Yes, twin pregnancy is generally more difficult and higher risk than a single (singleton) pregnancy. Women carrying twins experience more intense symptoms and complications, require more frequent medical monitoring, and have higher rates of pregnancy- and birth-related health issues.
- Increased physical symptoms:Â Mothers of twins often report greater nausea, fatigue, back pain, heartburn, and sleep difficulties compared to those with one baby.
- Higher risk of complications:Â Twin pregnancies have higher rates of gestational diabetes, anemia, high blood pressure (preeclampsia), preterm labor, placental abruption, and birth defects.
- Premature and low birth weight delivery:Â Twins are more likely to be born prematurely (before 37 weeks) and at a lower birth weight, both of which can lead to additional neonatal health concerns.
- Specialized care:Â Twin pregnancies require more frequent ultrasounds, checkups, and sometimes care from maternal-fetal medicine specialists due to elevated risks.
- Mothers of twins have an increased risk of cardiovascular complications—including a higher chance of being hospitalized for heart disease in the year after birth—especially if high blood pressure developed during pregnancy.
- The need for cesarean (C-section) delivery is also higher in twin pregnancies, and management of labor may be more complex.
| Aspect | Singleton Pregnancy | Twin Pregnancy |
| Risk Level | Standard | High Risk |
| Maternal Symptoms | Milder | More severe/Intense |
| Common Complications | Fewer | More frequent (GDM, preterm, anemia) |
| Monitoring Needed | Standard | Frequent, more specialist care |
| Premature Birth Risk | Lower | Much higher |
| Cesarean Rate | Lower | Higher |
In summary: twin pregnancy is usually more difficult and carries more risks for the mother and babies, making close medical supervision and specialized care essential for healthy outcomes.
If you’re facing pregnancy concerns like nausea, back pain, dizziness, cramps, spotting, or worries about travelling, getting timely guidance is important. A skilled gynecologist can assess pregnancy safety, manage complications, provide ultrasound evaluations, and guide you on safe travel. You can consult Dr. Sofia Manzoor a leading gynecologist with 16 years of experience. She’s known for handling infertility cases, high-risk cases, travel-related concerns, and overall women’s health with expertise and care.
