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Twins and Premature Birth

Most births of single babies occur at 39 weeks. But, the average length of a twin pregnancy is 35 weeks.

Babies that are low birth weight tend to weigh less than 5 pounds or 2,500 grams, according to the March of Dimes. This increases their risk for many significant health problems. Some problems may be temporary, such as jaundice, anemia, and difficulty breathing. Others have lasting effects, such as persistent respiratory problems, intellectual disability, cerebral palsy, and vision and hearing loss.

To lower the chance of early births, women who are pregnant with twins typically see their health care providers more often. They also are monitored for signs of preterm labor. Their health care providers may treat preterm labor with bed rest and medications to stop contractions. Near the 20th week of pregnancy, health care providers may recommend regular ultrasounds to monitor the growth rate of the twins to ensure they are growing at about the same rate. During the third trimester, the health care provider may suggest a nonstress test and/or a biophysical profile (nonstress test with a weekly ultrasound) to assess the well-being of the fetuses.

If you're carrying twins, closely follow your health care provider's guidance about diet, exercise, and rest. Avoid harmful substances, such as tobacco smoke and alcohol. Prenatal care is important. Make sure you keep all your prenatal appointments. Learn the symptoms and signs of preterm labor, and know what to do if you experience them. Do all you can to lessen your risk of having your babies too soon.