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Symptoms and Diagnosis of Multiple Pregnancy

Symptoms and Diagnosis of Multiple Pregnancy

What are the symptoms of multiple pregnancy?

Each woman may have slightly different symptoms. But the most common symptoms of multiple pregnancy are:

  • Uterus is larger than expected for the dates in pregnancy

  • More morning sickness

  • Greater appetite

  • Too much weight gain, especially in early pregnancy

  • Babies' movements felt in different parts of the stomach at the same time

How is multiple pregnancy diagnosed?

Many women think they are pregnant with more than 1 baby. The healthcare provider may diagnose multiple babies early in pregnancy. This is especially true if fertility treatments were used. The provider may make the diagnosis with a health history, physical exam, and the following tests:

  • Pregnancy blood testing. Levels of human chorionic gonadotropin (hCG) may be quite high with multiple pregnancy.

  • Alpha-fetoprotein. Levels of a protein released by the fetal liver and found in the mother's blood may be high when more than 1 baby is making the protein.

  • Ultrasound. This is an imaging test that uses high-frequency sound waves to create images of blood vessels, tissues, and organs. Ultrasounds can be done with a vaginal probe (transducer), especially in early pregnancy. Or they can be done with an abdominal probe in later pregnancy.

Healthcare provider doing ultrasound exam on pregnant woman. Man standing by exam table.

Reviewed Date: 02-01-2023

Symptoms and Diagnosis of Multiple Pregnancy

This content was reviewed by Mid-Atlantic Womens Care, PLC. Please visit their site to find an Mid-Atlantic Womens Care obstetrician.

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Disclaimer: This information is not intended to substitute or replace the professional medical advice you receive from your child's physician. The content provided on this page is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child's physician with any questions or concerns you may have regarding a medical condition.