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In some cases, the cell that is the result of fertilization may proceed to an external division and split up into two separate cells. These two new cells then continue their development independently as they undergo their own segmentation. Eventually, they both arrive in the uterus where they also implant separately. The result is a twin pregnancy. Since both came from the same egg and the same sperm, the twins will be identical, i.e., they will be of the same sex and, of course, also look alike in every other respect.
Actually, identical twinning does not necessarily have to begin in the Fallopian tube, but can occur at any time between the second and fourteenth day after fertilization. Thus, even during implantation the blastocyst, which is an early stage of the human development early in pregnancy,  may still divide and grow into two separate embryos.
 

 

Fraternal twins

Fraternal (dizygotic) twins develop when separate eggs are fertilized by different sperm. Fraternal fetuses have separate placentas and amniotic sacs.

Fraternal twin births have greatly increased since 1980, due to the use of infertility treatment. Multiple fetuses conceived with assisted reproductive technology are always fraternal.

Fraternal twins:

  • Tend to run in families.
  • Are born most frequently to women who are white or of African descent.
  • Can be of different sexes and have different blood types.
  • May look very different from one another, with different-colored hair and eyes; they may also look alike, as siblings tend to do.
Identical twins

Identical (monozygotic) twins and triplets come from a single egg that has been fertilized by one sperm. For unknown reasons, the fertilized egg splits into 2 or more embryos during the first stage of development.

Identical twins may share the same tissue (placenta) that connects a mother and fetus. However, they usually are contained within separate amniotic sacs in the uterus. Very rarely, identical twins may share one amniotic sac (monoamniotic twins).

Identical twins or triplets:

  • Are always the same sex and blood type.
  • Do not always look alike.
  • May look like mirror images of each other. One child may be right-handed while the other is left-handed.
  • Occur in about 3 to 4 out of 1,000 births worldwide. Race and heredity do not seem to affect the occurrence of identical twins.
There are also some very rare cases of multiple ovulation, i.e., the release of several eggs at the same time. If these eggs are then fertilized, they may, of course, produce multiple pregnancies. Twins born as a result of such a pregnancy are known as fraternal twins. If three of these children are born, they are called triplets, four are quadruplets, five are quintuplets, and so on. Since each of them comes from a different egg fertilized by a different sperm cell, they may be of different sex and will not resemble each other any more than other brothers and sisters.

 

 
 
 
   

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