DCDA (Dichorionic Diamniotic)
Two placentas and two sacs (DiDi). Growth scans are commonly arranged every 4 weeks from 24 weeks.
Twin and Multiple Pregnancy Care
Expecting twins, triplets or more? At Indore Infertility Clinic, we plan antenatal care around your health and each baby's development. The number of placentas and sacs guides the scan schedule, specialist review and birth plan. Our specialized multi-fetal monitoring protocols ensure rigorous tracking of chorionicity and amnionicity right from the early stages, minimizing potential risks like growth discordance or preterm labor. With dedicated nutritional guidance, frequent bi-weekly or monthly growth scans, and meticulous coordination with fetal medicine experts, we provide comprehensive, compassionate care tailored to safeguard both mother and babies all the way through to a safe, well-timed delivery.
Monitoring Twins and Triplets
Identify the Pregnancy Type and Placenta Arrangement
Chorionicity means the placenta arrangement; amnionicity means the sac arrangement.
MCDA (Monochorionic Diamniotic)
One shared placenta and two sacs (MoDi). Surveillance is usually at least every 2 weeks from 16 weeks, including checks for TTTS.
MCMA (Monochorionic Monoamniotic)
One shared placenta and one shared sac (MoMo). Close specialist care is needed with an individual monitoring plan.
Consistent Baby Tracking
Keep a consistent label (such as Twin A and Twin B) for each baby in the medical records.
Wellbeing Checks
Review each baby's heart rate, adding NST or specialist assessment when clinically indicated.
Higher-Order Pregnancies
Triplets and higher-order pregnancies require an individual monitoring schedule tailored to clinical findings.
Understanding Your USG Report
Scan Terms and Measurements Explained
Your clinician interprets these findings for each baby and pregnancy stage.
01
Growth Parameters (HC, AC, FL, EFW)
Head circumference (HC), abdominal circumference (AC), femur length (FL), and estimated fetal weight (EFW) assess size.
02
Fluid & Blood Flow (DVP, MVP, UA, MCA)
Deepest vertical pocket (DVP), umbilical artery (UA), and middle cerebral artery (MCA) Doppler checks assess circulation.
03
Doppler Indices (PI, RI)
Pulsatility index (PI) and resistance index (RI) describe how blood flow varies with each heartbeat.
04
Twin-Specific Terms (TTTS, TAPS, SFGR)
Monitoring covers twin-to-twin transfusion syndrome (TTTS), twin anaemia-polycythaemia sequence (TAPS), and selective fetal growth restriction (SFGR).
Maternal Health & Delivery Planning
Planning Your Multiple Pregnancy Care
Preparing for preterm birth, maternal health reviews, and an evolving birth plan.
Step 1
Maternal Health Reviews
Check symptoms, blood pressure, nutrition, blood tests, anaemia and other medical conditions at each review.
Care Coordination
Step 2
Preterm Birth Preparation
Discuss cervical assessment, warning symptoms and indicated treatment since multiple pregnancies are more likely to deliver early.
Care Coordination
Step 3
Timing of Birth
Planned birth is often advised before the usual due date, reviewed by your clinician based on pregnancy type.
Care Coordination
Step 4
Mode and Place of Birth
Discuss the first baby's position, sac arrangement, and plan hospital delivery with appropriate maternal and newborn support.
Care Coordination
Step 5
Coordinated Handover
Share scan reports and records with delivery hospital, fetal medicine, and neonatal teams when needed.
Care Coordination
When to Seek Urgent Medical Care
Do not wait for your next routine appointment if you experience warning signs.
Immediate Action
Prompt assessment protects both mother and babies.
Critical symptoms requiring prompt review
Report any decrease or sudden alteration in fetal movements immediately.
Any vaginal bleeding or suspected amniotic fluid leakage requires urgent attention.
Pre-term contractions or severe abdominal cramping should be evaluated right away.
Severe headaches or visual disturbances can signal blood pressure concerns.
Watch for sudden abdominal swelling or marked breathlessness.
Report changes promptly without waiting.
Tailored Birth Plan
A Birth Plan That Evolves with You
Coordinating timing, mode, and neonatal care to match your unique multiple pregnancy requirements.
IndividualisedCare plans customized to placenta arrangements, growth, and maternal health
Key milestones in birth planning
Timing of Delivery
Planned earlier than singleton term based on chorionicity and pregnancy findings.
Mode of Birth
Guided by presentation, obstetric factors, and sac arrangements.
Neonatal Readiness
Hospital coordination ensures specialized newborn care support is ready.
Family Support
Clear communication regarding practical support, feeding, and neonatal care.
Scan Costs in Indore
Twin Pregnancy Scan Costs and Planning
Planning fetal scans for twins? Ask about the fee for each scan and the likely follow-up schedule to help plan your expenses.
01
Fetal scans for twins may cost more because each baby requires individual assessment.
02
Charges vary by scan type, Doppler tests, NSTs, specialist reviews, and clinic pricing.
03
Check whether quoted fees cover both babies, Doppler assessments, and consultations.
04
Contact our clinic with your pregnancy week and latest report for a precise estimate.
Transparent Pricing
Confirm inclusions and separate charges before booking multiple pregnancy scans.
Quick Reference
Call or WhatsApp Indore Infertility Clinic for current twin scan fees and schedules.
Multiple Pregnancy FAQs
Frequently Asked Questions About Twin & Multiple Pregnancy
Find answers regarding placentas, scan frequency, TTTS, and delivery planning.
No. Some twins have separate placentas; others share one. Early ultrasound identifies the placenta and sac arrangement, which guides monitoring.
Usually, yes. Each baby's growth and fluid need assessment. Twins sharing a placenta generally need more frequent scans; triplet care is individualised.
TTTS can occur when babies share a placenta and blood flow between them becomes unbalanced. Frequent ultrasound checks help identify concerns and guide specialist referral.
A size difference needs careful review, but does not by itself tell the whole story. Growth trends, fluid and Doppler findings guide follow-up.
NST means nonstress test. External monitors record fetal heart rate responses to movement. In twins, each baby is monitored separately when the test is indicated.
No. Routine bed rest and cervical cerclage are not recommended simply because you are expecting twins. Selected concerns need specialist assessment.
No. The first baby's position, pregnancy type, complications and other obstetric factors influence the options. Triplets and shared-sac twins usually require caesarean birth.
Planned birth is often recommended before the usual due date. Timing depends on placentas and sacs, growth and maternal health, and can change if complications arise.
Contact your maternity team immediately if movements reduce or change. Do not wait until the next day or use a home Doppler for reassurance.
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