One unusual aspect about the book is it is a book devoted to all the different issues related to multiple births. Because of fertility drugs and treatments, many patients know they are carrying twins earlier. Women who are a little older can tell maybe because they are a little bigger or more nauseous. You can know by the time you are seven to eight weeks pregnant that you are carrying twins, and maybe sometimes a little earlier. With my second pregnancy, I was carrying twins, and I was a bit bigger that time.
Many women know very early in the pregnancy.
Anyone undergoing fertility treatment could end up carrying multiples, and I recommend that they be evaluated. It is very rare not to know until delivery that you are carrying multiples. Some of the classic symptoms are a very high rate of nausea and vomiting, then of course, later on during the pregnancy, hearing fetal tones. It is very important to recognize that, in fact, carrying six, seven, or eight fetuses hase a high rate of complications. Fertility drugs have made many families happy, but you need to monitor it very closely.