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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]
The embryo is surrounded by the thin membranes of the amniotic sac, the umbilical cord is seen in the center, attaching the embryo to the placenta. The umbilical cord develops from and contains remnants of the yolk sac and allantois. It forms by the fifth week of development, replacing the yolk sac as the source of nutrients for the embryo. [2]
If one twin dies in utero, blood accumulates in that twin's body, causing exsanguination of the remaining twin. [2] In the case of monoamniotic twins the risk of complications is substantially higher because of additional potential umbilical cord entanglement and compression. [3] However, the perinatal mortality of monochorionic twins is fairly ...
The basic outlines of the organ, body, and nervous systems are established. By the end of the embryonic stage, the beginnings of features such as fingers, eyes, mouth, and ears become visible. Also during this time, there is development of structures important to the support of the embryo, including the placenta and umbilical cord. The placenta ...
Both twins born vaginally – this can occur both presented head first or where one comes head first and the other is breech and/or helped by a forceps/ventouse delivery; One twin born vaginally and the other by caesarean section. If the twins are joined at any part of the body – called conjoined twins, delivery is mostly by caesarean section.
800-290-4726 more ways to reach us. ... Waiting at least two minutes before clamping the umbilical cord of a premature baby may reduce the risk of death by at least a third, new research suggests ...
The portions which lie in the genital cord [citation needed] fuse to form the uterus and vagina. This fusion of the paramesonephric ducts begins in the third month, and the septum formed by their fused medial walls disappears from below upward. The parts outside this cord remain separate, and each forms the corresponding fallopian tube.
The twins' mother, Destiny, was due Feb. 2, but she went into labor Jan. 6 and delivered Jan. 7. The major risk for monoamniotic twins is that their two umbilical cords can easily become entangled ...