How multiples are made

Sometimes a twin or triplet pregnancy just happens. In other cases, specific factors are at play. For example, a twin pregnancy is more likely as you get older because hormonal changes can cause more than one egg to be released at a time. Use of assisted reproductive technologies — such as in vitro fertilization — also increases the odds of twins or other multiples.

Fraternal twins — the most common kind of twins — occur when two separate eggs are fertilized by two different sperm. Each twin has his or her own placenta and amniotic sac. The twins can be two girls, two boys, or a boy and a girl.

Identical twins occur when a single fertilized egg splits and develops into two fetuses. Identical twins might share a placenta and an amniotic sac or the twins might share a placenta and each have separate amniotic sacs. Genetically, the two babies are identical. They'll be the same sex and share physical traits and characteristics. Rarely, identical twins fail to completely separate into two individuals. These babies are known as conjoined twins.

Triplets and other higher order multiples can be identical, fraternal or a combination of both.