Does one fetus stopping development in a monozygotic twin pregnancy affect the other?

Oct 13, 2022 Source: Cainiu Health
Dr. Lv Aiming
Introduction
A missed abortion in one fetus of a monozygotic twin pregnancy does not affect the other. The loss of one twin is often due to chromosomal abnormalities in the embryo. It may also occur because the two fetuses share a single placenta, and uneven blood supply within the placenta can lead to the demise of one fetus. After fetal demise, the deceased fetus may be absorbed or compressed by the surviving embryo.

Under normal circumstances, the demise of one fetus in a monozygotic twin pregnancy does not affect the other.

The loss of one twin is often due to chromosomal abnormalities in the embryo. It may also occur when both fetuses share a single placenta and unequal blood supply within the placenta leads to the demise of one fetus. After one fetus stops developing, it is typically absorbed or compressed by the surviving embryo, and generally does not cause complications.

However, in some rare cases, the demised fetus may release residual substances that could alter the mother's coagulation function, potentially affecting the health of the surviving fetus. Therefore, if fetal demise occurs in one twin, timely prenatal examinations are essential. Any discomfort should prompt immediate medical evaluation and treatment as directed by a physician. Following the loss of one twin, attention should be paid to diet, favoring light foods such as millet porridge or sugared water. Adequate rest is also important to avoid excessive fatigue in the mother, which could negatively impact the surviving fetus.

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