In the mother's womb (uterus), most identical twins share the same placenta. (They get oxygen and nutrients from the mother and get rid of wastes through the placenta.) But they usually grow within separate
Identical, or monozygotic, twins may or may not share the same amniotic sac, depending on how early the single fertilized egg divides into 2.
In a dichorionic twin pregnancy, one embryo has its own placenta, and the other two share one. The babies sharing a placenta might be identical while the other baby with its own placenta will not be. With triplets, if each of the three babies has their own placenta, the term trichorionic is used.
These fetuses share a single chorionic sac but two yolk sacs and two amniotic sacs. By this time a trophoblast has already formed yielding a single placenta. The layperson's term is that the twins are "identical".
However, when a twin pregnancy is evaluated by ultrasound, it's impossible to tell directly whether the twins are identical or fraternal. That determination must be inferred by looking at two things — the sex of the fetuses and the number of placentas and sacs present.
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.
If you're expecting MCDA or MCMA twins, you should find out whether they are identical at your dating scan, between 10 weeks and 14 weeks of pregnancy (NHS 2019, NICE 2011). Before 14 weeks, it's easier to see on a scan whether your babies each have their own membranes (NICE 2011, RCOG 2016).
As in the majority of cases of monochorionic, diamniotic twins there are two yolk sacs, and it is only in a small minority of these cases that there is a single yolk sac, it would be reasonable to speculate that yolk sac differentiation occurs shortly before that of the amnion.
The only way of knowing for certain that your twins are identical is if, on an ultrasound scan, the ultrasound tech can see that your babies share an inner sac (chorion) with no dividing membrane (called monochorionic/monoamniotic). This means they are definitely identical.
Twins who share the same amniotic sac, a condition that occurs in less than 1 percent of all U.S. twin pregnancies, face serious risks — including cord entanglement, which can cut off the blood flow from the placenta to the fetus.
It's also called disappearing twin syndrome, and it happens when there's a loss of one baby in a multiple pregnancy. Usually it occurs early in pregnancy and involves the loss of one twin, while the other twin survives. The fetal tissue from the vanishing twin is usually absorbed by the mother and the surviving baby.
Yes, identical twins can have separate amniotic sacs. In fact, around one third of all identical twins have separate placentas and amniotic sacs.
In a typical identical twin pregnancy, an egg splits during its first week after fertilization. But in a mirror twin pregnancy, the egg splits 7 to 12 days after it's been fertilized — long enough for the egg to have developed a right and a left side.
Monoamniotic-monochorionic Twins
This is the rarest type of twin, and it means a riskier pregnancy as the babies can get tangled in their own umbilical cords. If you have monoamniotic-monochorionic twins, your healthcare provider will monitor your pregnancy closely.
The DNA of monozygotic twins tends not to be 100% identical, and epigenetic and environmental differences further widen the gap between twin pairs. It's not nature or nurture; it's a complex interaction between our genes, our environment, and our epigenetic markers that shape who we are and what illnesses befall us.
Monoamniotic twins are identical twins that share an amniotic sac, the fluid-filled sac that holds the baby during pregnancy (also known as the “bag of waters”). Normally, identical twins each have their own amniotic sac. Monoamniotic twins are a rare type of “monochorionic” twins, meaning they also share a placenta.
It's not unheard of for a twin pregnancy to go undetected in early ultrasounds (say, around 10 weeks). But once you reach the midway point of your pregnancy and have your 20-week anatomy scan, you can be 99.99 percent confident about how many babies to expect at your delivery.
DNA testing became a standard legal tool for identifying criminal suspects and resolving paternity disputes. But for all its power, the test could not tell identical twins apart.
About one-third of identical twins split soon after fertilisation and form completely separate twins. Like fraternal twins, these twins have separate placentas. The other two-thirds split after they attach to the wall of the womb.
To form identical or monozygotic twins, one fertilised egg (ovum) splits and develops into two babies with exactly the same genetic information. To form fraternal or dizygotic twins, two eggs (ova) are fertilised by two sperm and produce two genetically unique children.
Identical twins (also called monozygotic twins) result from the fertilization of a single egg by a single sperm, with the fertilized egg then splitting into two. Identical twins share the same genomes and are always of the same sex.
However, for a given pregnancy, only the mother's genetics matter. Fraternal twins happen when two eggs are simultaneously fertilized instead of just one. A father's genes can't make a woman release two eggs.
But any forensics expert will tell you that there is at least one surefire way to tell them apart: identical twins do not have matching fingerprints. Like physical appearance and personality, fingerprints are largely shaped by a persons DNA and by a variety of environmental forces.
Being pregnant with multiples doesn't necessarily mean that your pregnancy will be problematic. However, women carrying multiples do have a higher chance of developing complications such as high blood pressure and preterm labor. For this reason, all multiple pregnancies are considered high-risk.
However, since only women ovulate, the connection is only valid on the mother's side of the family. While men can carry the gene and pass it on to their daughters, a family history of twins doesn't make them any more likely to have twins themselves.