How do you know if you miscarry twins?

You can't unless you have an ultrasound scan which shows 2 (or more) babies. I had a single baby first time around and was really tired and nauseous for the first 13 weeks, also my breasts were really tender from 5 weeks onwards. Second time around I had no such symptoms. I did not have an early scan but when I went to the doctor at 14 weeks and he measured from the top of my uterus to my pubis and it was 17cm. and I realized I could feel movements, I became convinced I had twins. He was less convinced, but as I am a midwife and he was a general doctor (usual in UK) I was the expert. When I had a scan at 18 weeks and there were 2 babies I wasn't really surprised.

answer

# you put more weight on quickly

# you feel more sleepy

# go to the toilet more often