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The presence of a "T-sign" at the inter-twin membrane-placental junction is indicative of monochorionic-diamniotic twins (that is, the junction between the inter-twin membrane and the external rim forms a right angle), whereas dichorionic twins present with a "lambda (λ) sign" (that is, the chorion forms a wedge-shaped protrusion into the ...
In 1982, twins who were born with two different skin colors were discovered to be conceived as a result of heteropaternal superfecundation. [7] [5] In 1995, a young woman gave birth to diamniotic monochorionic twins, who were originally assumed to be monozygotic twins until a paternity suit led to a DNA test. This led to the discovery that the ...
Monochorionic twins generally have two amniotic sacs (called Monochorionic–Diamniotic "MoDi"), which occurs in 60–70% of the pregnancies with monozygotic twins, [47] and in 0.3% of all pregnancies. [49] Monochorionic-Diamniotic twins are almost always monozygotic, with a few exceptions where the blastocysts have fused. [46]
Monoamniotic twins are always monochorionic and are usually termed Monoamniotic-Monochorionic ("MoMo" or "Mono Mono") twins. [1] [2] They share the placenta, but have two separate umbilical cords. Monoamniotic twins develop when an embryo does not split until after formation of the amniotic sac, [1] at about 9–13 days after fertilization. [3]
Monochorionic twins are twins that share the same placenta. This occurs in 0.3% of all pregnancies, [3] and in 75% of monozygotic (identical) twins, when the split takes place on or after the third day after fertilization. [4] The remaining 25% of monozygous twins become dichorionic diamniotic. [4]
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Twin anemia-polycythemia sequence (TAPS) is a chronic type of unbalanced fetal transfusion in monochorionic twins that results in polycythemia in the TAPS recipient and anemia in the TAPS donor due to tiny placental anastomoses. [1] Post-laser TAPS and spontaneous TAPS are the two forms of TAPS.
The other twin is usually normal in appearance. The normal twin, called the pump twin, drives blood through both fetuses. It is called "reversed arterial perfusion" because in the acardiac twin the blood flows in a reversed direction. [4] [5] TRAP sequence occurs in 1% of monochorionic twin pregnancies and 1 in 35,000 pregnancies overall. [6]