True knots and tight loops of the umbilical cord can cause serious fetal complications in monochorionic-monoamniotic twins but are usually unexpected in Monochorionic-diamniotic twins because of the presence of the intertwin membrane
Fraternal twins have separate placentas and umbilical cords. The technical name for this is dichorionic. Fraternal twins can be the same or opposite sex and their genes are as different as any other brother and sister
However, a tight knot leaves your baby without enough oxygen and puts them at risk for brain damage and even stillbirth. With the added stress and pressure of giving birth, there's a chance your baby's umbilical cord knot can tighten during labor
What are the abnormalities of the umbilical cord?
Fetal anomalies most commonly associated with single umbilical artery include several anomalies like ventricular septal defects, hydronephrosis, cleft lip, ventral wall defects, esophageal atresia, spina bifida, hydrocephaly, holoprosencephaly, diaphragmatic hernia, cystic hygromas, and polydactyly or syndactyly

The effect of Tied umbilical cord in twins, animation parts

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