View source for Twins or More

{{Severity Banner
| level    = yellow
| card_no  = 16
| title    = Twins or More
| subtitle = Multiple babies mean extra check-ups and hospital delivery is essential
}}

{{Card Infobox
| card_no  = 16
| severity = yellow
| category = Pre-existing
| audio    = Twins_or_More_Khasi.mp3
| call_108 = no
| pathway  = ASHA → CHC / District Hospital (register early) → monthly ANC → deliver at hospital
| image    = Card_16_Twins_or_More.png
}}

== 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.

{{Action Steps|
* 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'''
}}

{{Referral Pathway
| step1 = ASHA
| step2 = CHC / District Hospital (register early)
| step3 = Monthly ANC
| step4 = Deliver at hospital only
}}

{{Risk Window|
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 ==

{{Audio Guide|file=Twins_or_More_Khasi.mp3|duration=2:00}}

== Related cards ==

* [[Blood_Pressure_High|Blood Pressure High]] — much more common in twin pregnancies
* [[Pale_Eyelid_and_Nails|Pale Eyelid and Nails]] — anaemia is very common when carrying twins
* [[Previous_C-Section|Previous C-Section]] — another reason hospital delivery must be planned early

{{Emergency Footer}}

[[Category:Symptom Cards]]
[[Category:Yellow Alert]]
[[Category:Pre-existing]]