CONJOINED TWINS

CONJOINED TWINS

Conjoined twins are twins born with connected bodies. They share a small amount of tissue, and both of the children may have all the organs and the other structures they need. In some cases, however, the connection is more complicated. Conjoined twins may share vital organs. Additionally, there are cases where the twins either have a larger portion of the body, especially in the lower body. The worst case is they could have one brain and skull.

Pregnancy with conjoined twins is complicated and greatly increases the risk of severe complications. These complications depend on where the twins are conjoined. Hence, a proper discussion with the doctors and healthcare team must be done to ensure safe delivery.

There are several causes for the formation of conjoined twins. Usually, they begin as a single fertilized egg. This fertilized egg splits in half to make two separate identical twins. This takes place about two weeks after the egg is fertilized. If the zygote splits perfectly, the twins will be born normally. But when the zygote divides late, does not separate all the way, or joins back together after dividing, the twins will be conjoined.

TYPES

Conjoined twins may be connected in many different ways. Doctors classified it into the following categories based on which part they are joined, such as:

  • Joined from the breastbone to the waist
  • Joined at the chest
  • Joined in the pelvic area up to the breastbone
  • Joined at the head
  • Joined at the lower back and buttock area

These signs and symptoms are also the grounds on how a doctor will manage the treatment and surgery for this condition.

SYMPTOMS

Unfortunately, there are no specific symptoms for conjoined twin pregnancy. The pregnancy will have symptoms similar to twin pregnancy.

DIAGNOSIS

Conjoined twins can only be diagnosed through a standard ultrasound during the late stages of the first trimester. Additional ultrasounds can also be conducted through pregnancy in order to see how much the parts or organs are connected.

TREATMENT

The first thing that the doctors will consider is how the treatment plan will go. Generally, they depend first on how the twins are joined. After that, they proceed to decide about the separation surgery of the twins. After the surgery, the doctors suggest follow-up care.

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