Multiples Clinic

Delivering Multiples for Houston

Multiples Program

The Woman's Hospital of Texas Multiples Clinic provides comprehensive supportive care to moms expecting twins, triplets, or more, to make their pregnancy a positive and exciting experience. The Woman's Hospital of Texas cares for more multiple births than anyone in the region. Just in the last ten years, Woman's has had the privilege of delivering over 2,800 sets of multiples.

The Woman's Hospital of Texas Multiples Clinic

Because multiple gestation pregnancies are often considered high-risk, this program will provide valuable assistance to the patient and physician beyond the medical aspects of pregnancy.

The Woman's Hospital of Texas Multiples Clinic works with referring physicians and provides a prompt report about the support services their patients are receiving at the Multiples Clinic.

Our Maternal-Fetal Medicine Specialists-Houston Perinatal Associates (HPA)

  • Karolina Adams, M.D.
  • Brian Kirshon, M.D.
  • Alexander Reiter, M.D.
  • Joanie Hare, M.D.
  • Julio Mateus Nino, M.D.

Menu of Services

The Multiples Clinic is free of charge. Our expert team of providers specializes in care for women with multiple gestation pregnancies and offers maternal-fetal medicine consultations from Houston Perinatal Associates (HPA).

  • 1st Trimester ultrasound
  • Genetic counseling if needed
  • Personalized nutritional counseling

Learn More

To schedule an appointment or to learn more about The Woman's Hospital of Texas Multiples Clinic, please call 713-791-7495.

Download our brochure here.

Pre-registration forms can be downloaded by clicking the link below.
Multiples Pre-Registration Form

Download Genetics form here.

How to Register

Participants may self refer or a referral may be made by their obstetrician.


You can complete a self-referral form to request an appointment. Fax the completed form to 713-791-7691.

Physician Referral

Your physician may complete a referral form and fax the form to 713-791-7691.

We foster a family-centered environment where proven practices in maternal-fetal medicine give women and their multiple babies the specialized care they require, including:

  • Maternal-fetal medicine consultations through Houston Perinatal Associates
  • Level II ultrasound for growth assessment and detection of congenital abnormalities
  • Genetic counseling
  • Personalized nutritional counseling
  • Lactation support for breastfeeding multiples
  • Management of medical complications of pregnancy

Specialized Care, Pre-delivery

Many mothers of multiples require early bed rest, and sometimes, early admission to the hospital for monitoring. Our Antepartum Unit provides expectant mothers with a home-away-from-home with the extra support of maternal-fetal medicine specialists. We can help with issues common to multiple births, such as:

  • Multiple baby monitoring
  • Pre-term labor
  • Pregnancy-induced hypertension
  • Gestational diabetes and chronic diabetes and type II diabetes
  • Premature rupture of membranes

Labor and delivery is right down the hall when you’re ready to deliver your twins, triplets or more.

Neonatal Intensive Care Unit (NICU)

Because multiples often face challenges like prematurity and low birth weight, they sometimes require care in a neonatal intensive care unit (NICU). The Woman’s Hospital of Texas offers multiples sophisticated Level II and Level III NICU care with the extra monitoring and interventional medicine when it is needed.

Extra Education

Those expecting multiples are encouraged to take classes early in the second trimester (13-16 weeks). Woman’s offers a variety of educational opportunities especially for parents of multiples. Mothers on bedrest in our Antepartum Unit have the option of these classes coming to them. Learn more about multiples education for parents: