What causes Momo twins?

Answered by Jeremy Urbaniak

Momo twins, also known as monoamniotic-monochorionic twins, are a rare type of identical twins that occur when a single fertilized egg splits in two during early pregnancy. This division happens within the first week after conception, resulting in two embryos sharing the same amniotic sac and placenta.

The exact cause of Momo twins is not fully understood, but it is believed to be a random event that occurs during the early stages of embryonic development. It is important to note that Momo twins are a natural occurrence and not caused by any specific factors or actions taken by the parents.

During normal pregnancy, the fertilized egg usually divides into two separate embryos within the first few days after conception. Each embryo then develops its own amniotic sac and placenta, resulting in what are known as dichorionic-diamniotic twins. However, in the case of Momo twins, the division of the fertilized egg is incomplete, leading to the embryos sharing the same amniotic sac and placenta.

The shared amniotic sac of Momo twins poses unique risks and challenges compared to other types of twins. One of the main concerns is the potential for the umbilical cords of the two embryos to become entangled or compressed, which can restrict blood flow and oxygen supply to the babies. This can lead to serious complications such as cord entanglement, cord compression, and twin-to-twin transfusion syndrome (TTTS).

TTTS is a condition that can occur in any type of identical twins who share a placenta. It is characterized by an imbalance in blood flow between the two fetuses, where one twin receives a greater share of the blood supply. This can result in one twin being smaller and less developed (donor twin), while the other twin becomes larger and may experience excessive fluid accumulation (recipient twin).

Due to the high risk associated with Momo twins, close monitoring and specialized medical care are essential throughout the pregnancy. Regular ultrasound scans are typically performed to closely monitor the growth and development of the babies, as well as to check for any signs of complications such as cord entanglement or TTTS. In some cases, early delivery may be necessary to minimize the risks to the babies.

Momo twins are a rare type of identical twins that occur when a fertilized egg divides incompletely, resulting in the embryos sharing the same amniotic sac and placenta. The exact cause of this incomplete division is not fully understood, but it is believed to be a random event during early embryonic development. Close monitoring and specialized medical care are crucial for the health and well-being of Momo twins due to the unique risks they face during pregnancy.