Can you have twins if they don't run in your family?

Everyone has the same chance of having identical twins: about 1 in 250. Identical twins do not run in families. But there are some factors that make having non-identical twins more likely: non-identical twins are more common in some ethnic groups, with the highest rate among Nigerians and the lowest among Japanese.

nhs.uk - Pregnant with twins - NHS

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Fertility treatments and the fact pregnancies are happening later in life has made multiple births more common. Different types of twins One-third of all twins will be identical and two-thirds non-identical. Identical twins Identical (monozygotic) twins happen when a single egg (zygote) is fertilised. The egg then divides in 2, creating identical twins who share the same genes. Identical twins are always the same sex, so if your twins are identical, you'll have 2 girls or 2 boys. Non-identical twins Non-identical (dizygotic) twins happen when 2 separate eggs are fertilised and then implant into the womb (uterus). These non-identical twins are no more alike than any other 2 siblings. Non-identical twins are more common. The babies may be of the same sex or different sexes. Are you carrying twins? You might think you're carrying more than 1 baby if: you seem bigger than you should be for your dates

twins run in your family

you have had fertility treatment It's usually possible to find out if you're having twins through your 12-week scan. At the scan, you should be told whether the babies share a placenta (meaning they're identical) or if they have 2 separate placentas (meaning they can be identical or not). If this is not clear from the first scan, you should be offered another one. What causes twins? Nobody knows what causes identical (monozygotic) twins. Everyone has the same chance of having identical twins: about 1 in 250. Identical twins do not run in families. But there are some factors that make having non-identical twins more likely: non-identical twins are more common in some ethnic groups, with the highest rate among Nigerians and the lowest among Japanese if you’re pregnant and over 35 you’re more likely to have non-identical twins because you’re more likely to release more than 1 egg during ovulation non-identical twins run on the mother's side of the family, probably because of an inherited tendency to release more than 1 egg IVF can increase the chance of twins, as more than 1 embryo may be transferred.

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What is a mono twin?

Monoamniotic twins occur when a single fertilized ovum (egg) results in identical twins that share a common placenta and amniotic sac. Monoamniotic twins are very uncommon, representing approximately one percent of identical twins and less than 0.1 percent of all pregnancies.

obgyn.columbia.edu - Monoamniotic Twins - Obstetrics & Gynecology - Columbia University

What are monoamniotic twins?

How is this condition managed during pregnancy?

Due to a shared amniotic space, monoamniotic twins commonly experience entanglement of their umbilical cords. In some instances, this entanglement can be severe enough to compromise blood supply to the twins, resulting in the loss of one or both of the twins. These instances can be difficult to predict. Therefore, these twins are closely monitored throughout pregnancy, usually involving inpatient hospitalization from a very premature time. Given an association between monoamniotic twins and physical malformations, these twins undergo fetal echocardiography in addition to usual ultrasound-based assessments.

How is this condition managed after delivery?

With contemporary management, survival rates for monoamniotic twins are around 90 percent. These twins are necessarily born at a premature gestational age, even in the absence of identified complications before birth. In addition to physical malformations that may be present, prematurity is a major factor in determining long-term health.

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