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Re:The cost of raising a child in America has soared (2018) by analog31 on Monday June 24, 2019 @08:11PM (#20269889)
Certain pregnancies are automatically elevated to "at risk" status, and AFAIK twins are one of the check boxes. Another is maternal age.
Re:The cost of raising a child in America has soared (2018) by EADGBE on Tuesday June 25, 2019 @10:19AM (#20274429)
> Another is maternal age.

See: Geriatric Pregnancy/Advanced Maternal Age Pregnancy (Pregnancy after the age of 35).