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The death of an identical twin in the womb may be caused by developmental or genetic defects in both members of the twin pair, but one twin fares rather better than the other and makes it to birth alive, as a womb twin Survivor. The death of a fraternal womb twin in the womb may be caused by developmental anomalies/genetic defects in the womb twin while the womb twin survivor is developing normally and does not share the same genes.

After one womb twin dies later in the pregnancy and there is one placenta, or the two placentas have fused, there is a risk of twin embolisation syndrome in the womb twin survivor, which can cause brain damage to the survivor if delivery is delayed. To avoid this risk, the premature birth of the survivor is considered an appropriate solution.

In short, there is a slight possibility of damage to the survivor, but the loss of a womb twin is very common, affecting at least 10% of pregnancies, while the birth of a child with defects is relatively rare.

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Q: Does the death of a twin in utero cause defects to the other twin?
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