Twin Pregnancy Calculator — Week 18: Di/Di, Mo/Di & Mo/Mo
You are 18 weeks pregnant with twins. Twin gestation deviates meaningfully from singleton pregnancy from week 18 onwards — chorionicity, growth discordance and delivery timing all change. Here is the exact week-18 twin picture.
Twin Pregnancy Calculator
Enter the first day of your last menstrual period (LMP). EDD = LMP + 280 days.
How to Use This Calculator
1. Enter the LMP date
Use the labelled fields and units that match your situation.
2. Calculate instantly
The result, visual comparison, and working update as values change.
3. Discuss the estimate with your clinician
Check assumptions, then copy, print, or share the calculation.
Practical Examples & Use Cases
| Starting date | Method | Calculation | Planning use |
|---|---|---|---|
| 1 Jan | LMP | +280 days | Estimated due date |
| Known clinical date | Ultrasound | Clinician dating | Confirm or revise estimate |
Baby at week 18
Per twin, week 18 development: Ears reach final position on head. Uterus grows rapidly. Meconium accumulates in bowel.
Mother's body — what changes
Twin pregnancy at week 18 differs — expect: Baby movements more consistent. Braxton-Hicks contractions may start (painless tightening).
Nutrition & supplements
Add ~340 kcal/day above pre-pregnancy baseline. Prioritise iron (27 mg/day), calcium (1000 mg), omega-3 DHA (200–300 mg) and 71 g protein. Continue prenatal vitamin. For twin gestation add an extra 300 kcal on top (total ~600 second trimester, ~750 third), 50% more iron, and split hydration to 3–3.5 L/day.
Safe exercise
Continue 150 min/week. Avoid supine (flat-on-back) exercises after week 20 — they compress the vena cava. Swimming and prenatal Pilates are ideal now. For twins reduce intensity 20% earlier — bed rest is not routinely indicated but modified activity from week 24 is prudent.
Doctor visit checklist — week 18
- ✓Anatomy ultrasound (18–22 weeks) — check all organs and placenta location
- ✓Chorionicity confirmed at 10–14 weeks (Di/Di, Mo/Di, or Mo/Mo)
- ✓Growth scans every 4 weeks (Di/Di) or every 2 weeks (Mo/Di, TTTS surveillance)
- ✓Maternal-fetal medicine (MFM) referral by week 20
Warning signs — call your provider immediately
- ⚠Heavy bleeding (soaking a pad in an hour)
- ⚠Severe abdominal pain that does not ease
- ⚠Fever above 38°C / 100.4°F
- ⚠Sudden gush of fluid (early rupture of membranes)
- ⚠Absent fetal movement for 12+ hours after 24 weeks
- ⚠Severe headache + visual disturbance (preeclampsia)
Week 18 — Frequently asked questions
Content aligned with SMFM, ACOG twin guidelines and NICE multiple pregnancy. Reviewed by Dr. Maria Rehman, MD (OB/GYN). This page is educational and does not replace personal medical advice — call your obstetrician for any concern.
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