When You're Expecting Twins, Triplets, or Quads, Revised Edition: Proven Guidelines for a Healthy Multiple Pregnancy

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Overview

You're expecting more than one baby? Congratulations! Like all mothers-to-be, you're experiencing the full spectrum of human emotions; joy, fear, confusion, and excitement; maybe all at once. As a woman pregnant with more than one baby, you're feeling all these things... only more so!

In When You're Expecting Twins, Triplets, or Quads, Dr. Barbara Luke, a renowned expert on the prenatal care of multiples, outlines a practical, nutrition-based program to keep you and your babies ...

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When You're Expecting Twins, Triplets, or Quads: Proven Guidelines for a Healthy Multiple Pregnancy

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Overview

You're expecting more than one baby? Congratulations! Like all mothers-to-be, you're experiencing the full spectrum of human emotions; joy, fear, confusion, and excitement; maybe all at once. As a woman pregnant with more than one baby, you're feeling all these things... only more so!

In When You're Expecting Twins, Triplets, or Quads, Dr. Barbara Luke, a renowned expert on the prenatal care of multiples, outlines a practical, nutrition-based program to keep you and your babies healthy and offers a comprehensive tour of what you can expect during your unique pregnancy and childbirth experience. Women who follow this program experience significantly fewer complications during pregnancy - and their babies are born weighing 20 to 35 percent more than the average twin, triplet, or quad! Included is crucial information on:

finding a qualified maternal/fetal medicine specialist

dietary guidelines for maximizing birth weight

safe limits on exercise and physical activity

taking a leave from work and negotiating your best deal

reducing your risk for pregnancy complications

recognizing signs of preterm labor and what to do about

Effective, encouraging, and up-to-date, When You're Expecting Twins, Triplets, or Quads is essential for you and your babies.

"...offers special medical and nutritional guidelines for prenatal care, detailed information on what to expect during pregnancy, and anecdotal stories from mothers."

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Product Details

  • ISBN-13: 9780060542689
  • Publisher: HarperCollins Publishers
  • Publication date: 6/15/2004
  • Edition description: Revised Edition
  • Edition number: 2
  • Pages: 432
  • Product dimensions: 7.37 (w) x 9.25 (h) x 1.08 (d)

Meet the Author

Barbara Luke, Sc.D., M.P.H., R.N., R.D., is a professor in the Department of Obstetrics, Gynecology, and Reproductive Biology at Michigan State University. She has published numerous research studies on multiple pregnancy through the University Consortium on Multiple Births, with colleagues from universities around the country. She is also the author of Every Pregnant Woman's Guide to Preventing Premature Birth and coauthor, with Tamara Eberlein, of Program Your Baby's Health.

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Read an Excerpt

When You're Expecting Twins, Triplets, or Quads, Revised Edition
Proven Guidelines for a Healthy Multiple Pregnancy

Chapter One

Your Unique Pregnancy

Tamara: As I lay flat on the examining table, the radiology technician smeared my belly with greasy jelly, then turned the screen toward me. I was about to catch my first glimpse of the baby that had been growing inside me for 18 weeks.

But as she slid the probe across my abdomen, she began to frown. Pushing the screen to one side to block my view, she fiddled with the knobs. Then she stepped into the hall to summon a doctor. Together, they manipulated the dials of the ultrasound machine, whispering and pointing.

Trying to squelch a sudden rush of fear, I choked out the words: "What is it? Is something wrong with my baby?"

The doctor turned the screen to face me again and said, "Well, here's what we've got. This is a leg, and an arm, and this is the head. And now, over here, we see a foot, and a back, and another head — twins! And they look just fine."

If you too have joined the ranks of expectant mothers of multiples — twins, triplets, even quadruplets or more — congratulations! You're now in a special group whose membership is swelling more and more each year. Between 1975 and 2000, twin births rose by 100 percent. During that same period, the birthrate of "supertwins" or "higher-order multiples" (meaning three or more babies born together) surged a whopping 587 percent.

You've probably got a thousand questions and concerns about your pregnancy, but chances are, you've had trouble finding the answers you need."As soon as I found out that I was going to have twins, I read everything I could find on the subject. Yet most pregnancy books have only a page or two about multiples, and the books devoted to twins focus on taking care of the babies after they're born," says Judy Levy, mother of twin girls and an older daughter.

Or perhaps you succeeded in finding some material on multiple pregnancy but were put off by its gloom-and-doom tone. "Everything I read about having twins seemed so frightening, as if the writers were saying, 'You will definitely have all sorts of problems — and your babies will too.' I couldn't bear to read that scary stuff," says Stacy Moore, mother of twin boys. "What I really needed was some sensible advice on the specific steps I could take to avoid complications and give my babies the best possible start in life. And I found it — at a special clinic for expectant mothers of multiples, where I learned that many problems associated with multiple births are preventable. I did everything they told me to do, and my whole pregnancy went very smoothly. My twins were born big and healthy at full term, weighing 6 lb., 11 oz., and 6 lb., 1 oz."

Dr. Luke: Here's where I come in. As a professor of obstetrics and gynecology at the University of Michigan Medical School in Ann Arbor, and a researcher and nutritionist, I founded the clinic that Stacy Moore attended, and directed it for six years. This is the Multiples Clinic we refer to throughout the book, and many of the mothers quoted participated in this program.

I'm now a professor at the University of Miami School of Medicine in Miami, Florida, where I'm working with experts from renowned universities across the country, as the University Consortium on Multiple Births.

Our goal is to improve pregnancy outcomes — in other words, to help our patients have the healthiest pregnancies and the healthiest babies. To achieve that, we provide special prenatal care, including patient education, risk screening, and intensive nutrition therapy.

