Twin Pregnancy Week 32: Symptoms, Fetal Development & Body Changes

32 Weeks Pregnant with Twins or Multiples

Medically Reviewed By
Dr. Sabiha Anjum (Gynecologist/Obstetrician)
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If you are 32 weeks pregnant with twins, it is important for you to realise that this indeed is a moment of celebration (albeit in a toned-down manner to suit your babies!). When compared with a woman carrying a single child, the 32 weeks of twin pregnancy can easily be considered as 40 weeks of a single one. With the tummy and uterus sizes being pretty similar to each other, the growth of the single baby and twin babies would be the same up until now, too. However, things are going to change quite a bit now, with the space inside your womb reducing for the babies, and the little ones getting eager to come out and live on their own as well.

The Growth of the Babies at 32 Weeks

32 weeks with twins looks like this. Your children who have been thriving inside your body all this while will continue to do so for some more time. Their rate of growth will tend to slow down a bit if compared with the growth of a single child, but there are still some substantial development processes that will occur.

Primarily, the bodies of the babies will continue to put on fat and increase in size. The limbs and the body, which were skeletal for quite some time, will now fill out properly, and resemble something close to a newborn child as they progress. This is what will make the bodies comparable to the large heads of the babies.

If you’ve been tracking the movement of your babies, there might be instances when you begin to worry, since their amount of kicks or their movements might not be as they usually are. This is completely normal, and most twins or triplets slow down their activities as the due date approaches. The restrictions placed by the tiny space within the uterus don’t leave them with much space to carry out their antics anymore. However, you will continue to feel small flutters and squirms, as they continue to change their orientation once in a while.

The maturity of their core internal organs continues to proceed speedily in this week as well. Most importantly, their bladders are carrying out the procedure of processing bodily fluids and passing out plain water as urine. Their brains are being stimulated by numerous signals, from both inside and outside the body, causing them to dream quite often inside the womb. All of these processes are crucial in ensuring that each body functions in the right manner once it starts surviving on its own.

Most babies have usually shed the light hair covering their bodies before this week arrives. Similarly, your little ones would have a nice thick head of hair, while some babies have tiny portions. Hair development can be genetic, too. Apart from the hair, the skull development is nearly completed at this stage, although it has not fully hardened. The bones that constitute a complete skull are yet to fuse together. They stay malleable on purpose, in order to facilitate the child’s emergence from the birth canal. As for the remaining skeletal structure, it is reaching its required degree of ossification and hardening.

What Is the Size of the Babies?

Imagine yourself holding a large turnip, a sweet potato, or even a squash. That’s exactly how large your little ones are inside your uterus. When reaching the 32nd week of pregnancy, twins or multiple babies are already close to resembling their final look when they are born. Their height, when measured from head to toe, is roughly 40 to 41 centimetres, with a weight that hovers close to 1.4 to 1.5 kilograms, for each baby. Your babies will still put on roughly half a kilogram each by the time you deliver them.

What Is the Size of the Babies? - 32 weeks pregnant twins

Common Bodily Changes

All the changes that take place in your body, whether inside or outside, are all indications that your body is nearly ready to deliver the babies and take care of them after birth.

  • While the mother’s body is getting ready and preparing for delivering the babies,  the babies are making their own attempts to facilitate the process. A definite sign of noticing this change is by observing your tummy carefully. If you have photos from the previous months, you can compare them to your current appearance. Most babies begin to adjust their position this week and adopt one in which their heads are down, facing the birth canal. This will cause your uterus to be heavier on its lower end, giving your stomach a more pear-like shape (rounded at the lower end). Combined with an increased ease in breathing deeply and quickly, this is one of the most significant changes that take place inside you, which is visible on the outside.
  • A discharge from the vagina which is thick and milk-coloured can also occur. It helps to clean up the vagina and populate it with good bacteria, keeping it conducive for the baby’s passage. However, any presence of a thin watery liquid might be a sign of your water breaking.
  • Colostrum, a yellowish substance which is a precursor to milk starts leaking from the breasts.

