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Expecting Twins? What you need to know
Article

Expecting Twins? What you need to know

2 min readWeek 17
Key takeaways
2 min
  • Expect to gain 37-77 lbs during twin pregnancy, depending on your pre-pregnancy BMI and individual factors.
  • Increase daily caloric intake by approximately 600 calories to support healthy twin development.
  • Avoid restricting calories as insufficient weight gain increases risks of premature birth and miscarriage.
  • Focus on high-protein, high-calorie foods rather than following specific twin pregnancy diets.
  • Discuss increased vitamin supplementation with your doctor, as dosage recommendations for twins aren't standardized.

When pregnant with twins, expect to gain 37-77 lbs depending on your pre-pregnancy BMI. Increase daily calories by 600 and focus on high-protein foods. Avoid calorie restriction as insufficient weight gain increases premature birth risks.

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At an ultrasound, it was confirmed — you're pregnant with twins! Double the blessings and double the weight gain during pregnancy? In this article, we answer your questions about twins.

What’s the usual amount a woman gains when she's pregnant with twins?

As with all pregnancies, the amount a woman gains depends on many indicators — primarily on your BMI before pregnancy. On average, many doctors suggest that for a pregnancy with twins, you will need to gain 37 to 77 lbs. This means your caloric intake will increase by about 600 calories per day [1]. But there are not hard-fast guidelines about weight gain for mothers of twins [2].

So, should I worry about how much I eat?

No. Studies show that the more an expectant mother restricts her calorie intake, the higher the risk of premature birth with twins [2]. Insufficient weight gain more often than excess weight leads to miscarriage or premature birth [3].

Are there special diets for pregnancies with multiples?

No. There are no convincing studies confirming the effectiveness of a particular diet for a mother of twins. There are assumptions that mothers of multiples should eat a high-protein and high-calorie diet. This is because when your body is growing two (or more!) babies, your calories will be consumed faster. And with multiplies, there is a high probability of premature birth, and the more weight the babies gain while in the womb, the better [4].

Should I increase my vitamin and mineral supplementation if I have twins?

Most likely, this is a reasonable decision, but also not yet confirmed [4]. Obviously, two babies need more vitamins and minerals than one, but it is not yet clear whether it is worth doubling the dosage at once. Talk to your doctor. There are, however, studies that show that the increased intake of vitamin supplements during the planning phase before pregnancy, increases the likelihood of multiple pregnancies [5].


Frequently asked questions

Most doctors recommend gaining 37-77 lbs during a twin pregnancy, though the exact amount depends on your pre-pregnancy BMI. This is significantly more than the 25-35 lbs recommended for singleton pregnancies.

You should increase your daily caloric intake by approximately 600 calories when carrying twins. This supports the additional nutritional demands of growing two babies simultaneously.

While twins require more nutrients, doubling vitamin dosages isn't automatically recommended. Consult your healthcare provider to determine the appropriate supplementation plan for your specific needs.

No specific diet is proven effective for twin pregnancies. Focus on a high-protein, high-calorie diet to meet increased nutritional demands and support healthy fetal development.

Yes, calorie restriction during twin pregnancy increases the risk of premature birth and miscarriage. Insufficient weight gain poses greater risks than modest excess weight gain.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Reviewed by healthcare professionals · Updated March 25, 2025

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