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Physical Toll of a Multiple Pregnancy

Physical Toll of a Multiple Pregnancy

Pregnancy can be physically taxing and emotionally draining, especially when expecting twins or triplets. Explore ways to alleviate common pregnancy pains and discomforts for yourself or your spouse.
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As many multiple mummies in Singapore can attest, carrying twins, triplets or more, is a physically demanding and exhausting experience for the mother. Common discomforts that are felt by pregnant ladies are more pronounced when it's a multiple pregnancy.

In this article, we will share tips on how to manage them.

Nausea

Image: istock.com/PiyapongThongcharoen

Morning sickness and nausea can be more intense during a multiple pregnancy. For many of us, the nausea isn’t just felt in the morning. Instead, it can last throughout the day. Continuous nausea during pregnancy can be exacerbated by going too long without eating. To combat this, it is recommended to eat every one to two hours. The intensity of the nausea might decline at the start of the second trimester for some. A small percentage of pregnant women experience this in a severe way – hyperemesis gravidarum (HG). If you suspect that you may have HG, do reach out to your doctor.

Back Pain

Image: istock.com/PornpakKhunatorn

One of the most common physical discomforts that mothers of multiples experience is back pain. As the uterus grows to accommodate two or more babies, it can put a strain on the lower back, leading to pain and discomfort. To manage back pain, you can try exercises that strengthen the core and back muscles, such as prenatal yoga, and invest in supportive maternity belts. Elevating your feet by placing them on a stool while sitting down should also help to alleviate the pain.

Swelling in the Feet and Ankles

Image: istock.com/HenadziPechan

Another common physical discomfort especially in the later stages of pregnancy is swollen feet and ankles. As your body produces more blood and fluid to support multiple fetuses, it can cause swelling in the feet and ankles. To reduce swelling, drink sufficient water, elevate your feet when possible, wear comfortable shoes, and avoid standing or sitting for extended periods. We personally found compression socks really helpful! Also, don't feel bad to ask for help when wearing socks or pants especially in the third trimester. Afterall, you're only having swollen toes because you're carrying 10, 20, or 30 other toes inside! 

Swelling of the Hands

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Also known as edema, swelling of the hands can be an extremely uncomfortable symptom during pregnancy. A gradual form of swelling is typically not harmful to you or your babies, although it might be hard to bear. Do remove your rings to avoid the unfortunate scenario of having to cut them later on. If your swelling appears to be extremely sudden, alert your doctor as it could be a sign of preeclampsia. Consuming foods high in potassium such as bananas, using a cold compress as well as hydrating well can help manage the swelling and discomfort. This swelling should go away within a week after delivery.

Leg Cramps

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Leg cramps are a common occurrence during pregnancy, especially during the second and third trimesters. These cramps typically happen at night and can be quite painful. The cause of leg cramps during pregnancy is not clear, but it is thought to be due to a combination of weight gain, fatigue, and changes in blood circulation. To prevent leg cramps, you can try staying hydrated, stretching gently before bed, and try to avoid standing or sitting for long periods of time. Have your partner give you gentle massages!

Heartburn and Indigestion

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The pressure on the stomach from the growing uterus can cause acid reflux and heartburn. To alleviate these symptoms, you can try eating smaller, more frequent meals, avoid spicy or acidic foods, and try sleeping on a slightly elevated pillow. Do note that not all antacids are recommended for consumption during pregnancy. We suggest avoiding over-the-counter ones and to discuss your options with your doctor instead.

Fatigue

Image: istock.com/fizkes

Most mummies pregnant with multiples share that they feel tired easily. To combat fatigue, mothers can prioritise getting plenty of rest, nap during the day when possible and eating well. If you’re feeling overwhelmed, try to delegate tasks to others as much as you can. 

Pelvic girdle pain (PGP)

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Pelvic Girdle Pain is a common discomfort during multiple pregnancies as the pelvis expands to accommodate more than one baby. To manage this, you can try pelvic exercises, warm baths, and use supportive pillows when sleeping. My personal lifesaving hack during pregnancy was to use a plastic bag to help swivel my bum when getting off the bed or car! You can also consider using a 360 degree swivel cushion – wish I knew about this one earlier.

Itchiness

Image: istock.com/AndreyZhuravlev

During pregnancy, many women experience the discomfort of an itchy belly due to stretching skin and hormonal changes. As the abdomen expands to accommodate the growing baby, the skin can become tight and dry, leading to itching sensations. This itchiness is often most pronounced during the later stages of pregnancy but can occur at any point. The extreme heat and humidity in Singapore doesn't help either.

I recall sitting in my recliner chair through countless sleepless nights, with my belly itching to the point of madness. I would look over at my husband sleeping soundly while I reapplied creams every few minutes until I fell asleep due to sheer fatigue.

– Juls, Twin Mum

While mild itching is usually considered normal, severe or persistent itching could indicate a more serious condition like obstetric cholestasis, which requires additional medical attention. To alleviate the discomfort, moisturise frequently, avoid hot showers, and wear loose-fitting clothing.

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If you’ve multiple buns in your oven right now, chances are you’ll be experiencing one or more of the above symptoms. We know how tough it can be. Keep holding on, because the love and joy that await you on the other side of this journey are immeasurable. You are doing amazing, and our community over here is cheering you on every step of the way!

As for twin and triplet daddies-to-be, while you cannot replace your wife in enduring the pain and discomfort of pregnancy, please step up and do as much as you can to alleviate her discomfort with patience and care.

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