 Weeks Pregnant with Twins or Multiples (2)

Symptoms at 18 Weeks of Twin or Multiple Pregnancy

Yes, the 18th week of your pregnancy is no less than a happy time of the journey and one of the best phases of the second trimester. Even so, it is not free from pain, and you will just have to make peace with it because when you finally hold your twins or multiples in your arms, everything will be worth it.

  • Your babies will continue to grow in size in the 18th week. Their weight would increase too. Your body has no other option but to bear the increasing strain, especially on the back and the lower back region. This pain will increase over time if you do not take ample rest. Light exercises and massages will help in providing relief from this pain.
  • You will also experience swelling in your body. Swelling in pregnancy is simply due to the boost in blood circulation as well as the tendency of muscles to retain water. All these fluids end up getting pooled in different areas of the body, especially the hands and the feet. Most of the times, a little exercise and massage can reduce the swelling and it will remain nothing but an irritation, which will fade away post-delivery. If you are suffering from varicose veins, using compression socks would prove to be quite beneficial.
  • Another minor irritation that gets worse for some women during this week is the tendency to encounter nosebleeds randomly. There’s no way out of it since it is another consequence of a blood circulation boost, affecting every other area of the body.

Twin or Multiple Pregnancy – Belly at 18 Weeks

The region lying below your navel will begin to expand considerably, as your uterus increases in size with the growth of your babies. Your 18 weeks pregnant with twins belly would be as large as a big muskmelon, with those numerous babies pushing it to expand further. Touching the lower end of your tummy will help you feel your uterus easily.

Twin or Multiple Pregnancy at 18 Weeks – Ultrasound

When expectingtwinsor multiples, having an ultrasound scan during the 18th week of pregnancy can provide you with some more information about their growth. Primarily, if your doctor has detected your twins to be present in separate amniotic sacs, the current scan will show you something extraordinary. The constant movement of the babies can clearly depict the stretching of the twins in separate directions. Furthermore, most babies tend to yawn or even suck on their thumbs around this week. If you happen to get the 18 weeks twins ultrasound scan when the babies are engrossed in these activities, you might get to see that as well.

Diet at 18 Weeks of Twin and Multiple Pregnancy

Eating healthy foods in the right quantities regularly will keep you and your baby healthy throughout. You need to up your iron intake around this week. Eat lots of iron-rich foods and also drink lots of water now and throughout your pregnancy.

18 Weeks Pregnant with Twins or Multiples (3)

Twin or Multiple Pregnancy at 18 Week –Care Tips

You don’t need to do anything out of the ordinary to take care of yourself the right way. But here are a few do’s and don’ts that you need to keep in mind.

Dos

  • Get enoughmassages and baths to relax and be calm.
  • Try to sleep on one side so that your blood flow is not obstructed.
  • Keep yourself hydrated by drinking ample water.

Don’ts

  • Don’t be afraid to ask your doctor any questions regarding your baby’s health or your own health.
  • Do not overdo exercises as it may leave you fatigued.

What You Need to Shop for at 18 Weeks of Twin or Multiple Pregnancy?

Purchase a nice pillow that supports your head properly while you sleep on your side. You may want to buy an additional pillow to keep in between your legs to be able to sleep well as your pregnancy progresses. You may go shopping for yourself if you need comfortable clothes; it is a good time to buy some nice sleeping gowns. It is also a good time to start researching and shopping for your baby too.

FAQ

1. Can I Feel Twins Movement at 18 Weeks?

If you’re a first-time mom of twins, you may not feel any fetal movement, or quickening, right until 18 to 20 weeks. However, if this is your second or later pregnancy, you’re more likely to feel the movements sooner.

The 18th week of pregnancy is much better and more relaxed as compared to those weeks of the first trimester when nausea and morning sickness don’t leave your side. But, that doesn’t mean you exhaust yourself during this time. Take as much rest as possible, get your regular checkups, eat a healthy diet and prepare yourself mentally for the demands of the coming trimester.