Twin Pregnancy at 32 weeks - contractions

Symptoms of Twin Pregnancy at 32 Weeks

The symptoms of your pregnancy with twins will continue to be similar to those from the previous couple of weeks.

  • There can be an increased tendency of random contractions, causing you to constantly feel that you might deliver your babies any second now. As the size of the babies begins to increase, the body goes into overdrive in preparing itself for the labour process. The tell-tale sign of Braxton Hicks contractions is the way they fade away once you change your bodily position. If they continue to persist even after that and continue to occur regularly with increasing intensity of pain, it could be a sign of premature labour.
  • The pressure that the uterus and the babies are putting on the stomach and the digestive system already causes indigestion, and the chances of acid reflux are strong. This tends to elevate when the babies change their position and push into the stomach even more strongly.
  • You may feel dizziness especially while you’re moving or standing up. 
  • The frequency of going to the bathroom increases as the pressure on the bladder increases while the pregnancy progresses.

Twin Pregnancy – Belly at 32 Weeks

Your uterus now begins to have a lower amount of amniotic fluid than before. This reduces the amount of cushioning it used to provide to the movement of the babies, causing you to feel them in much more detail than before.

Your stomach would also seem to sink a bit lower, as the babies change their positions within the womb.

Twin Pregnancy – Ultrasound at 32 Weeks

Most doctors begin to conduct ultrasound scans every other week. The chance of breech twins at 32 weeks is substantial and needs to be detected as much in advance as possible. If your due date is close, and the scan reveals a non-ideal position for the delivery, then your doctor might undertake methods to coerce the babies into changing their positions. However, this is not practised these days.

What to Eat?

Although your weight gain would be substantial around this time, it is necessary that you don’t skimp on any foods or nutrition to keep your weight in control. Certain dietary restrictions might be advised if you are overweight, but it is best if you can include meat in your diet, at least for this week.

Twin Pregnancy at 32 weeks - what to eat

Pregnancy Care Tips

Taking care of your pregnancy in the 32nd week requires only a few important tips to be remembered:


  • Connect with your health insurance provider, and double-check the terms.
  • Talk to your babies frequently.


  • Avoid eating heavy meals as you approach your due date.
  • Stay away from herbal remedies for your pains, unless recommended by your doctor.

Twins Delivered at 32 Weeks

There have been instances where a woman has given birth to her babies prematurely. Fortunately, the survival rate of twins born at 32 weeks is pretty good, given the fact that they have nearly completed eight months of pregnancy. However, there is some risk of complications, which is why neo-natal care units are advised for pre-term twins. Some doctors might go ahead and carry out a caesarean delivery if your preterm labour cramps begin, and the babies are not in an ideal position for delivery.

What You Need to Buy?

Your pregnancy will be a thing of the past in a few weeks from now. So, make sure you remember it by:

  • Getting a picture frame to house an ultrasound photo of the babies.
  • A digital camera to document the last stages of your pregnancy.

At 32 weeks, your twins will be showing quite a bit of development, as they get ready to come out into the world soon. It is a time in your pregnancy when you should be preparing, mentally and physically, to give birth in a few weeks, keeping the well-being of you and the babies as your priority. Pre-term birth of twins at 32 weeks is not out of the ordinary, and doctors are already prepared for it. It is nothing to worry about, and you can prepare yourself accordingly.


1. How Your Fetus Grows During Pregnancy; The American College of Obstetricians and Gynecologists;; August 2020

2. 3rd trimester pregnancy: What to expect; Mayo Clinic;

3. Your Baby’s Development: The Third Trimester; American Academy of Family Physicians;

4. Twin pregnancy: What twins or multiples mean for mom; Mayo Clinic;

5. Stages of pregnancy; U.S. Department of Health and Human Services: Office on Women’s Health;

6. Fetal development: The 3rd trimester; Mayo Clinic;

7. Multifetal Gestations Twin Triplet and Higher-Order Multifetal Pregnancies; The American College of Obstetricians and Gynecologists;

8. Antenatal care with twins; NHS UK;

Previous Week: Twin Pregnancy Week 31

Next Week: Twin Pregnancy Week 33

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