So You’re Having Twins. Now Here’s What to Do:

Expecting twins can feel overwhelming, leaving you wondering where to start and how to prepare. Here’s what to do when you’re having twins.

Having TwinsLong before we had our eldest, my husband and I discussed how many kids we wanted to have. “Let’s have four!” we had agreed. After all, we both come from large families—I have four siblings while he has five. The “large family” idea was one we both wanted to continue with our own.

And then we became new parents to our eldest, and I quickly changed my mind. “I’m done with one,” I said, miserable and sleep-deprived.

After two-and-a-half years of being less miserable and sleep-deprived, we decided a second child would be a good idea. We wanted our son to have a sibling, and I felt like we were ready for another one. “This is it, though,” I warned. “We’re stopping at two.”

So, imagine my surprise—among many emotions—when the doctor announced during our first ultrasound, “I have good news… and better news: You’re pregnant—and you’re having twins!”

Here’s what to do when you’re having twins

After the shock of hearing the news of my high risk twin pregnancy, one of the first thoughts was: Now what?

I didn’t know other twin moms and had no idea what I was supposed to do next. How would this twin pregnancy be different from my singleton? What gear would I need? And how would I get through the myriad of emotions washing over me?

If you’re having twins, I’m willing to bet you can relate. I wanted to share a few of the first steps I took that made the rest of my twin pregnancy much easier and more manageable. As other twin moms said about the tips I share:

“This post is so reassuring. I am 11 weeks pregnant with twins which was a total unplanned pregnancy. I have had so many emotions about it all and am so scared to have twins. Thank you for your helpful post.” -Natalie

“Thank you so much for writing this! I’ve been searching for any and all advice on twin pregnancy since we found out last week that I’ve got two in there! While I’ve done this a few times, it is NOTHING like any of the others. I’m fully aware just how different each pregnancy can be, but this is beyond even that. At only 7 weeks I feel much closer to 27 weeks and look like 17! It is not easy to find accurate, honest, helpful information about twin pregnancy vs singleton, or preparing for twins. I’ve bookmarked this site and plan to come back often. I need all the help I can get!” -Shay

Consider the following advice if you just found out you’re having twins:

Scared About Having Twins

1. Buy the right gear

Disclosure: This article contains affiliate links, which means I will earn a commission—at no extra cost to you—if you make a purchase.

What’s important to one person isn’t always as helpful to the next. Instead, buy what you like and save money on everything else.

And buy as you go. You’d be surprised at how much childbirth will make you change your mind. Before having twins, I swore I would get away with just one swing. But after they arrived, I so wished I had another one.

But don’t worry—you don’t always need to buy two of everything (I made do with just the one swing I already had). That said, there are a few items you’ll need to buy double:

Free printables: Want to know exactly what to get for your twins? Join my newsletter and grab your copy of Twin Registry Must-Haves to track what you have and the items you still need to get. Get it below—at no cost to you:

Twin Registry Checklist

2. Don’t push yourself physically

When I was pregnant with twins, I’d take a lunch break from work and walk around the block. But there came a point when even that got too exhausting. So much so that, about halfway around, I felt like vomiting and just wanted to lie down on the strip of grass along the sidewalk.

I brought it up to my doctor the next day: “Do I need to exercise?”

Apparently not. If you’re expecting twins, you should focus on taking it easy rather than exerting yourself. It’s no joke that carrying multiples is more tiresome than a singleton pregnancy.

Above all, listen to your body. I finally did and stopped pushing myself to walk around the block. And just a few months later, I could barely walk from my bed to the dining room without feeling exhausted.

Read more about the differences between singleton and twin pregnancies.

Differences Between Singleton and Twin Pregnancies

3. Eat healthy food

I had to gain a lot of weight—fast.

My weight gain during my first trimester was a measly two pounds (thanks, morning sickness), so I needed to pack on the pounds. “Twenty-four pounds by week 24 is the general rule of thumb for twin pregnancies,” my doctor advised.

Eager to catch up, I started eating just about anything come the second trimester. Except I assumed calories were calories, no matter the source. Off I went, eating hamburgers, 1,000-calorie chocolate shakes, and spoonfuls of Nutella every day.

You can imagine how I felt and even the complications I had toward the third trimester.

I did meet my goal, but by eating terrible food. Granted, calories are calories—better to eat any calories than none when trying to grow two babies. Still, I wish I had been better about sticking to a healthy diet. Or at least found a more strategic way of consuming food other than downing milkshakes and Nutella.

So, here’s what I would tell my former self with the hindsight I know now: Skip the bad food. Instead, choose high-calorie, “good fat” food. Stuff like avocados, sweet potatoes, eggs, nuts, and healthy protein.

I also wish I had a juicer to blend platefuls of fruits and vegetables into smoothies. Combining all those calories can take too much time and effort to chew, but a smoothie or juice can do the trick in a single, easy-to-down drink.

