The Wonders of Twin Pregnancy and the Role of Nutrition

By Dr. Nutan Pakhare

Congratulations, if you are expecting two bundles of joy! Embarking on a twin pregnancy journey can be unique and exciting, but it also comes with its own set of challenges.

Having helped countless women in my practice, I recently had the pleasure of providing pre-postnatal yoga services to Rubina Dilaik, a mother of two beautiful babies through a twin pregnancy.

With my experience and expertise, I have witnessed similar cases within my own family. Hence, I would like to share some vital guidance and tips to ensure a healthy and happy twin pregnancy. In this blog, we will explore the fascinating world of twin pregnancy details, including how they occur and the critical role of nutrition in ensuring a healthy pregnancy for both mom and babies.

twin pregnancy

The Wonders of Twin Pregnancy 


When a woman’s ovaries release two eggs, those eggs are each fertilised by a different sperm, leading to the birth of identical twins. This type of twin shares only one womb and has minor pregnancy complications. However, everything else about the pregnancy is different. In medical terms, this is also known as a dizygotic diamniotic (DIDI) or fraternal pregnancy.

Conversely, identical twins develop from a single fertilised egg that splits into two embryos. This type of twin shares the womb, sac, and placenta, making it a high-risk pregnancy. In medical terms, this is a monozygotic monochorionic (MOMO) pregnancy.

Here are the fascinating facts about the types of twins:

  1. Identical (Monozygotic) Twins:
    • Formed when a single fertilised egg splits into two embryos.
    • Share identical genetic material.
    • Have the same sex and typically look remarkably similar.
  1. Fraternal (Dizygotic) Twins:
    • Result from the fertilisation of two separate eggs by two different sperm.
    • Share about 50% of their genetic material, like any siblings.
    • Can be of the same or different sexes and may or may not resemble each other closely.
  1. Mirror Image Twins:
    • Occur in about 25% of identical twins.
    • Develop when the splitting of the fertilised egg happens later than usual.
    • Show reversed features like hair whorls, fingerprints, or internal organs.
  1. Conjoined Twins:
    • Develop from the incomplete separation of a single fertilised egg.
    • Physically connected at some point.
    • Rare and present unique medical challenges.
  1. Half-Identical (Sesquizygotic) Twins:
    • A recently discovered type, where an egg is fertilised by two sperm before splitting.
    • Share 75% of their genetic material.
    • A blend of identical and fraternal characteristics.
  1. Mixed Chromosome Twins:
    • Occur when two eggs are fertilised by two sperm, leading to twins with different sets of chromosomes.
    • Extremely rare and can result in varying levels of genetic dissimilarity.

In recent years, the number of twins or multiple pregnancies has increased. Three main reasons for this trend are genetics, delayed age of pregnancy and the use of artificial methods of ovulation and conception.

Understanding the diverse types of twins provides insight into their genetic origins and contributes to the awe-inspiring diversity of multiple births. The intricate and remarkable process sets the stage for the extraordinary journey of carrying multiples.

Twin pregnancies are fascinating. From conception to distinct personalities in the womb, every aspect is a testament to nature’s wonders.

Nourishing Two: 

The Role of Nutrition in Twin Pregnancies


Proper nutrition is an absolute must during pregnancy, especially when you are carrying twins. Your body is working hard to support the growth and development of two little ones, so your nutrient needs are significantly higher. So, it is crucial to ensure you get all the necessary nutrients to keep you and your babies healthy and happy. Investing in proper nutrition now will eventually make a world of difference for you and your twins.

1. Essential Nutrients

A well-balanced diet rich in essential nutrients such as folic acid, iron, calcium, and protein is crucial for a healthy twin pregnancy. These nutrients contribute to forming vital organs, bones, and overall development.

2. Caloric Intake

Moms carrying twins need more calories to meet the increased energy requirements. Consulting with a healthcare professional to determine the appropriate caloric intake ensures that the mother and the babies receive the necessary sustenance.

3. Hydration

Staying hydrated is essential for all pregnancies, especially for mothers expecting twins. Proper hydration aids in the prevention of preterm labour and helps maintain amniotic fluid levels.

4. Supplements

In some cases, supplements may be recommended to bridge nutritional gaps. Prenatal vitamins tailored for twin pregnancies can provide extra support for optimal fetal development.

Potential Complications in Twin Pregnancy

  1. Preterm Birth: Twins are more likely to be born prematurely, which can lead to health challenges for the babies.
  2. Low Birth Weight: Twins may have a lower birth weight compared to single babies, posing potential health risks.
  3. Gestational Diabetes: The risk of developing gestational diabetes is higher in twin pregnancies, requiring careful monitoring.
  4. Preeclampsia: Twin pregnancies have an increased risk of preeclampsia, a condition characterised by high blood pressure and organ damage.
  5. Twin-to-Twin Transfusion Syndrome (TTTS): Occurs in identical twins sharing a placenta, where blood flow is uneven, leading to complications.
  6. Caesarean Section (C-Section): Due to increased complexity and potential risks, a C-section may be recommended.
  7. Postpartum Haemorrhage: The risk of excessive bleeding after delivery is higher in twin pregnancies.

Specific Foods to Avoid During Twin Pregnancy

  1. High-Mercury Fish: Limit consumption of high-mercury fish, as excessive mercury can harm fetal development.
  2. Undercooked or Raw Seafood and Eggs: Reduce the risk of foodborne illnesses.
  3. Caffeine: Moderate caffeine intake, as excessive caffeine may be linked to preterm birth.
  4. Unpasteurized Dairy Products: Due to the risk of bacterial infections.
  5. Alcohol and Tobacco: Completely avoid alcohol and tobacco, as they pose significant risks to fetal health.

Importance of Consulting Healthcare Professionals


Always consult your healthcare provider for personalised advice based on your health and pregnancy status. Consulting with a healthcare professional during a twin pregnancy is crucial for:

  • Regular monitoring of fetal development.
  • Early detection and management of potential complications.
  • Guidance on nutrition, weight gain, and lifestyle.
  • Planning for the mode of delivery.

Specialist to See During Twin Pregnancy


An obstetrician or a perinatologist (maternal-fetal medicine specialist) & Garbhasanskar specialist are the primary specialists to consult during a twin pregnancy. These professionals have expertise in managing high-risk pregnancies, additional care and tools and can provide comprehensive care.

As you embark on the incredible journey of a twin pregnancy, remember that you are filled with love, anticipation, and the promise of a growing family. Prioritising your well-being through a nutritious diet lays the foundation for a healthy and fulfilling experience. If you need any assistance, please do not hesitate to contact us for consultations and courses.

The birth of your twins will begin a new chapter in your life, filled with limitless potential and endless possibilities. Cherish every moment and relish the unique bond of multiples to your family.