What Prenatal Tests Will I Need To Conduct If I Am Expecting Multiples?
If you found out about your multiple pregnancy, do not get worried about any dangerous extra testing, as you will have to do the same prenatal tests, which all the other pregnant woman have, the only thing is that you may probably need to conduct them either earlier or more often then other future mothers.
 If women, who carry only one baby usually have only one, two, or at least three ultrasound investigations, you may have five, or even more. Most likely you are already aware what the prenatal ultrasound is, as you must have had one by this time, during which you learnt about these several babies of yours.
 Somewhere around the 18th week of your pregnancy, you may have the ultrasound investigation conducted about once a month up until the very delivery.

You will have to have your blood tested for iron – deficiency anemia more frequently than women, who expect only one baby do. . The reason of it is your iron stress being used more quickly in case of the multiple pregnancy, bringing you are at higher risk of anemia development.
Between the weeks 24th to 28th   (earlier than other pregnant women), you will also have to take the glucose screening test, as you are also likely to develop gestational diatebes.

The risk of premature delivery is also increased, that is why you may have a test for fetal fibronectin (it is similar to a Pap smear). This kind of testing is conducted after the 22nd pregnancy week and only in case if you feel premature contractions’ beginning. Fetal fibronectin is a protein, present in your vaginal secretions, which serves as a signal of your body’s readiness to the birth giving process. When the test does not show any protein, there is a good chance you will not deliver during the following week or two. It is possible that you will have to repeat this test every couple of weeks until the 34th week of your pregnancy comes.
 In case if the result of the test is positive, your doctor will do his best to prevent your babies from early arrival. Because this test may cause some risk of beginning of contractions, it is not recommended for women, who do not have any symptoms of premature delivery.

 After the 28th week of your pregnancy your doctor will recommend  you to make the nonstress test, which will help him to determine your babies’ heartbeats and movements. With the help of this test your doctor will see if your little ones having any problems in their crowded living conditions. This kind of stress is also performed in order to check if there are no contractions, which point on the premature delivery.
 Along with the nonstress test, you may be recommended to make the detailed ultrasound, which will let see all your babies’ body movements, breathing movements, and the exact amount of amniotic fluid, surrounding them. Such a combination of a nonstress test and an ultrasound investigation is called a biophysical profile.

How Will I Have To Deliver My Twins, Triplets, etc?
 Cesarean section was popular for nearly all multiple deliveries yet quite recently. However, nowadays this rate is only about 50% for twins, and it decreases every day. It has been proved that the vaginal delivery is usually much safer for babies, especially when multiple pregnancies are considered, as such babies need the stimulation and hormonal levels rise.

However the way of your delivery will depend on many factors, like the position of your babies (like, if they are in a position, where neither is able to move, they are “locked”, and the cesarean section is the only way out of this situation), the ability of the babies to tolerate the delivery process, the tem or delivery, etc.
 Breech babies do depend on the size of the little one and the skill of the midwife. As a rule in the position, where baby A (this is the term to determine the first baby in the pelvis) is head down, a vaginal birth will be tried. When baby B is breech or transverse there may be tried an internal or external version in order to make the delivery process easier, but this baby / these babies may also be born breech.
 Most monoamniotic twins arrive via cesarean section, because of the risk of cord entanglement.