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2-14. MULTI-FETAL PREGNANCIES

a. Multi-fetal pregnancy is a pregnancy involving two or more fetuses.

b. Twin fetuses may originate several ways (see figure 2-11).

(1) Identical twins (monozygotic) originate from the same ovum and are always of the same sex. They share a single placenta.

(2) Fraternal twins (dizygotic) originates from two separate ova and sperm and may be of different sexes. They each have their own placenta.

Figure 2-11. Development of twin fetuses.

c. Pregnancies involving more than two fetuses (that is, triplets, quadruplets) may occur by either situation.

(1) Monozygotic--all will be identical.

(2) Multi-zygotic--often associated with fertility drugs in which the ovary matured and released many eggs in the same cycle.

Primary Content Provider: United States Army
Ancillary Content and Online Version: David L. Heiserman
Publisher: SweetHaven Publishing Services

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