![]() And, you know, in terms of just…when I try to explain to women, sort of, how do twins come about, right? In terms of like, naturally, let’s take fertility treatments aside, there’s really only two ways. I think that’s one of the things that people find surprising, that we always talk about whether we think they’re identical or not, but it really doesn’t matter that much to us. ![]() ![]() As you know, from our field, it’s less important to know identical versus fraternal, more important to know how many placentas, how many sacs.ĭr. They start off one unifying cell and it’s split into twins, so genetically the same, versus fraternal, meaning that they are genetically different, right? So it could be that two eggs were fertilized and there were two different pregnancies, kind of, co-existing in the same uterus. Lam-Rachlin: You know, I think most people that’s not in our field would kind of classify twins as either are they identical are they a fraternal? Which basically means like, you know, identical twins, they are genetically the same. So what does it mean for twins to be genetically the same or different?ĭr. And in terms of different ways to think about twins, let’s first start with idea of like the genetics, you know, this identical versus not identical. They’re more common with fertility treatments, also with family history. And they are more common as women get older. Right now it’s about 1 in 30 births although it seems like, you know, patients I’d see, it’s like 1 in 3. Just for some background, you know, twins are common. So I thought it’d be a good place for our podcast to start. You know, we see someone in evaluating for twin pregnancy, this is literally the first thing we do before we make any more of the plan. And I think there’s…you know, twins are such an interesting topic that, you know, this is really just like step one. So it’s a little ambitious, but I think we’re gonna do it. There’s are the twins identical versus not identical? So people hear maternal versus fraternal or are there one placenta or two placenta? I mean, all these things and how are those related? And we’re gonna try to sort all that out. I mean, like for example, there’s all these different ways. A podcast like this would definitely help.ĭr. ![]() And I feel like I do spend a lot of time during my consults with them to clear up some of the confusion. Obviously, we see a lot of twins and there are a lot of confusion in the, I guess, available literature for patients. So we thought it’d be good idea to try to, you know, maybe clear that up and help people understand how we think about twins to maybe get a better sense of, you know, how we may manage them differently.ĭr. And we were going over potential topics and we both thought that this would be a good one because, you know, we see so many twin pregnancies and people know someone with twin pregnancy, or they have a twin pregnancy, but people don’t really, sort of, think about what we’re thinking and how do we assess what kind of twin pregnancy and what does that mean? And there’s a lot of confusion. But, you know, you can run, but you can’t hide. So you’re not 60 blocks away from me, you know, to call you. So yeah, you’re moving farther and farther away from me. Fox: You were just begging to be back on the podcast. Lam-Rachlin: Thank you for having me, Natey. Jen Lam-Rachlin welcome back to the podcast. At “Healthful Woman,” I speak with leaders in the field to help you learn more about women’s health, pregnancy, and wellness. Nathan Fox, an OB-GYN and maternal-fetal medicine specialist practicing in New York City. Fox: Welcome to today’s episode of “Healthful Woman,” a podcast designed to explore topics in women’s health at all stages of life.
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