28 Weeks Pregnant with Twins

Here’s what to expect when you are 28 weeks pregnant with twins:

Fetal Development

By 28 weeks in the twin pregnancy your twins each measure about 15 inches tall (38 cm) and weigh 2.5 pounds (1.1 kg) and average the following measurements:

Head circumference: 11″ (272mm) about the size of a lemon
Abdominal Circumference: 9.75″ (246mm)
Femur Bone Length (from waist to knee): 2.1″ (53mm) which is about the height of a credit card

Your twins’ eyelids are open and they have eyelashes now. Each baby is about the size of a kabocha squash.

Read more about your twins’ growth: twins fetal development at 28 weeks pregnant.

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(RELATED: Expecting twins? Avoid these 4 critical mistakes expectant twin parents make.)

What to Expect

Typical weight gain for Mom at this point is about one pound per week (0.6kg).

Total weight gain for the twin pregnancy so far will average between 30 to 46 pounds (13.6 to 20.9kg).

Pictures and Video

Here’s an ultrasound video of what you might see at 28 weeks pregnant with twins:

Belly picture at 28 weeks:

If Your Twins Were Born This Week

Your twins are very early preterm and the odds of survival are better than weeks past. However, twins born during the 28th week still risk major medical complications and life-long health issues. They will spend weeks, if not months, in the NICU. Twins born this week average a hospital stay of about 60 days.

For example, Erin A.’s twins spent 28 days in the NICU after being born at 33 weeks. Their time in the NICU was just learning to suck/feed and maintain their body temperatures. Other than that, they were perfect. 4.5lbs each. (They are now 2 and a half and you would never know)

(RELATED: Love podcasts? Check out the entire Dad's Guide to Twins Podcast archive for additional twin tips and interviews with twin dads.)

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What to Prepare This Week

When Mom is 28 weeks pregnant with twins, you should have already been working on your twin nursery and sleeping arrangement. Think about temporary sleeping arrangements for your twins. Where will they sleep when you are traveling, visiting family, or during naps? Consider getting a pack-n-play for your twins for an alternative and mobile sleeping location.

Your Fellow Parents at 28 Weeks Pregnant with Twins

Allen V. – “My wife and I are expecting our second set of twins. And she has seen enough, back pain swelling, feeling huge but I have the upmost respect for her and any mom out there sacrifice your body to keep them growing as long as you can to full term”

Jennifer B. – “I plan to get hospital bags ready this week.”

(RELATED: Still looking for the right twin gear? See my Twin Baby Gear Essentials.)

Holly B. – “Tried to find some neutral clothes at Salvation Army. I thought I had some but our 1st was a summer baby, now must think whats needed for winter twins.”

Nicole N. – “28+4 with boy/girl twins. I’m still moving but getting slower everyday…”

Kellie R. – “This week there’s been a lot of pelvic pressure. It’s been rather annoying especially since we’re only 28 weeks. They are both moving a lot. Other than the pressure things seem fine.”

Anette L. – “I am extremely tired now.”

Shi N. – “I am already starting to feel breathless and uneasy. I can’t sleep well as I’m getting the reflux pain on turning to left and then I can’t lie supine too long. I need to prop up myself with 2 pillows.”

Dad’s Thoughts

By the time Mom reaches 28 weeks pregnant with twins, bed rest is a very real possibility. You want your twins to stay inside Mom as long as possible. Every extra week helps them get ready for life. As the Dad, you can help your wife during a twin pregnancy required bed rest.

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Still wondering how to prepare for your twins? I cover specific things you should know and prepare for in my Dad’s Guide to Twins book. Learn more about the book here.

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