Increased spotting

But spotting is also more common with a multiple pregnancy. In the absence of cramping or large clots, spotting doesn't mean the end of your pregnancy. Talk to your doctor if you're having bleeding or spotting.

Is bleeding in pregnancy more common with twins?

Being pregnant with twins also carries a higher rate of maternal anemia and a higher rate of postpartum hemorrhage (bleeding) after delivery.

Can twins cause bleeding in early pregnancy?

If you're pregnant with twins (or another multiple of babies), you might have a greater chance of first trimester bleeding due to causes like implantation bleeding. Miscarriages in the first trimester are also more common when you're pregnant with more than one baby.