Help me out

I have been thinking a lot about my circumstances and what needs to change on two different things. I am 24. I am pregnant with none identical twins and currently 15 weeks today.

First one, my work and deciding on leaving a lot earlier than planned. I have worked as a housekeeper for 5 years in those tines. I've always managed to get through pregnancy and manage my physical workload alright. I left around 35 weeks, had no problems in health, and not struggled in the past. But now, since being pregnant again, I am exhausted with the pregnancy, and it is sometimes a struggle . Being a lot bigger with having twins isn't easy, and it is only gonna get harder as they grow. I already started having health issues now because I don't think I can handle the work load as good as I use to and now I recently got a potential heart issue that has now been surfaced due to the demands of work potentially coursing the issue to be brought to light. I'm emotionally and physically tired every time I come home from work no matter what. I am really want to try to stay as long as I can, but I don't think I'm going to make it to the end of October like I originally thought. I may have to request an early maternity leave for the beginning of September because I am starting to struggle.

The second issue I have to figure out is getting another midwife as my current midwife is hard to get in touch through phone and text for anything important. For example first failed no response was when I was 10 weeks pregnant I tried messaging her to request about making an appointment to check my iron levels might be low as I had been feeling dizzy and weak always tired etc but she never responded or bothered to get in touch. The second failed time she didn't get back in touch was when I started having heart palpitations after work and I tried ringing couple of times to let her know about it but nothing then as a resort I jad to end up ringing 111 last Thursday to get any advice or where to get looked at to then be seen by a doctor.
It is very much a shame as she's great in person and is always listening and giving me advice, but when I need her, she's nowhere to be found like the two occasions. I feel as if I need better midwife care, but I'm not sure how to approach this.

I just need advice or some sort of reassurance that these decisions I'm having to make are the right ones for the long run, and I am not putting myself in a stressful, regretful position. (If that made any sense..)

If anyone can help me out or share their experiences I would love to see in the comments x

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Hey, im also 15 weeks pregnant. Dont worry I feel so tired all the time especially after work. I can't imagine the exhaustion with twins and workings a physical job with it but it sounds like you're doing amazing. Make sure you don't push yourself too hard and get plenty of rest. Remember you're growing two little humans inside you that alone with work is enough for someone to be so tired. As for maternity leave, you start it when it feels right for you xx

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