Being pregnant is one of the most exciting times for a woman and her family. Many women will wonder very early in their pregnancy if they may be pregnant with twins, especially is there is a history of twins running in their family. The only way to definitively know that twins are on the way is by having a transvaginal ultrasound confirm the presence of two gestational sacs. Rising hormone levels reflected in a woman's blood work are another sign.
Implantation Bleeding
Women expecting twins may experience implantation bleeding during early pregnancy, reports the American Pregnancy Association. Implantation bleeding is thought to occur as the fertilized eggs attach to the inside wall of the uterus. This type of bleeding is usually lighter in color and flow and shorter in duration than that of a normal menstrual period. Women pregnant with twins may experience more bleeding than women expecting only one baby. Any type of bleeding during pregnancy should be reported to a woman's obstetrician.
Severe Morning Sickness
More than half of moms pregnant with multiples have morning sickness, which tends to be more severe than the kind experienced during a singleton pregnancy, reports Pregnancyinfo.net. Morning sickness is a term given to the nausea and vomiting experienced during pregnancy. Women may also experience strong food cravings and aversions to certain foods or odors during this time. Although it is termed morning sickness, these symptoms can occur at any time throughout the day or night.
Most women will report a decrease in morning sickness as they enter their second trimester around week 13 of their pregnancy. Severe morning sickness should be reported to a physician. It can lead to dehydration, which can be dangerous for an expectant mother.
Early Weight Gain
According to Pregnancyinfo.net, early weight gain of up to 10 pounds in the first trimester can result due to increased blood volume and uterine size. Women pregnant with twins will notice early weight gain as well as a higher total weight gain for the duration of the pregnancy.
Fatigue
Women pregnant with twins may experience more fatigue than those pregnant with a single baby. Nurturing one baby drains a body's energy, but carrying around two, three or more can be even more exhausting, reports Pregnancyinfo.net. Women may seem more tired than usual and require a midday nap to get through the day.


