Peparing for Twins as a Surrogate Mother


To help ensure a successful pregnancy, many surrogates receive more than one egg during an embryo transfer. When multiple eggs are transferred, there is a greater chance of carrying multiple babies in one pregnancy. As you can imagine, it’s not uncommon for twins to result from a situation involving surrogacy.

Becoming a surrogate mother for intended parents can present some challenges. Becoming a surrogate mother of twins for intended parents, though, carries along its own unique set of challenges. However, preparation and a great support system can be key in a positive journey throughout the surrogacy process in Texas.

Before the Transfer

As you may expect, you’ll want to be as healthy as possible when learning how to prepare for twins through surrogacy. The healthier you are, the better the chances that you’ll establish a nurturing place for both embryos. This also means being up to date on any vaccinations that your doctor might recommend. A thorough exam can also help rule out any conditions that may make becoming pregnant difficult or risky, such as STIs or some types of chronic diseases.

After the screening protocols have been followed and you’ve been approved as a good candidate, preparation for pregnancy begins. Ideally, a surrogate needs to understand the importance of certain vitamins or minerals prior to implantation. Folic acid, for example, is known to decrease the chance for neural tube defects. It may be recommended to take more than normally suggested when twins are a possibility. Other healthy habits to focus on can include:

In addition to traditional medical care, a surrogate often undergoes fertility treatments. Because surrogates have generally already been cleared as reproductively healthy, they have good odds of successful implantation of the embryos. This could be related to why twin pregnancies aren’t uncommon in surrogacy situations. Doctor’s visits will become the norm for surrogates carrying twins in order to monitor fetal development more closely.


During the First Trimester

It’s normally fairly obvious that twins are present during an ultrasound. A membrane can usually be seen that separates the babies’ sacs. In cases of fraternal twins, there are typically two different placentas. If identical twins are present, there is usually one shared or two separate sacs, though the babies benefit from the same placenta.

Part of prenatal care involves the continuation of recommended vitamins. Surrogates carrying twins are generally placed on iron supplements to help avoid anemia and to prepare for the chance that excessive bleeding could happen following birth.

It’s suggested that morning sickness is more prevalent in pregnancies with twins because of certain hormones being at elevated levels. Similarly, other symptoms may be enhanced, such as the need to urinate or even feelings of hunger. All that being said, this truly does vary from woman to woman.

During the Second Trimester

Fortunately, by the time a surrogate enters the second trimester, she can expect morning sickness to settle. Prenatal visits will center on how the babies seem to be growing. Discussions regarding healthy weight gain may also be touched on, encouraging mothers of twins to avoid gaining more than forty pounds. Exams will also include basic vitals, checking for gestational diabetes, and monitoring for any late-pregnancy concerns.

During the Third Trimester

Eating well, taking prenatal vitamins, and steering clear of undesirable environmental exposures, such as secondhand smoke, contribute to providing a safe place for the babies to develop. This is critical to prepare for twins through surrogacy, as twins tend to be born sooner than babies who didn’t share a womb with a sibling. The goal of many twin pregnancies is to be carried through to the 37th week; however, some women do go into labor earlier than that. In fact, over half of twin pregnancies result in a birth before the 37th week. The chance of premature birth should be an important factor when choosing a hospital as well. A hospital equipped with a good neonatal unit will help put everyone’s mind at ease.


Labor and Delivery

Twins don’t necessarily have to be delivered via a Cesarean section. The obstetrician will monitor the positioning of both babies during the final weeks of your pregnancy. Positioning of the babies can change right up to the last minute. Therefore, you can prepare yourself for the possibility of a C-section without giving up hope of a vaginal birth. It’s critical, however, for you and the intended parents to be comfortable with the idea that birth plans can change without warning and to remember that the primary goal is a safe delivery of the twins. An outlook like this one and a supportive dynamic can help with the emotional adjustment that any birth requires.


You’ll want to understand all the delivery options as well. This could mean a fairly straightforward vaginal birth. It might also include the possibility of a scheduled C-section or a decision to perform a C-section when you’ve arrived in the delivery room. Fetal distress or other factors sometimes indicate that a C-section is the option more likely to keep both you and the intended parents’ babies safe. Another possibility is delivering one baby vaginally and realizing the second one may need to be delivered via C-section. Doctors are prepared for anything when welcoming twins into the world, so surrogates and intended parents should also approach the big day this way.

Every Pregnancy is Different

Every pregnancy for every woman will be different. At Simple Surrogacy, our goal is to promote positive experiences for the intended parents as well as for the surrogates. We proudly provide a supportive and compassionate place to help intended parents find their path to a future family. Though it may feel that there is a lot to schedule, arrange, discuss, and consider before committing to becoming a surrogate mother, it can be a rewarding, joyful, and exciting time for all parties.

Are you ready to start the surrogacy application process? Fill out the form online, and if you’re approved, we’ll guide you through every step of the process!

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