Logo of Maricopa OBGYN, Phoenix Obstetrics and Gynecology

1661 E Camelback Rd
Suite 160
Phoenix, AZ 85016

4530 E. Ray Rd
Suite 125
Phoenix, AZ 85044

Important messages from Maricopa OB/GYN regarding coronavirus (COVID-19).

Office Visits and Patient Safety

Twins? Oh, My!

____ Drink water. Lots of water. 8-10 glasses a day is 64-80 ounces. Your pregnancy requires lots of water to create the fluid-filled environment in which the babies float. You need adequate water to metabolize calories, maintain a normal blood pressure and avoid dehydration that can lead to headache, fatigue, urinary tract infections, premature labor and so much more.

____ Drink your milk. Your babies and your bones need 7 glasses/56 oz. of milk a day or 2000 mg. of calcium. 8oz. of milk or yogurt or cottage cheese contains 300mg

Drinking 3 glasses of milk a day is difficult for anyone, but 7 glasses is nearly impossible. If you are not able to drink that much milk, that is okay. Sneak in yogurt and cheese anytime you can.

You can substitute a calcium supplement for milk: try Tums Ultra, Caltrate, Oscal, Citracal, Viactiv.

If you can eat three servings of dairy a day then you need only 3 Tums Ultra to make up the remainder of your daily needs. Two Tums at a time. Do not take Tums with your vitamin or iron supplement.

____ Babies are made out of water, calcium and protein. Your protein goal: 16 oz. of meat daily from 20 weeks to your delivery. You can eat chicken, beef, turkey, fish (tuna and salmon are the best), eggs, soy. Snack on protein throughout out the day: cheese sticks, peanut butter, nuts, hard-boiled eggs, protein bars and protein drinks. Adequate protein intake is essential to make healthy babies, maintain your blood pressure and keep the ankle swelling away.

____ Although you may eat fish when you are pregnant, you should limit you fish intake to 12 ounces a week (like two cans of tuna). Do not eat shark or swordfish: they tend to contain more mercury than may be safe during pregnancy. All fish that you eat must be cooked. Shellfish is okay.

____ A daily prenatal vitamin prevents some birth defects and corrects anemia. Do not take your vitamin with milk or Tums or an antacid.

____ An iron supplement is necessary to make blood for the second twin. An iron supplement called Slo-Fe is a favorite. Take your vitamin at one end of the day and the iron at the other end of the day. Do not take with milk.

____ Take an Omega-3 (fish oil or DHA) supplement. This oil is essential for your baby’s brain growth and may help keep your blood pressure normal. One for each baby. Take one with your prenatal vitamin and one with your iron supplement.

____ Take a daily aspirin. The correct dose is 81mg. Always take with food. A daily low dose aspirin will significantly decrease the risk of high blood pressure or toxemia during your pregnancy.

____ Get more fiber in your diet to avoid constipation and hemorrhoids. Raisin bran, apples, raw vegetables. Products that help: Metamucil, Citracel, Fibercon.

____ 10 oz. of caffeine (less than 100 mg.) a day from coffee or tea is okay. Avoid soda pop which may contain an acceptable amount of caffeine, but has too much salt and sugar for your healthy pregnancy. Do not drink alcohol in any amount.

____ Smoking damages your baby’s brain development by significantly diminishing blood and oxygen flow to the uterus for an hour after every cigarette. Cut down and quit. Nicotine lozenges or gum may be helpful. Do not use nicotine patches.

____ A healthy weight gain is 25-40 pounds, depending on your starting weight. Ideally you will gain:

4-5 pounds in the first three months (150 calories a day)
10-15 pounds in the second three months (500 calories a day)
1-2 pounds a week in the third trimester (500-750 calories a day)

____ Sleep 8 hours at night. Wind down an hour before bed. Take a warm bath. Try hot tea, meditation, reading. Avoid caffeine after noon. On your day off sleep til you wake up. Listen to your body. Most pregnant women would benefit from an afternoon nap. Rest revives you, boosts your immune system and gives your body the energy to grow a healthy pregnancy. After 18 weeks sleep on your left or right side. Prop up with pillows for comfort.

____ Exercise for 20 minutes, three times a week. Exercise that raises your heart rate will burn calories, strengthen your muscles, make your bowels work better, improve your sleep and sense of well-being.

Try a brisk walk, bicycle, swim. There is no need to do high impact exercise such as jogging during pregnancy. Don’t forget to warm up, cool off and drink lots of water. Keep your heart rate under 140.

If you are not eating or drinking water well then do not exercise.

More Resources

Related Links

Phoenix Office


1661 E Camelback Rd
Suite 160
Phoenix, AZ 85016

Ahwatukee Office


4530 E Ray Rd
Suite 125
Phoenix, AZ 85044

Hospital Affiliation

         Main 602-839-2000
OB Triage 602-839-6700

Banner University
Medical Center Phoenix

1111 E McDowell Rd
Phoenix, AZ 85006