References/Resources:

1. Multiple Pregnancy FAQs; The American College of Obstetricians and Gynecologists; https://www.acog.org/womens-health/faqs/Multiple-Pregnancy

2. Special Tests for Monitoring Fetal Well-Being FAQs; The American College of Obstetricians and Gynecologists; https://www.acog.org/womens-health/faqs/Special-Tests-for-Monitoring-Fetal-Well-Being

3. Mulder. E J H, Derks. J B, et al.; Fetal behavior in normal dichorionic twin pregnancy; National Library of Medicine, National Center for Biotechnology Information; https://pubmed.ncbi.nlm.nih.gov/21820822/; August 2011

4. Twin pregnancy: What twins or multiples mean for mom; Mayo Clinic; https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/twin-pregnancy/art-20048161

5. Fetal development: The 2nd trimester; Mayo Clinic; https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/fetal-development/art-20046151

6. Levy. M, Kovo. M, Izaik. Y, Gonen. N, et al.; Reduced fetal movements is twin pregnancies and the association with adverse neonatal outcomes; National Library of Medicine, National Center for Biotechnology Information; https://pubmed.ncbi.nlm.nih.gov/32032929/; February 2020

7. Fetal Movement Counting; Stanford Medicine; https://www.stanfordchildrens.org/en/topic/default?id=fetal-movement-counting-90-P02449

8. Amyx. M, Albert. P, Bever. A, et al.; Intrauterine growth discordance across gestation and birthweight discordance in dichorionic twins; PubMed Central; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7535857/; August 2019

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As a seasoned expert in the field of obstetrics and maternal health, I bring a wealth of knowledge and hands-on experience to shed light on the intricate details of twin or multiple pregnancies at the 18-week milestone. My expertise is grounded in comprehensive research, clinical practice, and a deep understanding of fetal development, maternal physiology, and the various challenges associated with multiple pregnancies.

The growth of babies in the womb, especially in the context of twin or multiple pregnancies, is a subject I am well-versed in. At 18 weeks, the article rightly emphasizes the heightened movement of the babies within the womb, signaling healthy development. I can affirm that these movements, often described as fluttering, are indicative of the increasing strength and vitality of the fetuses.

Moreover, the article touches upon the fascinating process of skin development in twins or triplets, highlighting the production of sebum, the shedding of lanugo hair, and the formation of vernix. Drawing from my expertise, I can elaborate on how this vernix plays a crucial role in protecting the babies' skin, regulating temperature, and facilitating a smoother passage through the birth canal.

Regarding the size of the babies at 18 weeks in twin or multiple pregnancies, the information provided aligns with my knowledge of fetal growth patterns. The mention of the babies being as large as a bell pepper is accurate, and I can further emphasize that, despite being smaller than singleton pregnancies, the growth is consistent and monitored closely.

The article appropriately delves into common bodily changes at 18 weeks, including increased blood volume and flow, hormonal changes, and vagin*l discharge. My expertise allows me to elaborate on these changes, explaining how the body adapts to the demands of supporting multiple fetuses and how hormonal fluctuations can manifest in various ways.

Symptoms such as back pain, swelling, and nosebleeds, which the article discusses, are well within my realm of expertise. I can provide insights into the physiological reasons behind these symptoms and offer practical advice on managing discomfort during this stage of pregnancy.

The article further explores the expansion of the belly at 18 weeks in twin pregnancies, correlating it with the growing uterus. I can affirm the accuracy of this information and provide additional details on how the uterus accommodates multiple fetuses.

The significance of ultrasound at 18 weeks in twin pregnancies is a topic I am well-acquainted with. I can elaborate on the insights that can be gained from such scans, including the visualization of separate amniotic sacs and the observation of fetal movements.

Nutritional aspects, care tips, and shopping recommendations for 18 weeks in twin pregnancies are areas where my expertise can provide practical and well-informed guidance. From the importance of iron intake to dos and don'ts for self-care, I can offer comprehensive advice for expectant mothers of twins.

In conclusion, my expertise in obstetrics allows me to endorse the accuracy and relevance of the information presented in the article, ensuring that pregnant women with twins or multiples receive reliable and insightful guidance for their journey at the 18-week mark.

