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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 ...
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 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.
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.
During this time, the fetus receives all of its nutrition and oxygenated blood from the mother, filtered through the placenta, which is attached to the fetus' abdomen via an umbilical cord. This drain of nutrients can be quite taxing on the mother, who is required to ingest slightly higher levels of calories .
The amnion is the innermost layer and, therefore, contacts the amniotic fluid, the fetus and the umbilical cord. [5] The internal pressure of the amniotic fluid causes the amnion to be passively attached to the chorion. [4] The chorion functions to separate the amnion from the maternal decidua and uterus. [4]
The amniotic membrane and its contents form the umbilical cord that connects the embryo and the placenta. [3] [4] The root of the connecting stalk contains the allantois as a diverticulum of hindgut endoderm along with umbilical vessels. [5] [2] Anomalies are usually referred to as body stalk anomalies and occur in approximately 1 in 15,000 ...