Twins or More
| CARD 16 · YELLOW | |
|---|---|
| Category | Pre-existing |
| 108 | Not always required |
| Pathway | ASHA → CHC / District Hospital (register early) → monthly ANC → deliver at hospital |
What is this?
When two or more babies are growing in the womb, the mother's body carries far more weight and works much harder than in a single pregnancy. She is more likely to feel very tired, short of breath, and uncomfortable. The babies may grow more slowly and are more likely to be born early — before they are fully ready.
Twins and triplets almost always need a hospital delivery — often a Caesarean section. Complications during labour and delivery are much more common with multiple pregnancies, and a surgical team must be ready. Register at the CHC or District Hospital as soon as twins are confirmed, and attend a check-up every month without missing any.
- Register at the CHC or District Hospital immediately after twins are confirmed
- Attend a full check-up every month — do not miss any
- Prepare money and transport for the hospital from now
- Deliver only at the CHC or District Hospital — never at home
Pathway: ASHA→CHC / District Hospital (register early)→Monthly ANC→Deliver at hospital only
The risk in a twin or multiple pregnancy runs throughout the entire pregnancy — not just at delivery. High blood pressure, severe anaemia, and early labour are all much more common. Hospital delivery is essential — a home delivery with twins carries a very high risk of death for both mother and babies.
Khasi audio guide
Related cards
- Blood Pressure High — much more common in twin pregnancies
- Pale Eyelid and Nails — anaemia is very common when carrying twins
- Previous C-Section — another reason hospital delivery must be planned early