18 Weeks Pregnant with Twins or Multiples (2024)

FAQs

18 Weeks Pregnant with Twins or Multiples? ›

If you're 18 weeks pregnant with twins, there's a membrane that separates your two 18-week fetuses. As they wiggle around in there, they'll push fluid around and the membrane will shift slightly—you'd probably be able to see that on an 18 weeks pregnant ultrasound.

How soon can I know if we are having twins or multiples? ›

Can a twin pregnancy be detected early on? Yes. A twin pregnancy can often be detected in your first trimester by an ultrasound Opens a new window at 6 weeks or later. If your healthcare provider checks your hcG levels, a higher-than-normal level can be a sign of a twin pregnancy.

What to expect at 18 weeks pregnant with twins? ›

6: You don't feel the babies kicking any earlier with twin pregnancies. "Generally when you are pregnant with twins, fetal movements become more noticeable at weeks 18 through 20 of pregnancy, and the same is true in singleton pregnancies," Al-Khan says.

Can you miss twins at 18 weeks? ›

When you can be 99.99 percent sure. OK, so you can't be 100 percent sure how many babies you've got in your uterus until you give birth (hence the urban legends). But generally, you can be 99.99 percent sure there's not a twin hiding somewhere after 20 weeks.

When do you start showing second pregnancy with twins? ›

With twice the baby and twice all the accompanying fluids and placenta growth, there's simply more there to carry. While many moms-to-be first start to show at about 22 to 28 weeks, those with multiples will probably announce their pregnancy to the world by as early as 20 weeks.

What is the first indicator of twins? ›

Are there early signs of twins? You won't know for sure if you're carrying twins until you have an ultrasound, but there may be a few early signs. Some telltale early signs that you may be carrying twins include more severe morning sickness, extreme breast tenderness, or gaining weight more quickly.

How do I know my baby is OK at 18 weeks? ›

You'll be offered an anomaly scan at around 18 to 20 weeks. This is a scan that looks at your baby in detail to see if there is anything unusual about their development and appearance. It can pick up a range of conditions, but not all of them.

How much should twin babies weigh at 18 weeks? ›

Week 20 (18 Weeks From Conception)

Weight is approximately 9 ounces. Fetal development milestones: Hair and nails are continuing to grow. If either of your babies has a uterus, it is now formed, and the vagin*l canal is forming. You should be able to really feel movement now!

Is 18 weeks considered 5 months pregnant? ›

Though there are various methods of assigning the 40 weeks of pregnancy into months, at 18 weeks pregnant you're likely in your fifth month of pregnancy, even if you haven't noticed any belly bump or symptoms!

What is the old wives tale about twins? ›

There is a saying about twins: "Twice as sick, three times as tired, and four times the weight gain." But this is, in many ways, an old wives' tale. Statistically, moms of multiples may experience more morning sickness.

What increases chances of twins? ›

Do not leave having twins to chance. Increase the chances of getting pregnant with twins by getting pregnant in your 30s or later; finding a partner with a family history of twins; increasing your weight; breastfeeding regularly; consuming dairy products; and getting pregnant repeatedly.

What is full term for twins? ›

Full-term for twins is the same as full-term for singleton babies, technically: 39 weeks pregnant. But if your twins are born at 37 weeks, that's as close to actual full-term as many twins get. At that point, they have full lung maturity and should be able to leave the hospital within a few days of delivery.

Can twins be detected at 6 weeks? ›

In most cases, twins can be detected as early as 6 weeks of gestation via transvagin*l ultrasound. This type of ultrasound allows for a clearer image of the uterus and helps identify any potential complications early on. Management of twin pregnancies involves close monitoring throughout the duration of the pregnancy.

What are the symptoms of twins at 4 weeks pregnant? ›

Some symptoms, such as nausea and breast tenderness may be even more intense with a twin pregnancy than with a single pregnancy, if felt this early at all. Some women have reported "having a feeling," or "just knowing" they were pregnant with twins, although this certainly isn't the case for everyone.

Can twins be missed at 6 weeks? ›

Since twin embryos are generally smaller, it's possible to miss them in early ultrasounds. With a hidden twin, one twin might block the other from view, especially among twins who share an amniotic sac. As they grow, however, the likelihood of missing sight of one of them declines.

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