The Multiples Clinic program works. Our clinical success proves it. Compared to the average mother of multiples, women who follow our guidelines experience significantly fewer complications before the birth of their children. For instance:

  • Our expectant mothers develop fewer infections.

  • They have less trouble with high blood pressure and preeclampsia.

  • The moms in our program have a lower incidence of preterm premature rupture of the membranes.

  • Our patients are hospitalized for preterm labor less frequently, and they spend fewer days in the hospital if they are admitted. For infants born to our moms, the results are even more impressive:

  • Triplets born to mothers in our program weigh 35 percent more at birth, on average, than triplets typically do. That's very significant, given that the average birthweight for triplets nationwide is just half that of the average singleton.

  • Our twins are generally born 20 percent heavier than the average twins delivered at the same gestational age.

  • Two out of three of our newborns weigh more than 5½ pounds at birth, and one out of four is born weighing more than 6 pounds. These birthweight figures, which are significantly better than the average for infants of multiple-gestation pregnancies, prove that you can break the "rule" that says twins are always born small.

  • Sixty percent of our mothers of twins deliver at 36 weeks or later, compared to only about 40 percent of twin moms nationwide.

  • Our babies are healthier at birth, regardless of when they are born, because they have grown well right from the start of the pregnancy.

  • Infants born to patients in our program go home sooner than the average multiple-birth baby, spending only half as much time in the hospital. (Their hospital bills are only half the average too!)
When You're Expecting Twins, Triplets, or Quads, Revised Edition
Proven Guidelines for a Healthy Multiple Pregnancy
. Copyright © by Barbara Luke. Reprinted by permission of HarperCollins Publishers, Inc. All rights reserved. Available now wherever books are sold.
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Table of Contents

Acknowledgments ix
Introduction xi
Chapter 1 Your Unique Pregnancy 1
Chapter 2 The Best Medical Care for Expectant Mothers of Multiples 29
Chapter 3 Weight-Gain Goals and Nutrition Know-How 53
Chapter 4 Putting Your Food Plan into Action 81
Chapter 5 Your Body: How to Look Good, Feel Great, Work Smart, and Play It Safe 118
Chapter 6 Pregnancy Complications: How to Lower Your Risk 143
Chapter 7 The Emotional Ups and Downs of Pregnancy ... Multiplied 177
Chapter 8 Giving Birth to All Those Babies 195
Chapter 9 Your Babies Hospital Experience: The Nursery and the NICU 216
Chapter 10 Feeding the Masses ... Including the Busy New Mom 249
Chapter 11 Survival Tips for Those Crazy First Months at Home 271
Chapter 12 Becoming One Big Happy Family 292
Appendix A Best Recipes for Moms-to-Be of Multiples 307
Appendix B Resources for Parents of Multiples 367
Glossary 373
Bibliography 383
Index 407
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Customer Reviews

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Sort by: Showing all of 7 Customer Reviews
  • Anonymous

    Posted February 16, 2009

    Moms of multiples, buy this book first

    When I found out I was having twins, one of the fellows at my doctor's office told me about this book. Foolishly, I didn't get it first - instead, I got all the others: What to Expect, a baby journal, etc. None of these had anything more than a few pages devoted to multiples, and I had lots of questions (namely, birthing options and breastfeeding, since I always wanted to birth naturally and breastfeed). I remembered about Dr. Luke's book, and bought it over the holidays. I am so glad I did - food and weight gain wasn't a big concern of mine before I bought the book, but I soon I discovered that I would have to gain almost twice the weight recommended for singeltons to help my babies have a good shot at an optimal birth weight. I also had no idea about rest and work - I was planning on working my entire pregnancy! Furthermore, I am high-risk in 3 categories, so the advice that Dr. Luke provides is even more important for me to heed. (And don't forget the water!!! Her water recommendations are also really important.) I'm gald that I got this book - I am at 6 months now, and while it's been really hard to eat *quite* as much as Dr. Luke recommends (not a whole heck of a lot of room in my belly for food!), the book has helped me gain more confidence that I will birth two healhy, good sized babies. My only small, small gripe is that I wish that more experiences of moms of multiples who had natural chidlbirth were included. (I understand that this is almost impossible for supertwins, but I had hoped to learn more about moms of twins who were able to give birth naturally.) Still, a wonderful resource and one I feel so fortunate to have found. Please read if you are having multiples.

    3 out of 3 people found this review helpful.

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  • Anonymous

    Posted December 20, 2009

    very informative for twin/multiple pregnancy

    I found this book to be very informative, especially for during pregnancy. I got this book as soon as I found out I was pregnant with twins and it helped to inform me of both the positives and challenges of a multiple pregnancy. It is the only book that I found that focuses on the pregnancy and gestation of the babies, not so much about raising multiples (after birth). One of the main points carried throughout the book is the concern about eating enough and the right things so that the babies have to best chance of growing to full-term. There is an exstensive section in the back of the book with recipes and health ratings. I would recommend this to anyone that is pregnant with multiples.

    1 out of 1 people found this review helpful.

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  • Posted May 5, 2010

    I liked the book!

    When having twins there is so much info to learn and read. I liked reading about how to have a healthy pregnancy and aim for having good sized babies. I feared by having twins it would be certain they would end up in the NICU. This book has put those fears at ease.

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  • Anonymous

    Posted January 24, 2010

    Great Resource

    My husband and I are expecting quads - both an exciting and overwhelming situation for us both. This book has been by far the most valuable resource we've found, with helpful tips on getting the calories in you need, learning what to expect throughout your pregnancy, and discovering what you can do to try and make your multiple pregnancy as healthy an experience as possible for you and your babies. After trying out several books on the subject, this is hands-down the one you should have on your shelf.

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    Posted April 5, 2010

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    Posted June 22, 2010

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    Posted September 14, 2010

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