Photo: Angela Roma

What are Momo twins?

What are mo/mo twins? Mo/mo is a shortened form of monochorionic monoamniotic. Mo/mo twins are those who share both the chorionic and amniotic sacs. Or to put it another way, since mono means “one,” a mo/mo pregnancy is one where there is one placenta and one amniotic sac for both babies.

healthline.com - Mo/Mo Twins: Definition, Risks, and More - Healthline

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If up until this point twins have been a genetic mystery for you, please allow us to introduce you to some of the various types of twins . One of the most rare and complicated types are sometimes called mo/mo twins. Confused? Intrigued? Keep reading to find out more! In most cases, the biggest distinction people make between twins is whether they’re identical or fraternal (and even that separation can be confusing for some). Mo/mo is a shortened form of monochorionic monoamniotic. Mo/mo twins are those who share both the chorionic and amniotic sacs. Or to put it another way, since mono means “one,” a mo/mo pregnancy is one where there is one placenta and one amniotic sac for both babies.

Confused about how this works? Allow us to back up a bit…

Most people have heard mention of identical and fraternal twins before, right?

Identical twins (also called monozygotic twins) come from the same fertilized egg. They are created when one egg and one sperm meet as expected. Shortly after fertilization, the single egg splits in two. These twins are referred to as identical, because they share all the same chromosomes. (also called monozygotic twins) come from the same fertilized egg. They are created when one egg and one sperm meet as expected. Shortly after fertilization, the single egg splits in two. These twins are referred to as identical, because they share all the same chromosomes. Fraternal twins (also called dizygotic twins) on the other hand come from two different eggs that are released close together and fertilized by two different sperm. They share only 50 percent of their chromosomes as other siblings do, and characteristics like hair and eye color or gender can be the same or different. Got all that and wondering what that has to do with mo/mo twins? Well, believe it or not, twins can share a few other things besides chromosomes! When it comes to identifying types of twins, classification depends on whether the fetuses shared or had separate chorionic and amniotic sacs. Never heard of a chorion or amniotic sac? Don’t worry, you’re not alone, so here’s a quick recap and a few notes on why they are important.

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While developing in the womb, the chorion is the outermost fetal membrane, the outer layer of what is known as the amniotic sac. The chorion works to connect the amnion, amniotic fluid, and the fetus to the placenta. The amnion is the innermost fetal membrane. It helps protect the fetus and includes amniotic fluid. Similarly to the chorion, twins can either share an amnion or have one all of their own. One fun fact to keep in mind is that even though two babies may share the same placenta (i.e. one chorion for the pair), they can each still be in their own amniotic fluid if they have their own amniotic sac (i.e. two separate amnion). This means that there are actually 3 different combination possibilities: mo/mo, mo/di, di/di: Di/di twins (dichorionic diamniotic) each have their own individual chorion and individual amnion. (dichorionic diamniotic) each have their own individual chorion and individual amnion. Mo/di twins (monochorionic diamniotic) share a chorion, but have separate amnion. (monochorionic diamniotic) share a chorion, but have separate amnion. Mo/mo twins are those with one amnion and one chorion. Everything is shared! If the twins are fraternal, they’re di/di and each is in their own little bubble. Di/di twins also account for about 30 percent of identical twins. Depending on the timing of the egg split, identical twins can be di/di, mo/di, or mo/mo. Mo/mo is rarest, accounting for only about 1 to 5 percent of all identical twins. While all of this may seem like a lot to understand, the issue is that the more that the twins share while in utero the higher the risk to the pregnancy. Knowing which type of twins a pregnant person is carrying can help providers to identify and monitor for any possible issues.

healthline.com - Mo/Mo Twins: Definition, Risks, and More - Healthline

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