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Cord entanglement: The close proximity and absence of amniotic membrane separating the two umbilical cords makes it particularly easy for the twins to become entangled in each other's cords, hindering fetal movement and development. [4] Additionally, entanglement may cause one twin to become stuck in the birth canal during labor and expulsion. [1]
In placental mammals, the umbilical cord (also called the navel string, [1] birth cord or funiculus umbilicalis) is a conduit between the developing embryo or fetus and the placenta. During prenatal development , the umbilical cord is physiologically and genetically part of the fetus and (in humans) normally contains two arteries (the umbilical ...
The embryo is joined to the trophoblastic shell by a narrow connecting stalk that develops into the umbilical cord to attach the placenta to the embryo. [ 11 ] [ 15 ] Arteries in the decidua are remodelled to increase the maternal blood flow into the intervillous spaces of the placenta, allowing gas exchange and the transfer of nutrients to the ...
The twin reversed arterial perfusion, or T.R.A.P. sequence, results in an 'acardiac twin', a parasitic twin that fails to develop a head, arms and a heart.The parasitic twin, little more than a torso with or without legs, receives its blood supply from the host twin by means of an umbilical cord-like structure, much like a fetus in fetu, except the acardiac twin is outside the autosite's body.
Also during this time, there is development of structures important to the support of the embryo, including the placenta and umbilical cord. The placenta connects the developing embryo to the uterine wall to allow nutrient uptake, waste elimination, and gas exchange via the mother's blood supply. The umbilical cord is the connecting cord from ...
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.
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 ...
After birth the umbilical cord is clamped and cut, the baby starts to breathe air, and blood from the right ventricle starts to flow to the lungs for gaseous exchange and oxygenated blood returns to the left atrium, which is pumped into the left ventricle, and then pumped into the main arterial system. As a result of these changes, the blood ...