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Resources Centre / Twins Tips Introduction / Twins Tips / Triplet Pregnancy Calendar - Month by Month
Triplet Pregnancy Calendar - Month by Month
Here we outline a Triplet Pregnancy Calendar month by month and give guidance on what to expect

You are trying to conceive.

If you are trying to get pregnant, you should look at your lifestyle and make sure that you and your spouse are ready to handle the responsibility of becoming parents. Make sure that you are eating a well-balanced diet, drink lots of fluids and begin taking prenatal vitamins. You will not know right away whether or not you are carrying more than one baby. Treat your body well and take care of yourself.

Pregnancies are dated from the date of your last period, so for the first two weeks you are not actually pregnant! However, your babies will be conceived by the end of the second week. During the third week, you will actually be pregnant! You will not know that you are pregnant yet because you have not yet had a missed period. However, so much is going on inside of you at this time! Your babies are developing quite rapidly. During this time, the baby's brain, bladder, liver, kidneys, spine, extremities, reproductive tracts and heart are all beginning to develop. By week four, you should be expecting your period to arrive. If you take a test now, you might get a positive sign! Congratulations! Your babies are very tiny at this point and a little smaller than a grain of rice.

Pregnancy symptoms are usually hightened when more than one baby is developing. The symptoms may arrive earlier as well. An increased frequency of urination is a common complaint early (and throughout) pregnancy for most women. The uterus is beginning to grow and put pressure on the bladder, therefore making it hold less urine than normal and sending you to the restroom more frequently. If you experience burning or pain during urination, contact your caregiver.

Morning sickness and nausea may be worse with a triplet pregnancy. Although it rarely becomes serious, it can be frustrating. Nausea and vomiting can happen at any time of the day. Eating frequent, small meals should help ease your stomach. Many women also experience a hightened sense of smell and may experience an aversion to certain smells and tastes.

A triplet pregnancy seems to cause more heartburn, and does so earlier in the pregnancy. This is because your uterus is larger. Antacids will help with heartburn symptoms for most women. Rather than lying down after a meal, take a short walk or sit straight up for a while to aide in the digestion of your food. You may also notice that you feel constipated. Drink lots of water and increase your fiber intake.

Breast tenderness is a common symptom of early pregnancy. Breast tenderness and swelling seem to increase in women who are expecting triplets. You may also notice a darkening of the areola-the circle around the nipple on the breast. Support your breasts properly during pregnancy.

You are 2 months pregnant.

If you have not already found out that you are pregnant, you probably will this month. It is usually best to wait until you have missed your period to take a pregnancy test. As early as this week, the plate that will become the heart has developed. The babies' brain, spinal cord, muscles, and bone formation are also beginning to form. The baby's skeleton is forming at this time as well. The embryos have a distinct organization that has a top, bottom, left, right, front and back. It is important that you continue or begin to take your prenatal vitamins to prevent birth defects. At six weeks, the embryos are about the size of raisins. Towards the end of this month, all of your babies will have visible facial features and their eyes have a retina and a lens.

Whenever you get a positive home pregnancy test or feel as if you might be pregnant, call your doctor. Your doctor will want to see you to confirm your pregnancy and begin prenatal care. On your initial doctors visit you may be checked on Hematocrit, hemoglobin, white blood cell count, blood group type, Rh factor, antibodies to blood group antigens, VDRL, rubella anti-Body titer, hepatitis B, toxoplasmosis, urine culture, and HIV. If you have an early untrasound to confirm or date your pregnancy, you might be shocked to learn that you are carrying three babies!

Sometimes as early as the second month of pregnancy, the insides of your hands and the bottoms of your feet may itch and take on a reddish hue. This annoying condition is called palmar erythema. The increased color is nothing more than a curiosity of pregnancy. You may begin to have sore breasts, nausea, fatigue and some food aversions/cravings.

During your first visit with the doctor, he or she will be going over information regarding your pregnancy. Address any questions or concerns that you have. They will also be doing a complete work up on you, including:

1.)Blood pressure and vital signs
2.)Physical exam-heart, lungs, breasts, abdomen, and pelvic
3.)Family history questionaire
4.)Urine Sample
5.)Blood samples

You are 4 months pregnant.

Each of the three babies are now considered a fetus and will weigh approximately 120 grams at the end of the fourth month. This month the babies will begin their practice breathing by inhaling and exhaling. All of the babies eyes and ears continue to develop. Although most likely a reflex, your babies are beginning to make gestures with their hands. The placenta is still providing all of the nutrients that the babies need. By fourteen weeks, your babies are about half of the size of a banana. Mothers of triplets might be able to feel their babies movements earlier and this could occur at any time. By four months, a mother carrying twins usually looks like she is already seven months pregnant! You are definitely wearing maternity clothes now and strangers will be asking when you are due!

