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Twin or Multiples Pregnancy 

Discovering you’re expecting twins or multiples can be an exciting but overwhelming experience. This section provides valuable insights and guidance to help you navigate this unique journey with confidence and peace of mind.  

When carrying more than one baby, your body undergoes additional changes to accommodate the growing life within you. Among the first signs might be an elevated level of the pregnancy hormone hCG, often leading to more intense symptoms such as nausea and fatigue. It’s crucial to be attentive to your body’s needs and seek regular medical advice. Your healthcare provider will closely monitor your pregnancy to ensure both you and your babies remain healthy.  

Frequent Prenatal Visits 

Expect more frequent prenatal visits to monitor the health of you and your babies closely. Regular ultrasounds and tests become essential to track growth, detect any anomalies early, and ensure that everything is progressing as smoothly as possible.  

Increased Nutritional Needs  

Nourishing your body becomes even more critical during a multiples pregnancy. You’ll need additional calories, vitamins, and minerals to support the growth of your babies. A well-balanced diet rich in protein, iron, calcium, and folic acid is imperative. Consulting with a nutritionist might be beneficial to tailor a meal plan that meets your enhanced nutritional needs.  

Managing Discomfort  

As your pregnancy progresses, you may experience heightened discomfort from the increased weight and pressure. Practice safe lifting techniques, opt for supportive maternity wear, and rest frequently to alleviate strain. Gentle exercises can help, but always consult your healthcare provider before starting any new physical activities. 

Understanding the Risks Involved 

With a multiples pregnancy, the risks can be higher for both the mother and the babies. These can include preterm labour, preeclampsia, gestational diabetes, anaemia, and a higher likelihood of Caesarean delivery. Knowing these risks helps you and your healthcare provider take necessary precautions. 

Keeping up with Salah (prayer)  

In Islam, the well-being of the mother and her unborn children is of paramount importance. When experiencing a difficult pregnancy or facing significant hardship, such as severe fatigue or medical complications, certain concessions are made to ensure our health and spiritual obligations are balanced.  In such cases, it is permissible to combine two prayers (i.e. Dhuhr with Asr and Maghrib with Isha).

This concession is based on the hadith where the Prophet Muhammad (ﷺ) allowed the combining of prayers during times of difficulty. This ruling is especially relevant for women carrying multiples, as the physical and emotional strain can be considerable.

وَحَدَّثَنِي عَنْ مَالِكٍ، أَنَّهُ بَلَغَهُ عَنْ عَلِيِّ بْنِ حُسَيْنٍ، أَنَّهُ كَانَ يَقُولُ كَانَ رَسُولُ اللَّهِ صلى الله عليه وسلم إِذَا أَرَادَ أَنْ يَسِيرَ يَوْمَهُ جَمَعَ بَيْنَ الظُّهْرِ وَالْعَصْرِ وَإِذَا أَرَادَ أَنْ يَسِيرَ لَيْلَهُ جَمَعَ بَيْنَ الْمَغْرِبِ وَالْعِشَاءِ ‏.‏

Yahya related to me from Malik that he had heard that AIi ibn Husain used to say, “The Messenger of Allah, may Allah bless him and grant him peace, would join dhuhr and asr if he wished to travel the same day, and he would join maghrib and isha if he wished to travel the same night.”

Muwatta Malik
USC-MSA web (English) reference : Book 9, Hadith 7
Arabic reference : Book 9, Hadith 335

Obligatory Ramadan Fasts 

The Ramadan fasts are obligatory whether you’re pregnant or not. But when carrying twins or multiples, the physical demands on a pregnant woman’s body are considerably higher. The nutritional and hydration needs increase, making fasting more challenging and potentially risky. In such cases where fasting poses a risk to the health of the mother or her babies, she is permitted to break her fast and make up for it later or provide fidyah (feeding a poor person for each day missed). It is crucial for pregnant women carrying multiples to consult with their healthcare provider to assess their individual health status and make an informed decision about fasting.

حَدَّثَنَا هِشَامُ بْنُ عَمَّارٍ الدِّمَشْقِيُّ، حَدَّثَنَا الرَّبِيعُ بْنُ بَدْرٍ، عَنِ الْجُرَيْرِيِّ، عَنِ الْحَسَنِ، عَنْ أَنَسِ بْنِ مَالِكٍ، قَالَ رَخَّصَ رَسُولُ اللَّهِ ـ صلى الله عليه وسلم ـ لِلْحُبْلَى الَّتِي تَخَافُ عَلَى نَفْسِهَا أَنْ تُفْطِرَ وَلِلْمُرْضِعِ الَّتِي تَخَافُ عَلَى وَلَدِهَا ‏.‏

It was narrated that Anas bin Malik said: “The Messenger of Allah (ﷺ) granted a concession to pregnant women who fear for themselves, allowing them not to fast, and to nursing mothers who fear for their infants.”

Sunan Ibn Majah 1668

Monitoring Foetal Movements 

Understanding and tracking foetal movements become even more crucial. Keep an eye on regular movements and any changes in patterns. Your healthcare team will provide guidance on what to watch for and when to seek medical advice. 

Planning for Delivery 

You might need to prepare for an earlier delivery than if you were carrying a single baby. Work with your healthcare provider to understand your delivery options and have a birth plan that covers both vaginal delivery and Caesarean section scenarios. 

Postpartum Care 

After the birth, ensure you have a robust support system in place. Twins or multiples require a lot of attention and energy, making postpartum recovery even more critical. Accept help from family and friends, and consider joining support groups for mothers of multiples. 

Remember, while the journey with twins or multiples is unique, it is also filled with unparalleled joy and blessings. Stay informed, seek the support you need, and cherish every moment of this incredible experience. May Allah grant anyone going through pregnancy with multiples ease.

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