Multifetal Pregnancy Clinical Presentation

Updated: Apr 19, 2021
  • Author: Asha J Heard, MD, MPH, FACOG; Chief Editor: Ronald M Ramus, MD  more...
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Women carrying multiple gestations may be initially asymptomatic or may have normal signs and symptoms of pregnancy (eg, breast tenderness, fatigue, nausea, vomiting). Multiple gestations may be suspected in the setting of hyperemesis gravidarum or in a patient who has undergone assisted reproductive technology. A complete history, including a family history, should be taken in every woman suspected to have multiples.


Physical Examination

A complete physical examination should be performed in every woman presenting for prenatal care. A twin gestation may be suspected if the uterine size is greater than expected compared to menstrual dates.