Your nausea should be diminishing or may even be completely gone. You should be enjoying a hearty appetite. At times you may feel ravenous and that is okay. Follow the dietary guidelines that your caregiver has given you and enjoy nourishing your babies!! Just remember that you do not need to actually eat for four-you and the three babies growing inside of you. You do need extra calories, but not that many. If you are still experiencing cravings, that is fine, but do discuss any extreme cravings with your doctor. You may need an additional supplement or vitamin.

Some common complaints around this time of your pregnancy might include, swelling of the feet, anemia, bleeding gums, breast tenderness, constipation, nasal stuffiness and increased heart rate. All of these are considered normal.

Your doctor will be assessing many factors of the pregnancy at this checkup. Address any questions or concerns at this time. You may have an ultrasound to assess the babies condition. Your caregiver will most likely offer you the AFP test to check for abnormalities. Your caregiver will also be checking:

1.) Weight gain
2.) Blood pressure, pulse and respiratory rate
3.) Heart and lungs
4.) Breast exam
5.) External palpation of the uterus
6.) Measure height of fundus
7.) Check fetal heartbeat
8.) Urine screen for blood, sugar and bacteria

You are 5 months pregnant.

Although triplets are almost always born early, you are now at the half way point of your pregnancy! You most likely have been feeling your babies movements by now and will continue to feel them for the remainder of the pregnancy. Although some women have known for quite some time they are expecting triplets, some women are just finding out because of the routine ultrasound performed this month! This month, it is possible to find out the sexes of each baby during the developmental ultrasound. By the end of this month, each baby will weigh nearly a pound and will be approximately 7 inches long from crown to rump. Each baby is responsible for producing their own amniotic fluid now, whereas the placenta was doing it before. The membrane between the three babies is very thin but can be seen clearly on ultrasound.

Your babies senses are beginning to activate and they can respond to sounds. Loud noises may startle the babies and they may respond with a kick or jerking motion. Eyesight continues to develop also. Each of the babies has a coating of vernix caseosa to protect against the continuous exposure of amniotic fluid. Fine downy hairs, known as lanugo, are also present and help each baby regulate their temperature. Brown fat also helps the babies regulate their body temperature and the fat is being laid down. Although most of the systems are complete, the babies still need time to grow and fully develop lung function.

Most of the time nausea will have dissapeared at this point of the pregnancy. You might begin to experience heartburn and indigestion. Constipation and pelvic pain are also common symptoms around this time. If the pain is severe or interferes with your daily activities, you should contact your health care provider.

As always, discuss any questions or concerns with your caregiver at this time. Your doctor will be discussing the results from any prior screening tests. You will be discussing the ultrasound process and amniocentesis, if needed. They will also be checking:

1.) Weight gain
2.) Blood pressure, pulse, respiratory rate
3.) Heart and lungs
4.) Breast exam
5.) External palpation of the uterus
6.) Measure height of fundus
7.) Check fetal heartbeat
8.) Urine screen for blood, sugar and bacteria
9.) Ultrasound assessment
10.) Pelvic exam

You are 6 months pregnant.

Each of your babies now weigh over a pound and are approximately 12 inches long. Space is getting very cramped inside now and you most likely look like you could have the babies at any time! Week 24 marks a special time for you. This is generally the week that is considered the week of viability for the babies. Although your babies still need time to grow and finish the final touches, there is an 85% chance of survival if they were born now. Of course, your babies would need to spend a few months in a NICU for advanced care. However, almost half of babies born at this time will have some kind of lasting effect from being born prematurely. Pay special attention to any signs of preterm labor and call your doctor immediately if you experience any symptoms of preterm labor.

Your babies will have periods of rest and awake times throughout the day, but they may not coordinate their schedules! You should be feeling them move every day at different intervals. The babies will bump into one another and nudge each other for some extra room! Sometimes they will all stretch their legs out in one direction and you will see an obvious budge on one side of your abdomen.

The membrane that separates the babies is amazingly elastic. Every joint in their bodies is flexed at this time. The chin is at the chest and their elbows are tucked at their sides. Their legs are often brought up to their chest and the feet are tucked under their bottoms. On ultrasound, you will often see that they like to have their hands up near the face. After delivery, you will notice that your babies keep thier hands clenched and often have their feet tucked upwards.

You should be very comfortable discussing concerns with your doctor at this point. It is important to share your feelings and questions with them. Make sure to keep your doctor informed on your lifestyle and any changes that are occurring. If you have not had a 20 week diagnostic ultrasound performed, you will most likely be receiving that as well. Your doctor will be reviewing the results of any tests you have had performed. Your doctor will probably be going over the sings of preterm labor and giving strict instructions on when to call if needed. In addition, your caregiver will also be checking:

1.) Weight gain
2.) Blood pressure, pulse and respiratory rate
3.) Heart and lung check
4.) Breast exam
5.) External palpation of the uterus
6.) Measure height of fundus
7.) Fetal heartbeat
8.) Urine screening for blood, sugar and bacteria

You are 7 months pregnant.

