I met a lovely twin mummy at the Tamba evening on Thursday and she popped in to see me in hospital on Friday with a book called ‘When You’re Expecting Twins, Triplets or Quads’ by Babara Luke. It is such a good book and I wish that I had read it much earlier on in my pregnancy. Thanks Jennie! I am now totally engrossed, cramming in all the useful and interesting information. One bit that has put my mind at rest a little is a chapter on cervical tightenings. I was never sure how many tightenings were considered serious or when I should be concerned enough to call the doctor. You are obviously told by your midwife during a singleton pregnancy to call the hospital when you are having 6 contractions an hour for more than two hours, however the tightenings I’m experiencing are more like braxton hicks with not a lot of pain. With multiples they can start very early on in your pregnancy and be the ‘real’ thing. Because I haven’t been given much information on the subject, I have sometimes just brushed off a number of niggles and pains as I didn't want to bother the hospital and delivery ward, putting them down to just strains of a multiple pregnancy. Reading the chapter on Warning Signs of Preterm Labour I have realised this is a really naive thing to do. In a multiple pregnancy it is so important to get to know your body and the signs it is giving to you so you can act on them accordingly. I’m lucky I have acted in time so far!
The advice the book gives you is to start monitoring your tightenings as routine from the 20th week of pregnancy. You should do this for an hour a day, it doesn’t matter which hour it is. Lie on your side and use your fingertips to detect the abdominal tightenings. Record the length of the tightenings, the frequency between them and what you were doing just before your monitoring hour. At the end of each hour follow the guidelines for the number of tightenings.
- If you had fewer than four tightenings in an hour you’re ok and should monitor again the next day
- If you had four or five tightenings in an hour, but no other symptoms of preterm labour, drink several glasses of water to combat the dehydration that can bring on tightenings. Then monitor again for an hour
- If you have six or more tightenings in an hour call your doctor immediately
I didn't have the chance to take a pic of my bump when I was in hospital, so here we all are at 23weeks. I haven't grown forward much this week, I seem to be growing width ways now!
23 weeks pregnant


Hi Emma
ReplyDeleteI followed the link from your post on the TAMBA message boards and have just read through your blog to date! Wow is all I can think to say! Your bump looks fantastic in the photos but I can imagine the discomfort must be huge! My ID twin girls were born at 36+4 weighing 5lb 11oz each and although I had an uncomplicated pregnancy towards the end moving was difficult and sleep was not something I got much of...I can only imagine what it must be like with 4 babies growing and moving!I'm already looking forward to your next blog update and hope that all continues to go well for you and your babies. Will be thinking of you, Nona x
Hi Emma, just found your blog tonight! Just wanted to let you know I am wishing you well and hope the wee ones continue to stay cosy for the foreseeable! You are a wonder woman, I can't imagine carrying one baby let alone four! Jules x
ReplyDeleteHi Nona
ReplyDeleteThanks so much for your comment, i'm really pleased you've found my blog. Wow to you too! That's great that you lasted so long and had such lovely birth weights! It really is getting quite difficult now, but I just need to stick it out as long as I can. I can't wait to meet the little guys :) see you soon Em x
Hi Jules
ReplyDeleteThank you so much! Hope to see you back here soon. Em x