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When You're Expecting Twins, Triplets, or Quads: Proven Guidelines for a Healthy Multiple Pregnancy
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When You're Expecting Twins, Triplets, or Quads: Proven Guidelines for a Healthy Multiple Pregnancy

3.95 of 5 stars 3.95  ·  rating details  ·  406 ratings  ·  91 reviews
You're expecting more than one baby? Congratulations!

Effective, encouraging, and up-to-date, When You're Expecting Twins, Triplets, or Quads is essential for you and your babies.

Like all mothers-to-be, you're experiencing the full spectrum of human emotions: joy, fear, confusion, and excitement—maybe all at once. As a woman pregnant with more than one baby, you're feeling
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Paperback, Third Edition, 512 pages
Published December 28th 2010 by William Morrow Paperbacks (first published 1999)
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Community Reviews

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Meredith
When you're expecting twins, triplets, or quads, expect to be frightened if you read this book. The overall impression that this book gives is that if you're having a pregnancy with multiples, you should expect to have serious complications, will need a high risk specialist even if you're having twins rather than triplets or beyond, and better unquestionably and blindly obey your doctor's orders or else you are jeopardizing the lives of your unborn children. Anecdotes have been proven to trump s ...more
jess
Feb 26, 2013 jess rated it 5 of 5 stars
Shelves: 2013
I have not actually read every page of this book, but I have read a lot of it. This book is awesome if you are expecting multiples, as the title implies. It is based on long-term research about what behaviors produce the best outcomes with multiple pregnancies. There are a ton of charts and graphs about nutrition and weight gain. It can be overwhelming, but is fine to come back to it in digestible portions. I love that Dr. Luke is so matter-of-fact like, yes, your pregnancy is inherently high-ri ...more
Deborah
I just finished this book and, at the moment, I'm 31 weeks pregnant with twins. I have seen a lot of references to Dr. Barbara Luke and this book's dietary and weight gain recommendations on websites about multiples pregnancies. I assumed the Luke diet was taken out of context, or misconstrued, because it seemed like an outrageous amount of calories. Turns out, those websites were pretty representative of what's in the book, and it is crazy! The recommendations from this book may be right for so ...more
Mandy
This book is great. Being pregnant with twins, I really needed the dietary advice and meal plans that are offered within. I also really needed to hear a lot of what she had to say about slowing down, resting, not pushing yourself too hard. I'm notorious for stubbornly forging ahead when I should be resting. This book made me think twice about that and I began to realize how serious the consequences could be when she discussed preterm labor symptoms in great detail. It's also got a very informati ...more
Elena
I love this book. Definitely a must-read for a multiple pregnancy. I wouldn't go as far as to claim to give this book credit for helping me carry these babies to one day shy of full term, but it is definitely educational and very resourceful.
Katherine Parker
This is for my doula continuing education, not for personal use. Luke runs a Multiples Clinic in Michigan and has lots of strategies for helping grow healthy, term multiples, or at least giving higher order multiples the best shot at getting as fat and developed as possible before they have to be born. She really emphasizes nutrition, starting in the first trimester, and also emphasizes slowing down and taking excellent care of yourself, something that is hard for go-getter mamas to do. Luke has ...more
Rhonda
This is by far the best book that I've read during my twin pregnancy!
Every other book I've read had like a chapter, if that, dedicated to twin/multiple pregnancies and the information was not thorough whatsoever. This book gave clear, precise information about milestones and goals during a multiple pregnancy and I must say that it really made me feel empowered! The authors are medical experts in the specific field of multiples so it made me very happy to get advice and guided learning from peopl
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Heather
I'm so happy I received this book. The authors' position is that food is the most important factor (within your control) in order to carry your babies full term. I didn't follow their diet exactly, but I came close, and I ate an extraordinary amount of food. I never would have eaten that much on my own. My twins were induced at 39 weeks and weighed 6lbs 12oz and 7lbs 13oz. One of my little girls had a birth defect and needed surgery when she arrived. Her weight and general good health convinced ...more
Shannon
I actually took notes when reading this book! After losing twins to premature death in April 2008 (born at 24 weeks), I am taking no risks with this twin pregnancy. The book may seem alarmist to some but to me it emphasized that gestating twins is hard work, and that a twin pregnancy does carry a high risk label (something that our OB shrugged off in the first pregnancy).

I didn't read the last two-thirds of the book yet as it focuses on what to expect when you bring your babies home. Mentally, I
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Jackie
Being the only person in my family to have identical twins, I was so glad I found this book! It gave great nutrition information and recommendations on how to get the babies here safely. I really feel following the advice in this book helped me make it to 37 and a 1/2 weeks, full term for my mono-di identical twins. I recommend this book to every mom expecting multiples!
Kerry
I highly recommend this book to anyone who is pregnant with twins, triplets, or quads. It is written by a doctor who has a clinic for multiple pregnancy. All of the information is supported by research she has completed or studied. It gives you information on how to have a healthy multiple pregnancy, including nutritional advice, warning signs of pre-term labor, information about NICU, etc. Some of the recommendations are pretty extreme (she recommends eating something like 170 g of protein a da ...more
Karis
I suppose this is an announcement of sorts to my goodreads friends :) But nothing on facebook please, we'll be announcing on there in a couple of weeks, after one more good ultrasound...
Christina
I had to take a break from this book because of its fear-mongering pressure combined with unrealistic advice. Take two naps a day. Don't do ANY housework. Eat at least 3500 calories a day. And if you don't follow this advice, your babies will be born at 26 weeks and likely DIE.
Maybe I'll come back to it and try again, this time taking everything with a grain of salt. I started reading it right after I found out my surro pregnancy is a twins and it really stressed me out.

