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20 weeks pregnant with twins

20 Weeks Pregnant with Twins

Are you 20 weeks pregnant with twins? Your ultrasound is coming up soon and you will be able to learn the gender(s) of your babies! If you’re on the fence about finding out or being surprised, check out this article to help you decide.

What can you expect at 20 weeks pregnant with twins? We’ve compiled a list of common symptoms, to-do’s this week, pregnancy tips, pregnancy concerns, questions to ask your doctor, advice from other pregnant moms of twins, and tons of other info below to help you through this week in your twins pregnancy. Enjoy!

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20 Weeks Pregnant Video

20 Weeks Pregnant with Twins

Our new digital twin pregnancy journal is up for sale on the Twiniversity Etsy store! This is the first and only digital journal exclusively for twin pregnancy. It’s the perfect way to record your precious twin pregnancy memories to cherish for years to come.  Click here to learn more… and while you’re at it, check out our expecting twins classes and Twiniversity Shop!

what's going on

What’s Going On With Those Twinnies?

  • Your twins each weigh about 10.2 oz, which is about the size of a banana.
  • Your twins can swallow now and their digestive systems are producing meconium, the earliest stool of an infant.
20 weeks pregnant with twins (1)
to do list

20 Weeks Pregnant To-do list

  1. Have your anatomy scan and find out the gender(s) of the babies! What an exciting time in your pregnancy.
  2. Reveal the gender(s) with a fun announcement or party. This is a very trendy thing to do, but don’t feel obligated to make a big deal out of it if that’s not your style. Getting together with your closest loved ones to announce the good news around an intimate dinner table is also a fun way to celebrate.
  3. Send your baby shower invitations. We recommend hosting a baby shower early — around 26 weeks just to be safe. If you wait after 30 weeks you run the risk of having to cancel if there are complications and you end up on bed rest or your twins arrive early. 
20 Weeks Pregnant with Twins

5 Tips for a Better 20 Weeks of Pregnancy

  1. Sit upright at least 2 hours after eating or drinking to help with reflux. This will allow your stomach to settle and avoid heartburn while you’re trying to sleep.
  2. Try to sleep with lots of pillows (one between legs, one behind back, one under your belly when you’re sleeping on your side, 1-2 propping up head). It may be more comfortable than 1 pregnancy pillow because you have more control over the positioning of the pillows where you really need support.
  3. A heating pad can help with back pain. Find a pad with an insert that you can dampen to create wet heat. It makes a difference!
  4. Keep active by walking and doing prenatal yoga or swim classes. Don’t feel like you need to break a sweat, but you can if you like (with your doctor’s permission). Try these pregnancy stretches.
  5. Buy compression stockings, they really help with leg pain. The pressure these stockings put on your legs helps your blood vessels work better. Compression stockings can keep your legs from getting tired and achy and ease swelling in your feet and ankles.
twin pregnancy advice

Advice From Other Twin Moms

Take time for yourself, even if it’s just a little splurge at a cafe or a cute top. It can be easy to get overwhelmed by a “to do” list. Don’t let it get to you, you are strong and capable of this miraculous blessing.

– Liberty G., Big Tapp, OH

Stay active but listen to your body. I’m realizing more when I need to slow or sit down for a bit.

– Melanie H., Dallas, TX

Don’t push yourself too hard and relax when you can. I’m noticing that I am getting more tired sooner than I used to. Also, be comfortable. Wear comfy clothes. Don’t feel like you have to be dressed up to go out and run errands.

– Kristine Z., Killeen, TX

Meal prep as much as possible because when you get home from work, cooking sounds impossible some nights.

– Sarah  H., Carmel, IN

Enjoy it! we have been blessed with such a gift, I know its hard and some days are rough but our babies are going to change our lives for the better.

– Herlin J., Leominster, MA

If you have restless legs try magnesium! I take 250mg, sometimes 500mg (two pills); my doctor said it was safe. My legs are SO much better which also helps me sleep better.

– Kim P., Ramsay, MN

Try not to stress about everything. If you have questions don’t Google; ask your doctor

. – Melissa C., Indianola, IA Add block
twin pregnancy concerns

Concerns Other Twin Moms Had

  • Weight gain and body changes. I look pregnant from the side but not directly on.
  • Will my blood pressure shoot up?
  • Will I have preemies or will they cook until 36 weeks?
  • When should I have a baby shower?
  • How will I get out of the house with 2?!
  • Concerned about getting the nursery set up with plenty of time.
  • If the cramping/pains I’m having are just a normal part of the pregnancy.
  • If babies measuring on target and am I gaining enough weight.
  • Wondering if I should be worried about counting kicks and movement yet?   In my last pregnancy (single) I don’t remember feeling them this early so not sure if I should be concerned with counting them yet.
  • The dreaded epidural. I’m terrified of getting one! My MFM specialist is great and has actually scheduled an appointment with the anesthesiologist to help ease my worries.
  • I am almost 6 feet tall and I don’t look like I’m pregnant with twins. I barely look pregnant.
  • Preeclampsia
  • Preterm labor
  • How will my singleton react to her new siblings?
  • How long will I be able to work?
doctor questions

