The birth rates of fraternal (dizygotic) twins vary by population throughout the world as the number of twin births has jumped more than 75 percent in the past 30 years and now the stats show that there are about 33 twins born per every 1,000 births. However, the chances of having identical twins are moderately rare around 3 or 4 in every 1,000 births. This implies that the birth of identical twins is a random event that is not induced by genes or environment.1,2
Many factors influence the increase in multiple pregnancies. The principal causes are advancing maternal age and infertility treatments. As women get older, their chance of having multiple births doubles. Women between 20 and 24 years of age have twins at the rate of approximately 22.4 per 1,000 live births, whereas women between 40 and 44 years have twins at the rate of 51.3 per 1,000 births.3
Dr Khalil Osta
Assistant professor of clinical pediatrics at HHUMC
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