4. Apply for a handicap placard

As you likely noticed, carrying twins is exhausting, even if you’re only in the first trimester. When you hit the second and third trimesters, you can bet that you’ll be wanting to limit how far you walk.

Thankfully, the staff at my doctor’s office recommended that I apply for a handicap placard. The temporary card would allow me to park in spots closer to where I needed to go. From doctor visits to grocery stores, parking as close as possible helped tremendously.

Simply find a handicap placard application form from your state DMV and ask your doctor to sign off for approval.

Signs You're in the First Trimester

5. Find other twin moms

Whether you’re a seasoned mom or a first-timer, carrying (and raising) twins is different from singletons. I couldn’t explain my pregnancy symptoms to singleton moms without sounding like I was exaggerating or complaining.

So, I sought other moms who knew what the terms momo, modi, and didi were. Moms who could relate to looking nine months pregnant at only five months along. Moms who knew I wasn’t kidding when I said I was exhausted just walking to the dining room to eat, or that the nausea was too much to take.

Find your tribe of twin moms to support you through the next few months, from online forums to local twin mom groups. And reach out to twin moms even if they’re long past the pregnancy stage—they can still provide the support and empathy you need.

Check out these telltale signs that you’re a twin mom.

twin mom

6. Prepare yourself emotionally

Once you announce your twin pregnancy, you’ll get all sorts of responses.

Some you’ll be glad for, while others you’ll be mortified to hear. Some moms shudder at even the happy responses when they’re still grappling with the idea of twins. Still others are turned off when people “pity” them and list the hardships they’ll now face.

Brace yourself for all sorts of reactions, and remind yourself that they’re happy for you, no matter how they express it. Yes, even your shocked coworker who sees your belly and blurts, “Wow, you’re huge!”

7. Trust that it’ll all work out

When my husband and I discussed adding to the family, I prepared for one more child, not two.

So, when I learned we’d be parents of three kids, my mind began swimming in worries: How will we pay for everything? Who’s going to take care of the babies? What if I have pregnancy complications? Will the babies be born prematurely because of preterm labor and have health problems?

These are valid concerns, and some of my dire predictions did come true (I ended up having a few complications).

Yet it always turns out fine. Somehow, I’m still here and lived to tell the tale, and so will you. Even though my fraternal twins were born prematurely, they didn’t spend any time in the NICU. They passed all the tests, and came home with us from the hospital.

We were able to afford childcare and preschool for all three kids (with a tight budget, but we still did it). And we hired a wonderful nanny to care for the twins.

Adjusting to twins takes time. One day you’re celebrating, and the next crying on the phone with a friend. But I’ve come to believe that things will work themselves out somehow.


Finding out you’re having twins is a shock for any parent, but you’ll get through the next few months knowing exactly what to do.

On the practical side, listen to your body without pushing yourself too far. Stick to eating rich, healthy food and blended meals to pile on the calories. Apply for a handicap placard so you can get prime parking spots and avoid walking long distances. Get the right gear, knowing which ones to get two of.

On the emotional side, find other twin moms for support and reassurance. Prepare yourself mentally, especially with how people will respond to your news of twins. And finally, trust that everything will work out somehow.

Having twins, no matter how shocked I was, certainly was the “better” news my doctor announced. Even if the journey to get there was far more different than I ever expected.

Get more tips:

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  1. Hello! I was really excited when we saw both babies at our first ultrasound, we transferred two embryos and I was soooo sick already at 7 weeks, that I just knew we were getting big bang for our IVF bucks. Still being sick non-stop for 2 months will take the wind out of any happy mom-to-be’s sails… week 13 and hoping things get better… soon… because like we all already know and fear, the end of this pregnancy isn’t likely to be a cake walk… Still – 2 BABIES!!!

    1. Shirley, congrats! What a positive attitude to take, despite the morning sickness. Like you, I was already so sick long before I found out I was having twins and it was so different from my singleton pregnancy (which still had sucky morning sickness, but not as much).

      Hopefully the morning sickness aspect of it ends soon for you! It did for me around the time you are now. But yep—the downside of twin pregnancy is that it only gets worse as it progresses lol. Yet for however difficult it was carrying them, I’m so, so happy to be a twin mom. Congratulations again to you! Let me know if you have any questions, too! 🙂

      1. Hello I am also pregnant for twins and on my 10’week. Yes it is bad to feel like going in to bathroom very uncomfortable but just to have that feeling they are there is amazing do I get through easier. This week I want to eat endless but working on my stomach eating healthy using nuts, chia seeds, fruits and lots of soups and water. Sleeping is a big issue for me as you said before if I drive 40 min when I come back I sleep 2 hours. But in the night I can’t sleep at all. Every night is the same weather I take a nap or not. I am awake at least 5 times in the night 2 times is for the toilet but rest is the same. S I said I enjoy every bit of it I always dreamt sand knew I was going to have twins somehow and my dream came true.

