How To Check If You Are Carrying Multiples Before Getting Your First USG

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Supriya Singh
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Pregnancy is a very crucial stage and a lot of thoughts run through the minds of the expecting mothers during the initial stage especially. One of the thoughts that some expecting mothers have is, “Am I carrying just one baby or more?” 

If you are carrying and you are having such a thought, then all you have to know these pregnancy signs and symptoms to clarify your doubt. 

Crazy hormone levels

One of the possible signs that you may have more than one baby is high levels of hCG (Human Chorionic Gonadotropin) in your body. However, this is only a possibility. In simple words, higher hCG levels mean higher chances of multiple pregnancies, that’s it. 

The hCG levels are checked as a part of the common screenings at the initial stages of pregnancy. 

Also, hCG test kits are available that can be tried at home also. The hCG levels are checked with the help of a urine sample and blood tests. 

Unusually high AFP levels

Let me first clear what is AFP or Alpha-fetoprotein. It is a plasma protein produced by immature liver cells of a fetus. Checking of AFP levels is recommended by the doctors during the second trimester to check for any possible birth defects. 

The levels are checked as part of maternal serum screening, triple screening, quad screening. As per the results, doctors decide if further tests are required or not. 

So, it is considered that high levels of this protein in the mother’s blood means there may be more than one fetus. But not necessarily, because it may also mean possible birth defects. 

Crazy weight gains

Generally, pregnant women gain up to 2.5 kg in the first trimester. But if pregnant with more than one baby, expecting mothers gain weight up to 6 kg. 

So, if you notice that you are gaining weight more than the standard pattern it is possible that you are having more than one baby. Again not necessarily that your rapid weight gain is a sign of multiple pregnancies. It may be due to the intake of more calories in your diet.   

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Measured large for gestational age

The fundal height is monitored as well throughout the pregnancy. In doing so, it helps the doctors diagnose the conditions like weight, growth rate, the position of the baby.

After at least 20 weeks of being pregnant, the thumb rule for fundal height is that the value which is measured in centimetres should be the same as the number of weeks that you have been pregnant.

Increased fundal height than usual is an indicator that you may be carrying more than one baby. Because multiple pregnancies cause the uterus to expand. 

Fundal height is the distance measured from the pubic bone to the top of the uterus. 

There are several reasons behind the increased fundal height. Apart from multiple pregnancies, it may be because the size of the fetus is larger than usual, or due to the presence of an excess amount of amniotic fluid and so on. 

More morning sickness

Morning sickness, one of the first signs that indicate pregnancy. Doctors aren’t still sure the real culprit behind morning sickness. But according to theory, there is a correlation between high levels of hCG in the blood and increased morning sickness. 

It has been observed that women with multiple pregnancies show signs of nausea pretty early and may experience morning sickness more than the usual pregnancy. 

However, it would be wrong to come to any conclusion based on the intensity of morning sickness.  

Early fetal movement

The first movement of the baby inside the womb also known as quickening is one of the happiest moments of pregnancy. 

According to WebMD, the movement usually begins between week 16—week 25 of pregnancy. Some women with multiple births have reported to experience foetal movement much earlier than the standard period. However, there is no medical backup for the reports. 

Doppler heartbeat count

Doppler foetal monitor can be used in the detection of the foetal heartbeat in the first trimester. This procedure is totally harmless and non-invasive. It amplifies the baby’s heartbeat. The device uses the Doppler effect and generates an audible simulation of the heartbeat. 

Expert doctors or midwives may be able to hear multiple heartbeats in the early stages of, at least 10 to 12 weeks of pregnancy, which may be a sign of multiple pregnancies. 

Thing is, multiple heartbeats may be due to several explanations. Hearing more than one heartbeat maybe just an echo of the fetus’s heartbeat from a different angle. The mother’s heartbeat may cause some hindrance as well. 

How can You get a confirmed answer? 

Ultrasound, also known as Sonogram is the only way to confirm whether you are carrying one or more babies. With an ultrasound image, doctors will be able to tell with confirmation the number of the fetus in the womb. 

In order to find out everything about multiple pregnancies, read this article

Pregnancy is indeed a time to rejoice and an experience that changes the life of a woman forever. Getting worried if the pregnancy will turn out fine or not is a common feeling that most pregnant women feel. So, if you are feeling some pressure mentally, it is okay. And of course, if you are facing any discomfort during this stage, contact your doctor for guidance.

Stay Happy Stay Healthy for The Baby♥