Our strengths at a glance:

• Specialist gynaecologists with experience in managing multiple pregnancies
• In the immediate vicinity of the Dr Geisenhofer Women’s Clinic, which has an attached maternity unit
• Personal, empathetic advice
• Close monitoring as High-risk pregnancy from the very beginning
• Covered by your health insurance; no additional costs for you
• Appointments can be booked via Doctolib, Docmedico or by telephone, even without having previously been treated at the MVZ

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What happens at the twin pregnancy consultation?

The appointment usually lasts around 30 minutes and is carried out by our experienced doctors at the medical centre. The consultation is open to all patients. You do not need to be currently receiving treatment at the Geisenhofer Clinic or the medical centre to book an appointment.

During an in-depth discussion, we will go over the following together:

• What type of twin pregnancy it is (identical or fraternal twins) and what this means from a medical point of view
• Which screening tests are appropriate and necessary for you
• How thorough the monitoring should be, and why
• What to expect, from weight gain to potential complications
• What options and next steps are available regarding childbirth

The consultation is covered by your health insurance, so you will not incur any additional costs. It is usually a one-off consultation designed to provide you with guidance and reassurance.

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Identical or fraternal twins — why it makes a difference

Not all twin pregnancies are the same. Around 70 per cent of all twin pregnancies are fraternal: two eggs have been fertilised, and each baby has a its own placenta and amniotic sac. In the case of identical twins, who arise from the division of a single fertilised egg, the situation is more medically complex.

70 per cent of identical twins share a gshared placenta (monochorionic pregnancy). In rare cases – around one per cent – they even share a single amniotic sac.

During our consultation, we will look at your specific situation and discuss what this means for your healthcare.

Prenatal care for multiple pregnancies — what to expect

A multiple pregnancy is medically classified as a high-risk pregnancy. This sounds more worrying than it needs to be: it simply means that closer monitoring is necessary and advisable. In our Pregnancy care Regular ultrasound scans are an integral part of this.

For orientation:

• Preventative check-ups for twins take place every two weeks
• From the 28th week of pregnancy onwards, weekly check-ups are recommended
• Identical twins sharing a placenta require even more frequent monitoring
• In addition to ultrasound, Doppler sonography is also an important diagnostic tool in cases of multiple pregnancies

Around 10 in every 1,000 pregnancies in Germany are twin pregnancies. The duration of pregnancy is on average 37 to 38 weeks for multiple births, which is why early and well-organised support makes all the difference.

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Giving birth to twins — what can we discuss together?

Birth planning is a concern for many expectant mothers who are carrying twins. What are the options? What factors come into play? During our consultation, we’ll explain the different scenarios to you and outline the medical factors – such as the babies’ position, the placenta’s position or the course of the pregnancy – that influence the decision.

We are transparent: the MVZ is an outpatient gynaecology practice. For inpatient deliveries, we work closely with the hospital directly opposite Women's Clinic Dr Geisenhofer which assists with around 2,000 births each year and has its own obstetrics department. What you can expect from a consultation with us: thorough information and preparation, so that you know which options and next steps are realistic for your situation.

The Birth registration You can make arrangements for your stay at the clinic directly through us.

Support throughout a twin pregnancy — what you need to know

Maternity leave and the ban on employment

In the case of twin births, the maternity leave period is extended: mothers of twins are entitled to a total of 18 weeks’ maternity leave. Maternity leave begins eight weeks before the estimated due date and, following the birth, is extended by four weeks compared with a single birth. In justified cases, the ban on working may begin earlier; your gynaecologist will issue you with the relevant medical certificate.

EParental allowance, parental leave and financial support

Parents of twins can take parental leave separately for each child. From the second child onwards, a supplement of 300 euros is added to the parental allowance. In Bavaria, there is also a multiple-birth allowance, which parents can apply for at their local youth welfare office. To cope with everyday life after the birth, parents of twins should organise support at an early stage, for example by arranging a domestic helper, which can be applied for through their health insurance provider under certain conditions. Please feel free to speak to us about this; we’ll advise you on the most important next steps.

Find a midwife early on

Women expecting twins should arrange to see an experienced midwife as early as possible, as demand is high and places are limited. At the MVZ, we offer our own Midwife consultation who will be on hand to support you with all aspects of preparing for and going through the birth.

How long do you stay in hospital after giving birth to twins?

This depends on how the birth goes and the condition of the mother and newborns. As a rule, the hospital stay following a twin birth is slightly longer than after a single birth. You should discuss the exact duration with the obstetrics team at the hospital.

Your team at the Dr Geisenhofer Medical Centre, Munich

At the Dr Geisenhofer Medical Centre, you will be looked after by an experienced team of gynaecologists specialising in antenatal care, located directly opposite the Dr Geisenhofer Gynaecology Clinic by the English Garden in Munich. Short distances, personalised care and the reassurance of a practice linked to a hospital go hand in hand with us.

Discover our Team Find out more and book your first appointment – it’s easy to do via Doctolib, Docmedico or by telephone.