Each of your babies will now weigh over 2 pounds and is around 15 inches long. Fat is continuing to be laid down at an amazing rate and the babies will continue to grow each day they are inside of your uterus. Your babies look very similar to how they will look when they are born-just smaller. The brain and lungs continue to develop. Many obstetricians give mothers of multiples a shot to help with fetal lung development. The steroid shot helps their lungs devlop quicker in case of premature delivery. The bones are getting stronger and harder around now. Your babies are capable of breathing air, but they would struggle and most likely be on breathing tubes if they were born now. The grooves are beginning to appear on the brain and tissue continues to develop. The eyes have unfused and each of your babies can open and shut their eyes.

At this point of your pregnancy, you will certainly feel as if you can not get any larger! You can and as long as you remain pregnant, you will! Take it easy during the day and rest as much as possible. Some doctors will order bedrest-either partial or full-in order to prevent preterm labor. There is a 90% chance of survival for your babies if you were to give birth now. You will be feeling very heavy and the weight of the pregnancy is probably starting to affect your back and legs. The pressure of your growing uterus can also cause backaches. You may experience relief when the babies change their positions. As the babies move down into your pelvis, you will experience pelvic pressure and increased pressure in your rectum. You will notice an increased urge to urinate more frequently. Some common complaints this month include constipation, nasal stuffiness, backache, bleeding gums and Braxton Hicks contractions. Stretch marks are very common at this time and almost inevitable when carrying more than one baby.

You will probably be visiting the doctor every two weeks by this point. Make sure you address any questions or concerns to your caregiver. Make sure that you have asked your doctor about any physical activities and sexual intercourse at this point of your pregnancy. You will be screened for group B streptococcus around this time. You will also have a glucose tolerance test at this visit. The glucose tolerance test will check to see if you have gestational diabetes. In addition to these tests, your caregiver will be checking:

1.) Weight gain or loss
2.) Blood pressure, pulse and respiratory rate
3.) Heart and lungs
4.) Breast exam
5.) External palpation of the uterus
6.) Measure height of fundus
7.) Fetal hearbeat
8.) Urine screens for sugar, blood and any bacteria
9.) Possible ultrasound assessment

You are 8 months pregnant.

The majority of triplet pregnancies will come to and end by the end of week 33. Each of the three babies will weigh around 4 pounds now. It is common for birth weights to be slightly different. Triplets are on the same track as singletons around this time of the pregnancy. The babies swallow amniotic fluid each of your babies urinates about a half liter into the amniotic fluid each day. Lanugo is dissappearing now and brown fat is still being laid down. Your babies eyelids open and close and their toenails are growing. Bone marrow is responsible for red blood cell production.

At this point, fatigue is probably a big complaint. Listen to your body and rest when you can. Even if you can not actually sleep, try to prop your feet up and allow your body to rest. Because your uterus is taking up an incredible amount of room in your diaphragm, you might feel like you are out of breath. Sitting up straight may help some with this problem.

Backache is becoming worse also. Pay attention to any new or unusual aching in your back-it could be a sign of preterm labor. A nice, warm bath can help soothe the discomfort of a backache. Do not sit in a jacuzzi or use hot water, though.

If you spend alot of time standing up or sitting down, hemorrhoids are likely to be a problem. To avoid constipation that could make the hemorrhoids worse, continue to eat a balanced diet and drink plenty of water. Cold packs and sitz baths may offer some relief. Tell your doctor about the hemorrhoids because they can get worse after delivery.

Many women wonder what position their babies are in at this point of the pregnancy. This is the time to find out how your babies are positioned and make any necessary corrections or arrangements. Babies still can turn at this point, but they are running out of room to do so. Talk to your doctor about any Braxton Hicks contractions you may be experiencing. Your doctor will also make sure you are getting an ample amount of rest. Your doctor may find it necessary to do a pelvic exam to check for any dilation of the cervix. Some caregivers do a biophysical profile to assess the babies condition. Aside from answering any questions or concerns you have, your doctor will also be checking:

1.) Weight
2.) Blood pressure, pulse and respiratory rate
3.) Heart and lungs
4.) External palpation of uterus
5.) Measuring the fundus
6.) Fetal heartbeat
7.) Breast exam
8.) Urine screens for sugar, protein and any bacteria
9.) Possible ultrasound assessment

You are 9 months pregnant.

More than likely your babies will be born sometime this month, if you have not already had them. Most triplets are born by week 34. The average triplet will weigh around 4-4.5 pounds at this time. The babies are depending on you to give them the nutrients they need to have the remainder of fat laid down. Fat will help them regulate their body temperatures after they are born. Continue to eat a well balanced diet and drink lots of water. The space inside the uterus is very tight and the babies movements will not be as intense as they once were. You should still continue to feel them move. Because there is not much room for turning, it is unlikely that your babies will change position now. The position of your triplets can effect how you deliver. At this time, surfactant is coating the alveoli in the lungs, which will help them breathe after they are born.

Looking for more information, you may be interested in our other articles on Triplets Pregnancy & Caring for Triplets

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