Multiple pregnancy: twins or more: when to get help
Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services for severe breathing difficulty, chest pain, fainting, a seizure, heavy bleeding, or severe and persistent abdominal pain.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek urgent maternity advice if:
Your babies are moving less than usual or their movement pattern changes
You have vaginal bleeding or fluid leaking from the vagina
You develop regular contractions, period-like pain or unusual backache
You have persistent vomiting and cannot keep fluids down
You develop a severe headache, vision changes, sudden swelling or pain below the ribs
You have fever or feel significantly unwell
Do not wait for the next routine appointment when movements decrease or signs of premature labour occur.
Maternity services can assess you and the babies even if the symptoms turn out not to be caused by a serious problem.
3
Does any of this apply?
Book an appointment
Keep routine antenatal appointments even when you feel well.
Contact your maternity team between appointments if you have concerns about symptoms, growth, medicines, emotional wellbeing or your birth plan.
Every sign above is quoted from the sofidex article on Multiple pregnancy: twins or more. If you are not sure, err upward — it is always reasonable to be checked.