        1. Nina Garcia says:

          Congrats on the twins, Didi! I love your positive attitude and yes, you’re not alone feeling tired 😉 I remember those nights all too well. Wishing you a safe and healthy pregnancy!

  2. Thank you so much for writing this! I’ve been searching for any and all advice on twin pregnancy since we found out last week that I’ve got two in there! While I’ve done this a few times (four older kids ranging from 11 to 3, and this is my 8th pregnancy) it is NOTHING like any of the others. I’m fully aware just how different each pregnancy can be, but this is beyond even that. At only 7 weeks I feel much closer to 27 weeks and look like 17! It is not easy to find accurate, honest, helpful information about twin pregnancy vs singleton, or preparing for twins. I’ve bookmarked this site and plan to come back often. I need all the help I can get!

    1. Congratulations, Shay! Wow, so many kids, and yes, twins is nothing like a singleton pregnancy. I only had one singleton pregnancy but for sure I thought I was having a girl (and assumed girls must mean exhausting pregnancies) because by the first few weeks, I knew something was different.

      I think since this is also a subsequent (and not a first) pregnancy, all the body changes are happening faster than normal (at least it did for me!). So that, like you described, we twin moms already look ready to pop at barely a few months in.

      I’m so glad you’ve stumbled on my blog, and I hope to hear from you again!

  3. This post is so reassuring. I am 11 weeks pregnant with twins which was a total unplanned pregnancy. I have 2 girls, one is 3 and the other 10 months. I had just stopped nursing when I found out I was pregnant again. I have had so many emotions about it all and am so scared to have twins.Thank you for your helpful post.

    1. Natalie, I’m so glad the post resonated with you! I wrote a lot about my journey with twins including one where I was so freaked out about it I wasn’t at all happy, but sad with the news. Like you said, the emotions are many, and thankfully the scared/anxious/angry emotions will eventually fade as you welcome your twins. I won’t lie: that first week I found out, I cried every day! But over time, I learned that it wasn’t as bad as I imagined, and now with the twins at two-years-old, I couldn’t be happier 🙂

      And guess what—with my twins being my second pregnancy, I actually find them many times to be easier than my first! Having that ‘been there, done that’ perspective helps a lot!

      Lastly, welcome to the world of moms of multiples! I have seen so much support among twin moms that I didn’t find so much with singleton moms. We’re all in this together 🙂

  4. Michelle T says:

    I am the mother of a 21 month old, and we just got news we are pregnant with twins! To say we are overwhelmed is an understatement…I think I will be relying on this blog a LOT in the coming months! Thanks for the great advice!

    1. Nina Garcia says:

      Congratulations, Michelle! Yes, please go through the ‘twins’ tab on the blog to get some insights on raising twins. It was definitely a shock for me too, so you’re not alone 🙂

      1. We found out in November that we were having twin girls. The worst part so far has been people comparing the twin pregnancy to a singleton. Not to mention that I am only 5 foot tall so not much room for them. I had a coworker say why are still getting sick you should be donenough with that by now.

        1. Nina Garcia says:

          Wow, the comments, Meredith! As you know, a twin pregnancy is so different from a singleton one! And twins or not, everyone’s level of feeling sick varies with each pregnancy. I hope you can put blinders on and tune out those comments!

  5. Florence Morris-Turcotte says:

    I am the mum of 3 year old twins (boy and girl). They were premature and I had to have C-section.
    Yes, indeed, being pregnant with twins is exhausting! The risk of prematurity is greater and bringing both babies Home is like a military operation (planning, planning, more planning)
    Twins run in my family but so far I’m the only one to have twins this generation.
    It is very intense and can be expensive. However, if you have a family that helps you and are involved then you can make it.
    Support is key and many hands (the right hands) make light work and help to socialize your twins.
    Boy and girl personalities are very different. But, seeing how they love each other and can’t live with or without each other will warm your heart.
    Good luck and God’s blessings to all twin parents!

    1. Nina Garcia says:

      Loved reading about your experience, Florence! I can relate so much.

  6. Stephen Young says:

    This was a great little article. I was expecting my second child and just found out today I’m having twins. I found this page to be super encouraging. Needless to say, I was freaked out.

    1. Nina Garcia says:

      Congrats, Stephen! It’s definitely overwhelming to hear the news. I was also planning on just one more child and was beyond freaking out when I learned it was twins 🙂

  7. Hello! Thanks for the great blog. This is my first pregnancy & last week we saw two babies in the ultrasound – EEK! I find it interesting that no other comment on this article is their first pregnancy… I wonder if twins are more common after you’ve already had one kid before?

    My symptoms haven’t been terrible yet, but being 5′ 2″ I’m preparing myself for weight gain & back pain soon…

    1. Nina Garcia says:

      Hi Rachel! I actually have no idea whether it’s more common for twins to be your first pregnancy or not. That said, I’ve met plenty on both sides 🙂 Welcome to the world of twins, mama!