*several months later*

Ok,
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Lyz
I appreciate the medical advice, but felt as if the authors were trying to sell me a program and convince of what awesome doctors they are. I didn't appreciate the do-this-or-else-you'll-certainly-regret-it style of presenting "advice," but was able to gain some insight by having a take-it-or-leave-it attitude while reading. I'm glad I read it, but this wouldn't be my first recommendation to others expecting multiples.
emi Bevacqua
Jul 13, 2011 emi Bevacqua rated it 1 of 5 stars  ·  review of another edition
Recommends it for: nobody
To be honest, I read the earlier version and do think this revised edition is better. But when I was pregnant in 2007 the earlier version had me in tears. I didn't suffer morning sickness or any nausea at all despite being pregnant with twins; I also didn't really have crazy cravings, just an overall increased hunger that I fed sensibly. However, the weight I gained was no where near the insane weight Barbara Luke was calling for, and she had me frightened that I was endangering my babies by not ...more
Wendy Cantu
Fantastic book...when it comes to making you feel that unless you quit your job and live on a steady supply of Big Macs, your twins will be born early and severely underweight.

There was some useful information here, but it came with a huge dose of fear mongering. Definitely NOT what you want to read as a first time mom who just found out she's having twins.
Ignacio Ahumada
There are not many books about multiple pregnancy, so is difficult to compare. This book describes the important and different things that multiple pregnancy although is not an exhaustive list, it gives you a baseline for the challenges ahead.

Lisa
Excellent read for anyone expecting multiples. Instead of someone's pregnant anecdotes, the book is backed by medical research and sites studies.
Leah
This book was so helpful while I was pregnant with my twins. I feel like it was a big reason why my twins stayed inside me for 38 1/2 weeks and weighed 6 1/2 and 7 pounds! This book is definitely "pro"-gaining weight, which is exactly what I did. I gained exactly what the book said (more than any of the other twin pregnancy books and more than my doctor recommended)and had perfect healthy babies and lost ALL my baby weight three weeks after they were born! I'm a strong believer that it's better ...more
Jocelyn Correa
The nutritional recommendations seem rather high... almost impossibly high for someone who eats very healthy to start. I don't think basing calorie-intake on someone's BMI is the most accurate way to set nutrition goals. The clinic the author runs produces hood results, so the information shouldn't be dis-credited. I was looking for more personalized diet info to use during my second twin pregnancy in the hopes of having a better outcome, and my rating reflects my disappointment. I did not read ...more
Nikki
Especially helpful in providing specific dietary guidelines and requirements and how to meet them.
Laura
Very informational, focuses on diet. The diet here isn't anything radical, though the idea that you should gain most of your weight in the first part of the pregnancy is. She includes some practical tips for dealing with kids while they're here (and this book also features many sets of supertwins, which might be helpful). Nothing radical but pretty sound information. Also includes 75 pages of recipes - most of which are pretty easy and tasty (though I don't know how many people have pumpkin layi ...more
Jen
A must read for a multiples pregnancy
Nolan
Lots of good info you won't find anywhere else about being pregnant with multiples. A little scary, but definitely motivates you to eat, eat, eat and let the babies grow! One of the perinatologists that I saw had actually worked with Dr. Luke and said her diet works. I just couldn't make myself eat that much food! But my girls were born full-term and at 5.5 and 6 lbs...had I followed the diet more closely, I think they would have been bigger but I credit the book for getting us to that point.
Megan
I think the main thing I came away with from this book is that I should eat. A lot, a lot, a lot. And I should rest a lot too. And I was just assuming everything would be healthy like my other two pregnancies but this book opened my eyes to how much more likely it is that there could be some complications somewhere along the way and that I should take precautions so I am doing better at taking care of myself.

Can't wait to meet our twins!!!
Sarah
Tons of information and good advice for parents expecting multiples. Learned so much about diet requirements and that milk shakes and takeout can be your friend during pregnancy and that no doctor should be cautioning a multiple mom to watch her caloric intake during pregnancy. Those babies need all they can get. Also that I was more than justified in seeking out secondary expert care. My friend, Kim, gave this to me and I am so grateful.
Rachel
Perhaps it's alarmist and extreme, but it's helpful to get some perspective on what might happen during a multiple pregnancy - more so than the average book about a singleton pregnancy. The info about nutrition was also helpful, but seemingly really difficult to near impossible to follow completely. There's no way I can eat 150g of protein per day plus 8 servings of calcium on top of other things (fruits, veggies, fats, etc.)
Kelly Espinzoa
Aug 21, 2007 Kelly Espinzoa rated it 5 of 5 stars  ·  review of another edition
Recommends it for: anyone having multiples
This is a GREAT book for anyone finding themselves having multiples! It teaches how to eat best to gain weight and develop your multiples appropriately. Having more than 1 baby is SO much different than a singleton pregnancy and you feel really alone if you don't know anyone who has been through it. This book gave me ALOT of valuable insight into what I needed to be doing differently to give my babies the best fighting chance.
Ginger
I highly recommend this book for muliple moms. If anything, it reminds you of what you should be eating, drinking, etc. and how much. It also gives greats tips on feeding two babies at once after they are born, NICU time if needed, bed rest, etc. It mainly mentally prepares you for "just in case". Also, the diet piece of it is invaluable! The doctors and other baby books do not even compare. Especially as a multiples mom to be.
Melina
If you are expecting twins or higher-order multiples, or even a singleton with other high-risk possibilities like IUGR or such, this is a very nice resource. The diet detailed can be over-the-top and hard to do at times, but even half-following it can make a big difference. It also is very well-informed of different things about twins plus makes a great intro into the light of preemies/special needs infants and risky births.
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