Ryan and Lindsay Ranschau were excited to find out they'd be having their first child around the end of May.
"We had daycare set up for one baby. We had everything," Lindsay said.
But at their 20 week ultrasound appointment, the Sioux Falls couple was thrown for a loop. Lindsay is pregnant with not one child, but two.
"In our minds we were thinking, 'We're going to have a baby. Yay!' Then all of a sudden we are having two," Lindsay said.
"I was just flabbergasted. I couldn't believe," Ryan said.
"Now we are thinking bigger car. Where are they going to sleep? Double everything," Lindsay said.
Lindsay also has to take more vitamins during her pregnancy.
"We also make sure they take extra folic acid and iron during the pregnancy," Avera OB/GYN Dr. Molly Uhing said.
Women pregnant with twins have to eat a little bit more, too. Doctors also follow them more closely throughout their pregnancy. Dr. Molly Uhing advises women pregnant with more than one baby to limit their work days to eight hour days, 40 hours a week.
"They're a little bit higher risk for pre-term delivery, so we try to be a little bit cautious about the amount of time they are on their feet or hours they work," Uhing said.
"We have to do more ultrasounds and more appointments and things like that," Lindsay said.
While having twins is more risky and requires more work, the Ranschaus are very excited to meet their two baby girls, Stella and Elsie.
"I'm excited that they'll have a playmate--like a constant best friend," Lindsay said.
"A dad's bond with a little girl is daddy's little girl, and I'm going to have two little girls," Ryan said.