Twin & Multiple Pregnancy Care
Expecting twins, or more, comes with its own set of considerations. Twin and multiple pregnancies carry a higher likelihood of complications and typically need more frequent monitoring, specific ultrasound surveillance, and careful discussion around timing and mode of birth.
Michael has experience managing multiple pregnancies and will guide you through what to expect at each stage, including chorionicity-specific monitoring for identical twins, where the type of twin pregnancy determines the surveillance schedule.
What this involves
Early determination of chorionicity (how the twins share, or don't share, a placenta)
A monitoring schedule tailored to your specific twin or multiple pregnancy type
Regular growth-focused ultrasound surveillance
Discussion of the specific risks relevant to multiple pregnancy
Planning around timing and mode of birth
Who this is for
This applies to any woman carrying twins or a higher-order multiple pregnancy, from early pregnancy confirmation through to birth planning.
Why Choose Dr Michael Silagy
Michael has experience managing twin and multiple pregnancies, including chorionicity-specific monitoring for identical twins, and offers maternity care at Cabrini Malvern and Jessie McPherson Private Hospital. You'll see the same obstetrician at each visit, which matters when a pregnancy needs more frequent monitoring and a clear, consistent plan for timing and mode of birth.
Frequently Asked Questions
What is chorionicity and why does it matter?
Chorionicity refers to whether twins share a placenta (monochorionic) or each have their own (dichorionic). It's determined early in pregnancy and directly affects how closely the pregnancy needs to be monitored.
How often will I need ultrasounds?
This depends on your twin type: monochorionic (shared placenta) twins generally require more frequent surveillance than dichorionic twins. Michael will set out the specific schedule that applies to you.
Will I be able to have a vaginal birth?
This depends on factors including the position of the twins, your obstetric history, and how the pregnancy progresses. Michael will discuss the options relevant to your situation as the pregnancy develops.
Are twin pregnancies always higher risk?
Twin and multiple pregnancies carry a higher likelihood of certain complications compared with a singleton pregnancy, which is why they're monitored more closely, though many multiple pregnancies proceed without major complication.
Personalised Pregnancy Care & Birthing Toorak, Melbourne
Michael welcomes the opportunity to discuss your pregnancy care needs and help you plan for this special time in your life. Contact the practice to schedule your initial consultation and begin your personalised pregnancy care journey.