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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

3.96  ·  Rating details ·  638 Ratings  ·  106 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

Paperback, Third Edition, 512 pages
Published December 28th 2010 by William Morrow Paperbacks (first published 1999)
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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
Nov 16, 2012 rated it really liked it  ·  review of another edition
Shelves: twins
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
Feb 26, 2013 rated it it was amazing
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
Feb 13, 2013 rated it it was amazing  ·  review of another edition
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
Jul 28, 2009 rated it really liked it  ·  review of another edition
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
Mar 31, 2010 rated it it was amazing  ·  review of another edition
Shelves: breeder-books
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
Jan 02, 2013 rated it it was amazing  ·  review of another edition
Shelves: highly-recommend
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
Jul 20, 2007 rated it it was amazing  ·  review of another edition
Shelves: nonfiction, parenting
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
Sep 04, 2012 rated it really liked it  ·  review of another edition
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
May 25, 2014 rated it it was amazing  ·  review of another edition
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!
May 20, 2010 rated it really liked it  ·  review of another edition
Shelves: 2010
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...
Jul 06, 2017 rated it it was amazing  ·  review of another edition
I cannot recommend this enough for anyone expecting multiples. This was an invaluable resource when I was pregnant with the twins. I followed the nutrition guidelines among other advice in the book. Delivered full term twins at 38 weeks. They were over 15lbs in combined weight. I had a healthier, longer term pregnancy with them than with my singleton first born.
Jul 19, 2015 rated it it was amazing  ·  review of another edition
This book is like a 'What to Expect' for multiples, the 'bible' of twin, triplet, and quad pregnancies. Early on in my twin pregnancy, I was frustrated that most books, including 'What to Expect,' barely touched on multiple pregnancies and high risk topics, and much of the advice (exercise, working, bed rest, breastfeeding, labor, NICU, etc) wasn't applicable to me. When someone recommended Dr. Luke's book, I immediately checked it out from the library...and renewed it over and over again! Espec ...more
Sharon Anderson
Jul 19, 2016 rated it it was amazing  ·  review of another edition
This was the only book I could find that addressed the issues of the mother as well as the babies for a multiple pregnancy. It seems other titles highlighted either the mother or babies, never both and NEVER regarding a multiples scenario. I delivered twin girls without complications on April 3rd, 2001, and I think my success had a bit to do with the information I gathered from this book. The "regular" books had only a page or two mentioning multiple pregnancy issues; this quickly became my bibl ...more
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*

Nov 07, 2014 rated it really liked it
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
Mandy Df
Jan 02, 2015 rated it did not like it  ·  review of another edition
I agree with many of the others who wrote that Dr. Luke used fear mongering to promote her beliefs regarding twin births. I was really disappointed with this book because she body shamed women who didn't gain an excessive amount of weight early on. She also tried to scare you into thinking that if you didn't gain a certain amount of weight by 24 weeks, then your babies were severely at risk for all sorts of negative outcomes. Interestingly, her research is the only published work to support this ...more
Emi Bevacqua
Jul 13, 2011 rated it did not like it  ·  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
danielle. milbauer
This was a very informative book; scary at times, but I guess it's better to be prepared for the worst. I gave it three stars because much of the proven guidelines ride on your gaining lots of weight in your first twenty weeks. I spoke to my maternal fetal medicine doctor, who is involved in research and works at a well-renowned institution about this. She didn't feel that the two were as linked as the book leads you to believe. She also felt that the build of the woman needed to be considered, ...more
Oct 07, 2015 rated it liked it  ·  review of another edition
This was very helpful in understanding my pregnancy with twins. Most helpful were the diet recommendations during and after pregnancy which totally changed my habits (I wasn't eating near enough). My midwife didn't have much to say about what to do different with this pregnancy (I have older children) but I knew I was missing something-just a gut feeling. The main focus in the book is on nutrition but there is a little about breastfeeding and handling the months after pregnancy. FYI: I read this ...more
Jun 20, 2015 rated it really liked it  ·  review of another edition
I'm expecting twins so I decided to read this. There are some scary parts, but this book is meant for people expecting more than one baby and there MAY be risks, and if there are, you want to be prepared!

What I appreciated was the data. Studies have shown that following their recommendations for diet will give the babies a better chance. Lots of protein. Lots of dairy. Etc. This was helpful. My doctor is not treating me any different from a singleton pregnancy, and while I appreciate that in man
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
Sep 11, 2008 rated it it was amazing  ·  review of another edition
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
Jul 14, 2011 rated it liked it
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
Feb 18, 2009 rated it really liked it  ·  review of another edition
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.
Sep 13, 2009 rated it really liked it  ·  review of another edition
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.
Meg - A Bookish Affair
This book really helped me with my twin pregnancy. I had never been pregnant before so to suddenly find out I was expecting identical twins was so overwhelming. This book helped me think positively and feel like I could take action to have a healthier pregnancy. I did not have an easy pregnancy (modified bed rest for one month, full bed rest for two months) but this book made me feel better and like I could get through this.
Kelly Espinzoa
Aug 21, 2007 rated it it was amazing  ·  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.
Aug 11, 2008 rated it it was amazing  ·  review of another edition
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.
Aug 02, 2009 rated it liked it  ·  review of another edition
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!!!
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