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12 out of every 1,000 twin births
- About 12 out of every 1,000 twin births and 31 out of 1,000 triplet births result in a baby who is stillborn. This is compared with about five in 1,000 singleton births. The risk of stillbirth in twins increases slightly after 38 weeks.
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The risk of stillbirth in twins increases slightly after 38 weeks. So if a mum hasn’t already had twins by the time she is 38 weeks pregnant, a caesarean or induced labour is usually suggested. This is especially the case with identical twins, as sharing a placenta increases the risk of a baby being stillborn.
One potential problem for identical twins (babies sharing a placenta) is twin to twin transfusion syndrome, where abnormal connecting blood vessels in the placenta leaves one baby with a greater volume of blood than the other. It carries a high risk of miscarriage or stillbirth if left undetected and untreated.
The risk of a baby being stillborn increases slightly after 38 weeks. So if a mum hasn't already had twins by the time she is 37 weeks pregnant, doctors usually suggest that labour is induced (NICE 2019) or that the babies are born by caesarean section.
- Lorna Marsh
In identical twins who share a placenta, there is potential for twin to twin transfusion syndrome. This is when one twin is left with a greater volume of blood than the other, increasing the risk of a miscarriage or a stillbirth. What to Do After The Miscarriage of One Twin
While the cause of death in many stillbirths cannot be established, stillbirth rates can be lowered thanks to early detection of maternal conditions like diabetes, and monitoring of high-risk pregnancies. Jacqueline says, “It’s believed one third of these heartbreaking losses can be prevented.”.
If you are expecting twins or more, and the death of one baby has been discovered, your doctor may advise you not to have an induction of labour. A lot will depend on your particular circumstances: whether or not your babies share a placenta, and at what stage the loss occurred.