Expecting Twins? Here’s What You Need to Know

Are you expecting twins and wondering what next?

Discovering you’re expecting twins can be a time of great excitement for women and their families. It can also come as a little bit of a shock for some.

Whilst there are specific considerations, care requirements and some increased risks when it comes to multiple pregnancies, discussing your needs with your obstetrician and staying in close communication will help to ensure mum and both babies are progressing well.

Can you have a vaginal birth after caesarean?

Choosing an obstetrician

Many women believe that once they deliver via caesarean, all future babies will arrive the same way. In the past, it certainly was the accepted medical view that vaginal birth after caesarean (VBAC) wasn’t possible and certainly not recommended.

However, in the right circumstances and with the right care it is possible to have a safe and successful vaginal birth.

How Common are Twins?


The incidence of multiple pregnancies is rising across many parts of the world. This increase in twin pregnancies is partly due to the increasing use of assisted reproduction such as IVF as well as many women starting a family a bit later in life compared to several decades ago.

In 2019, Australia reported 4,501 multiple births. Of these, 4,446 were twins and 55 were triplets or more. The Mater hospital, where Dr Kieren Wilson is based, delivered 26 twin pregnancies during 2020 and this trend for increasing twins birth is continuing during 2021.

Expecting Twins

Things to bear in mind when expecting twins


1. Increased risk of health conditions related to pregnancy

When you’re expecting twins there is an increased risk of conditions such as anaemia, hypertensive disorders and gestational diabetes. It is important to be aware of the signs and work closely with your health care provider to ensure any conditions are detected early and managed.


2. Additional Check-Ups

When you’re expecting twins, you may need additional appointments with your obstetrician or other pregnancy care provider to ensure everything is progressing well.


3. Vitamin Supplements

Given we’re caring for mum and 2 babies, this may mean extra vitamin supplementation is required. You should discuss this with your doctor to see what is right for you.


4. Regular Scans

Compared to single pregnancies, you may need more frequent ultrasound scans to ensure both babies are doing well, progressing as expected and your birth plan can be discussed and reviewed ongoing.


5. Giving Birth

When expecting twins, your babies can be delivered both by caesarean and vaginally if safe to do so. It’s very important to have this discussion with your obstetrician during your pregnancy leading up to the delivery.


6. Early Delivery

It is quite normal for twins to be delivered between 36 – 38 weeks depending on the requirements of your particular pregnancy. The timing of birth, either by induction or elective caesarean section, is an important consideration and is something your doctor will guide you on.

When expecting twins should you have a private obstetrician?


It’s important to bear in mind that whilst twin pregnancies do bring unique challenges and risks, these can be managed effectively with open communication with your health care team.

Whilst it is entirely your decision, you may feel that the care of a private obstetrician feels right for you when expecting twins. If you would like to discuss your pregnancy needs, please contact Dr Kieren Wilson’s rooms and we would be more than happy to answer your questions. Please feel free to email us on or call 02 9923 4222.

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© Dr Kieren Wilson 2023   |   Privacy policy
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