Late Pregnancy
Mothers readily discussed the differences in a twin
pregnancy compared to their previous singleton
pregnancies or those of friends. Increased fatigue
and taking time off from work were universal
concerns. A helpful handout about the Family
and Medical Leave Act (2014) was referred to the
group. Couples were also encouraged to involve
their family and friends. Supportive family members
were welcome to attend the three sessions,
tours, and the expectant grandparents class.
Current evidence indicates 60% of twins and
90% of triplets are born prematurely (March of
Dimes Foundation, 2014). Therefore, the warning
signs of preterm labor were explained, and couples
were encouraged to seek follow-up. Specific directions
for accessing around-the-clock medical help
were gone over in class, and couples walked through
a “dry run” on the tour the following week.
The babies themselves usually determine the
mode of birth in full-term pregnancies. Mothers of
multiples planning on a vaginal birth need the cooperation
of the first baby in presenting head down