I am not a doctor, just a mama of twins. This is information I’ve learned from various sources during my pregnancy and shouldn’t be considered medical advice. You should always talk to your health professional about any questions or concerns that you have............. Before I got pregnant with twins, I would definitely have said that there are two types of twins (identical/fraternal). What I did not know was that this is not the end of the discussion when it comes to twin types or the implications. When people say that twins are identical or fraternal they are referring to zygosity..... (1) identical twins are formed when a single egg is fertilized by a single sperm and at some point, for unknown reasons the egg splits and forms two babies..... (2) fraternal twins are when two eggs are released and fertilized by two sperm. Harper & Harlei are Monochorionic/Diamniotic (mo/di) twins. Mo/di twins share a placenta but each baby has it’s own amniotic sac. My doctors explained mo/di twin by saying they share a placenta and are in the same outer sac, but have a thin membrane dividing them which creates separate amnitoic sacs. Mo/di twins are always identical, though there are some references to fused placentas, which can cause some confusion. Mo/di twins are considered mid-risk in the twin world. Anytime babies share a placenta, they are at risk for twin-to-twin transfusion syndrome (TTTS), which basically means the blood and nutrients from one baby (the donor twin) are going through the placenta to the other twin (the recipient twin). In the past, developing TTTS resulted in a devastating disease, but in recent years, thanks to development of new procedures, twins with TTTS have a much better chance of survival if it is caught early. My maternal-fetal medicine specialist told us that there is a 1 in 7 chance of mo/di twins developing TTTS.
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