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Fetal Development

Twin Pregnancies

How One Pregnancy Makes Two Babies

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Ask any parent of twins and they'll tell you two is better than one. But finding out that you're carrying twins is shocking for just about everyone. You may wonder how it happened, how your pregnancy will be different and what's going on inside you.

So how does one pregnancy make two babies? Unless your pregnancy resulted from in vitro fertilization, then your babies were created the good old-fashioned way. And a twin pregnancy starts out in pretty much the same way.

On the Road to Two
After sexual intercourse, your partner's sperm travels through the opening of your cervix and makes its way through your uterus toward your fallopian tubes. If you're pregnant with fraternal twins, then two separate sperms will fertilize two separate eggs. And if your twins are identical, then there's only one egg and one sperm. In either case, after fertilization occurs the egg, or eggs, travel down the fallopian tube toward the uterus where it will attach to the wall and start to grow.

Even when twins run in your or your partner's family, finding out that you're carrying two can be a surprise.

"Twin pregnancies are pretty much the same as any other pregnancy; there's just more than one," says Dr. Richard Chalsom, an OB/GYN at the Volunteers in Medicine Clinic on Hilton Head Island, S.C. "Either the woman has multiple ovulations, more than one egg comes out or the one egg splits and they are identical."

When you're pregnant with identical twins, they started out as one fertilized egg. But early in the pregnancy, probably before you had any idea that you were pregnant, the egg split into two separate zygotes.


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