Questions Twin Moms Had for Their Doctor

  • I feel motion, but of course have no idea if I’m only feeling the twin that sits higher, or both. Will this be more obvious later? Is there any point in doing “kick counts” in a twin pregnancy?
  • How many movements should I be feeling for each?
  • How is my blood pressure?
  • How’s my weight gain?
  • When should I get a whooping cough vaccine?
  • When will I test for gestational diabetes?
  • Is my cramping normal?
  • How long am I expected to be able to work?
  • Is it safe to use a heating pad?  
  • Is it safe to keep seeing my chiropractor?
  • What should I include in my birth plan?
  • Is it OK for me to take a short road trip at this time?
  • How often should I feel my twins move?
  • What’s the highest amount of magnesium that’s safe to take?
  • If my Baby A stays transverse, when will a c-section be scheduled?
  • I had preeclampsia with my singleton that starting at 39 weeks. Is it more likely for me to get it earlier with twins?
  • When should I be concerned about frequency of Braxton-Hicks contractions?
  • Are we out of the woods for TTTS risk?
  • Who will circumcise our boy and when will this happen?  

Typical Tests That Are Done at 20 Weeks Pregnant

Between weeks 18-22 you’ll have a level 2 anatomy scan. This is when you can typically find out the sex(es) of your babies. Don’t be surprised, however, if it’s too difficult to see one or both babies’ genitalia to determine the sex, most often because of the position the babies are in. During this scan, your medical team will be assessing the development of each baby’s brain, face, heart, spine, and other major organs, as well as the placement of the placenta(s), umbilical cords, and amniotic fluid levels. Do not be surprised if you are asked to come back for a follow-up scan. This is very common with multiple birth pregnancies because it’s often difficult for the technician to get a good picture if your babies are not cooperating.

If you’ve chosen to do a Multiple Marker Screen (MMS, a.k.a. Triple or Quad Screen Test), you’ll have blood drawn between week 15 pregnancy and week 20. This screening measures levels of certain proteins and hormones in a mom-to-be’s blood to give her a more accurate assessment of baby’s risk of neural tube defects than the first-trimester screening offers.

Amniocentesis is another elective test—it happens between weeks 15 and 20. This invasive test can diagnose neural tube defects, chromosomal abnormalities, and other genetic disorders. It’s considered safe overall but does pose some risks, so talk it over with your doctor to decide whether or not you’ll have the procedure. You may choose amnio if you have an abnormal triple or quad test or if your baby has a higher risk of genetic abnormalities.

For the amniocentesis, the doctor will use the ultrasound to see inside your pregnant belly and will guide a needle into the amniotic sac to gather a sample of fluid to be tested.


product recommendations

Product Recommendations

Maternity Yoga Pants

Maternity Jeans

Best Cradle – Maternity Support Belt

Palmer’s Cocoa Butter Tummy Butter & Stretch Mark Massage Lotion

Rachel’s Remedy Breastfeeding/Sore Breast Relief Packs

Digital Twin Pregnancy Journal

Snoogle Pregnancy Pillow

Boppy Pregnancy Wedge

Boppy Pregnancy Support Pillow

Check out this list of more Must Have Pregnancy Products You Need Right Now

Twiniversity shop

Check out all our Twiniversity merch in our SHOP! We’ve got twin mom and dad t-shirts, twin planning printables, lactation support, twin baby shower planners & games, a digital twin pregnancy journal, and so much more! Start shopping now

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what to do when you're having two

An excerpt from “What To Do When You’re Having Two

Protein Power

Nearly as important as getting enough calories is eating enough protein.  Protein is like the little building blocks that will create your babies, and your body needs a lot of it.  You need at least 130 grams of protein a day. That is a lot of chicken salad sandwiches. That is a lot of peanut butter.  It’s a lot of stuff, so make sure that you make protein a priority. The best way to do this is to look at your plate and eat the protein first, and then finish anything else you can stomach.  If proteins aren’t sitting well, try some high protein grains like quinoa and black beans. If you are a vegetarian, check with your doctor or think about seeing a nutritionist to make sure that you are meeting your protein needs throughout your pregnancy.

Twiniversity Twin pregnancy guide

Pregnant with twins and not sure where to start? Visit the Ultimate Twin Pregnancy Guide to find all the top articles and resources to get you ready for twins. While you’re at it, check out our expecting twin classes and Twiniversity shop!

REMINDER: Don’t forget to take a belly shot!

Belly Photos at 20 Weeks Pregnant With Twins

20 weeks pregnant with twins (1)

Ultrasound Photos at 20 Weeks Pregnant With Twins

20 weeks pregnant with twins

Articles You Should Read This Week

Register for Class

20 Weeks Pregnant with Twins

Have you taken your expecting twins class yet? We offer a great class on demand so you can take it on your own schedule! There are so many video modules covering everything from your twins’ baby registry to your first week at home with twins! Sign up today to get started before your twins arrive.

twin pregnancy week by week emails

Want to get weekly emails about your twin pregnancy? Sign up for the Twiniversity email list! Subscribe today to get emails about giveaways, events, weekly article roundups, and more! We’ll be sending you a weekly twin pregnancy email to keep you on track with your pregnancy to-do list! Click here to learn more… and while you’re at it, check out our expecting twins classes and personal twin parent coaching services.

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