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Old Sep 15th, 2016, 12:23 PM   1
Cara W
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Mo/Di Twins


Had an early ultrasound yesterday and found out I am having Monochorionic-Diamniotic twins. They are 7 weeks 4 days gestation today.
This requires increased fetal monitoring and an increased chance of c-section delivery. My OB/GYN says he may have to induce early depending on the results of the monitoring. The pregnancy is considered high risk. I am 36 years old (today) and am staying positive. I just thought it might help to seek some support. It is hard not to worry, but I am doing my best.



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Old Sep 17th, 2016, 11:30 AM   2
sarah0108
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Hello, congrats on your twins!

I have no real advice as such, I was told i'm having Di-Di twins but also classed as high risk and have also been told about monitoring and possible early induction. However I'm trying not to think about that just yet.

I hope everything goes well for you and congrats again x



 
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Old Sep 18th, 2016, 11:58 AM   3
ashknowsbest
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I have 2 weeks left to go until my induction with di/di twins and just wanted to let you girls know that a lot of women do make it to "term" (38 weeks is what I was told by my doctor) with twins. I know all of the stats are scary but to be honest it's not as scary as it seems when you're in the middle of it. I am being induced 1 week early because at my 34 week scan we found out that my little boy is lagging behind in growth but they are monitoring me very closely and is they make it to 37 weeks there is a GREAT chance they wouldn't even need NICU time. Keep positive thoughts and best of luck to both of you!



 
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Old Sep 18th, 2016, 12:36 PM   4
marymoomin
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All of what you have described is standard with twin pregnancies. Try to enjoy and not to worry, easier said than done I know. X



 
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Old Sep 21st, 2016, 11:28 AM   5
Peanutt
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I'm 37 years old and 20 weeks pregnant with mo/di boys. So far everything is going great. We just had the big anatomy scan and they look wonderful.

ALL twin pregnancies are considered high risk. Pregnancy after 35 years old is also considered high risk. But lots of healthy babies result.

I'm not sure how much you may already know. I can give you what I know so far.

Mo/di is higher risk than di/di but not as high risk as mo/mo twins. My doctor won't let me go past 37 weeks as the risk for stillbirth goes up afterwards. He says the placenta starts to break down because it can't handle it. There are a lot of studies confirming what he says. 37 weeks is considered full term for mo/di twins and many don't need NICU time if they get to 37 weeks. If it's looking like you'll deliver (or need to deliver) earlier, they've had good results with giving the mom a steroid shot that boosts the babies' lung development.

***IMPORTANT***

I have a regular OB and then starting at 18 weeks, I started seeing a perinatologist (a high risk specialist). The perinatologist does ultrasounds every 2 weeks on me to check for twin to twin transfer syndrome (1 out of 5 twin pregnancies that share a placenta get this). It's deadly if nothing is done about it, but they've gotten good at treating it should it come up. The most important thing is to have an ultrasound every two weeks to catch it so something can be done about it. My doctor said 16-28 weeks is the most likely time that it develops.
One twin can get restricted growth which is also something they'll watch for. IIRC, that's usually later in pregnancy and they make decisions on whether or not to induce, what to do, etc based on how far along you are and how badly restricted the growth is. It's common for one twin to be smaller than the other. I'm not sure at what point they consider it "restricted growth".
Some perinatologists will take the place of an OB. Where I live, they don't do deliveries so they do the ultrasounds and give my OB their recommendations.

While all of this is scary, try and relax. Most twin pregnancies result in healthy babies. It's simply something you need to be aware of so you can make sure you and your babies get the best care. There are some OBs who don't seem to be aware of the need of getting ultrasounds every two weeks. If you have a doctor that refuses, it's worth finding a new doctor. This is now the standard of care for multiples that share a placenta.

Good nutrition is important. I've had morning sickness throughout this pregnancy. I've finally learned not to be stubborn with the nausea meds. I take protein shakes since I still have trouble with meat. Protein is very important! While twin to twin transfer syndrome (TTTS) is considered random, a study or two has correlated high nutrition and protein with less risk of developing it. I strive for 100gm of protein a day. With as much trouble as I have had with meat, protein shakes have helped. I use a whey protein as soy protein is considered a no-no for pregnancy.
Drink tons of water. Your uterus is stretching for two and can be more irritable. I drink two quarts a day at least, drinking most of it morning and afternoon. If I drink a lot of water in the evening, I'll be up all night with bathroom trips lol!

I take one prenatal vitamin a day. I've heard of some doctors recommend extra on top of your prenatal. That's something for you and your doctor to decide.

Listen to your body. If you're tired, rest. It's hard work growing two! After talking to other ladies who have or are having twins, you skip second trimester all together. It's common to never get the second trimester energy burst. For me, going to the grocery store is a big deal and wipes me out. It may be easier than I'm making it sound as I just moved and am acclimating to high altitude at the same time.
If I wear myself out too much, I get more sick. So I've learned to walk more slowly, tell the hubby to slow down, and to pace myself with chores. At least I'm not requiring a nap like I did during my first trimester! I'd sleep 12-13 hours and could still nap 4 hours. Luckily my schedule is flexible and allowed for that.

My baby shower is scheduled for when I'm 28 weeks. From other ladies, I've heard that waiting until 30 or 32 weeks could be a mistake as it'll be hard to get around and many ladies said they were miserable.

I'm planning on being ready for babies by 30 weeks since there's really no telling when these boys will make their appearance. I have a birth plan with my doctor that's an ongoing conversation. I have what I'd like ideally and my doctor is aware, but I have to remain flexible.

There's a facebook group for mo/di pregnancies. Incredibly informative and supportive group! No matter what diagnosis someone may have gotten, there are ladies on there who have been through it. I'd be in all kinds of fits without those ladies. So far my pregnancy has been going great but I know if something comes up, I've got support and information right there.



 
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Old Oct 14th, 2016, 07:32 AM   6
bdwell1904
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My daughter is pregnant with mo-di twins about 11 weeks. She has been so sick the last three days she can't even keep water down. How can I help her and show support? Thanks



 
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Old Oct 14th, 2016, 08:18 AM   7
sarah0108
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If she can't keep water down I'd suggest a trip to the doctors. I had the same issue and I've been in the hospital on a drip and also given anti sickness medicine x



 
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