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Week by week Twins calendar: pregnancy in weeks 20-24

4-8 8-12 12-16 16-20 20-24 24-28 28-32 32-36 36-40

Twin babies at 23 weeks At 20 weeks, each of your babies will weigh approximately one pound! By 24 weeks, they will have gained another half pound and will be approximately 12 inches long! The babies are continuing to grow and have produced some fat under the skin. Lanugo-soft, furry hair-covers their skin and you will most likely notice this at birth. The babies are also starting to be covered with a cheesy substance called the vernix caseosa coating. The twins are in constant contact and kick and nudge at one another for space. The membrane that separates them still is amazingly elastic! Every joint in their bodies are flexed. 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. During periods of awake time, they will stretch out and move around.

You should be feeling your babies move around every day. You might not be able to tell which one is which though. You may only be able to feel it one side occasionally and that is OK. It may be that both sets of legs are stretching out in the same direction.

Edema is not uncommon during any pregnancy, especially when carrying multiples. Sometimes the extra accumulation of fluid can cause carpal tunnel syndrome. This is a tingling or numbness in part of the palm and fingers caused by excessive compression of the bones and nerves. If you are experiencing this, try to rest as much as possible and drink lots of water. You can also purchase carpal tunnel wrist guards at a local drugstore. Symptoms usually go away after delivery.

You may be noticing that you are warmer than everyone else in the room. Your resting metabolic rate is increased during pregnancy and causes you to feel overheated. It does not mean you have a fever. Drink extra fluids to replace any fluids that you are losing through perspiration.

Many pregnant women also begin to experience leg cramps at this point of their pregnancy. It can be a sudden and extremely painful feeling. Because you are carrying multiples, you are at increased risk for experiencing leg cramps. You are carrying extra passengers and they can be very greedy when it comes to getting the mineral they need for good nutrition. You may be suffering from a shortage of calcium. Ask your doctor to help you find a way of getting enough for your and your babies.

It is not uncommon for mothers of multiples to go in to labor early. Pay close attention to any changes in your pregnancy and inform your caregiver at once if you experience any signs or symptoms of preterm labor.

Ongoing Symptoms

Nasal stuffiness
Sensitivity to sun
Bleeding gums
Round ligament pain
Leg cramps
Leakage from nipples
Glow of pregnancy
Change in sexual desire
Hearty appetite
Sleep changes
Expanding uterus
Swelling feet
Stretch Marks
Spine curving
Vaginal discharge
Decrease in urination

To Think About This Month

Obtaining baby care essentials
Birth preparation classes
Birthing options and plans
Work arrangements if not already done
Childcare arrangements if needed

At The Doctor
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 occuring. If you have not had a 20 week diagnostic ultrasound performend, 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

Comments by 20-24 week pregnant Twin mothers

Showing 1-4 of about 4 comments from week 20-24

jesswithtwins - Wednesday, 18 Mar
just venting because there's really no one to vent to lately I become very overwhelmed with the an appreciation that my family shows my children seem to not appreciate anything that they have or anything that is done for them I just feel like if I don't do those things I'm going to become even more overwhelmed with the amount of things that pile up and need to be done my children are still very young and my oldest is in school almost all day so when he comes home I try to not put too much pressure on him and my youngest has her days were all she wants to do is help me do everything the for the most part she's been very defiant lately on cleaning up I've actually resorted to taking away almost all of her belongings but this too can be stressful because then she has nothing to do all day and my husband is gone 12 plus hours a day so basically when he's home he really does nothing but spend his time to himself I just have become really overoverwhelmed with coming to the fact that I'm going to have two more children hopefully when they get here things will fall into place and I won't feel so overwhelmed I'm looking at how everything is going now I'm highly doubting that fact I'm a very proud mama and always have been but its just scary that I'm overwhelmed with just two and now I'm going to instantly have four sorry for the rant but I just had to get it off my chest
I'm almost 22 weeks pregnant with twins and it seems like I feel less movement within the last couple of days should I be concerned?
I'm almost 22 weeks pregnant with twins and it seems like I feel less movement within the last couple of days should I be concerned?

AmyLynn82 - Friday, 9 Aug
Candy-sorry to hear that. You must be so stressed out...Praying that he is a perfect as can be :) s far as names, we can't agree on any. My husband is being difficult. Saying no to all of mine but not offering suggestions. Ugh. Tamtwin- when were you first told boy/girl twins vs now boy/boy twins?

candy911 - Tuesday, 6 Aug
Tam congrats on the two boys! I have a theory that boys are more energetic and a bigger challenge than girls for the first 10 years give or take but the girls become a much bigger challenge. We found out that baby a has agenisis of corpus collosum. We won't know how slightly or severely he will be affected until he's here and starts hitting or missing milestones. Time will tell. How many of you have picked names? Are you doing matching, similar, same initials or completely individual names?

4-8 | 8-12 | 12-16 | 16-20 | 20-24 | 24-28 | 28-32 | 32-36 | 36-40

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