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Comprehensive Care for Multiples

Pregnancy with twins, triplets, or higher-order multiples has unique needs and challenges. Our experienced care teams will help families navigate the joys and complexities of a multiples pregnancy through prenatal care into delivery and newborn life.

Expertise in multiples pregnancy care

A pregnancy with multiples requires specialized care and monitoring. At Mass General Brigham, we offer advanced care for patients expecting twins, triplets, or more. We bring together experts across Maternal-Fetal Medicine specialists, nursing, lactation consultants, genetic counselors, nutritionists, social workers, and neonatal care teams all dedicated to your family's unique journey. We strive to ensure all families feel healthy, confident and cared for as they prepare to welcome their newborns into the world.
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Part of Obstetrics and Gynecology
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What you can expect across Mass General Brigham

  • Care from maternal-fetal medicine specialists, lactation consultants, and neonatal care teams
  • Access to advanced imaging, diagnostics, and additional fetal monitoring
  • State-of-the-art Level III Newborn Intensive Care Units (NICU)

Care tailored by location

Care is available at more than one location across our system. Services may vary by site.

Massachusetts General Hospital

At Mass General, we provide advanced, dedicated care for high-risk multiple pregnancies. Our subspecialists are highly experienced in meeting the unique needs anticipated throughout the prenatal and postpartum periods of a pregnancy with multiples.

We provide holistic wraparound care through pregnancy, delivery, and the postpartum period. Nutrition and social work are available to help support patients through their pregnancy.

Brigham and Women’s Hospital

At the Comprehensive Care Center for Multiples at Brigham and Women’s Hospital, our subspecialists provide advanced, multidisciplinary care, with additional holistic emotional and social support services available during pregnancy.

Our team consists of a dedicated maternal-fetal medicine provider, nurse, social worker, and coordinator that follows patients through all stages of pregnancy, into delivery, and potential NICU stays. Patients within this program are given access to services tailored to pregnancy with multiples including patient education, peer support groups, and nutrition.

Our approach to multiples pregnancy

Across our sites, we deliver close to 200 sets of multiples a year. Our holistic, patient-centered approach addresses your concerns with compassionate care that respects you and your family's wishes.
Prenatal screening, diagnosis, and genetic counseling

Genetic counseling is highly recommended for patients pregnant with multiples. Our genetic counselors will work with you to find the most appropriate screening or diagnostic tests for your pregnancy, being mindful that genetic screening options and interpretations of results can differ for multiples pregnancies.

Tests may include:

  • Non-invasive prenatal screening (NIPS)
  • Chorionic villus sampling (CVS)
  • Amniocentesis
Care for complications of multiples pregnancies

Pregnancy with multiples may increase the risk for certain maternal and fetal complications. Our maternal-fetal medicine specialists may recommend patients have more frequent prenatal visits and ultrasounds to closely monitor the mom and babies.

We also treat conditions specific to monochorionic twins, such as twin anemia polycythemia sequence (TAPS) and twin-to-twin transfusion syndrome (TTTS).

Newborn care for multiples

Mass General Brigham has two Level III neonatal intensive care units (NICUs) which offer specialized intensive care to multiples if they arrive early (preterm birth). Our NICUs prioritize family-centered care, enabling you to be with your babies 24/7 in private or adjoining rooms.

Our team cares for around 3,000 infants each year. We use the latest technology to support:

  • Breathing and feeding for infants born as early as 23 weeks
  • Development and healing of the infant brain
  • Growth of babies with developmental, feeding, and neurological challenges
Optimized nutrition for multiples pregnancies

Meeting nutritional goals during a multiples pregnancy helps keep you and your babies healthy. Our registered dietitians make sure you and your babies get the nutrients you need during each pregnancy stage.

After birth, our nutritionists can help you to plan a diet to support lactation if you choose to breastfeed (chestfeed).

Lactation support for multiples
Families of multiples often face unique feeding challenges, including breastfeeding preterm babies, latching difficulties, low milk supply, and managing multiple feeding schedules. Our experienced lactation consultants work closely with you to develop a personalized feeding plan, assist with positioning and latching techniques for multiples, teach pumping and milk storage, arrange human donor milk when needed, and guide you through formula preparation. We’re here to support whatever feeding approach your family chooses.