Published online by Cambridge University Press: 11 October 2022
Women with multiple pregnancies are at increased risk of pregnancy complications. However, there are very few high-quality studies to direct recommendations for lifestyle modifications in women with twin pregnancies, and such research is virtually non-existent for triplets and above. Several retrospective studies suggest that improved nutrition and proper weight gain might be beneficial to women with twin pregnancies and reduce the risk of fetal growth restriction and preterm birth. Therefore, we recommend nutritional counseling and attempts to achieve recommended weight gain thresholds. In the absence of complications, most women with twin pregnancies can exercise regularly, continue working, and have no restrictions in sexual activity. Most women with twin pregnancies can travel up to 28-32 weeks, provided they have access to medical care, do not have other significant complications, and accept the small possibility of a complication at their destination.
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