Birth of more than one child from one pregnancy.
Twins are most common, born in 1 of about every 80 pregnancies. Identical twins develop from a single fertilized egg, which splits into two genetically identical embryos (though physical traits may be modified during their development); they occur randomly but are more likely in older mothers. Incomplete or late division results in conjoined twins . Fraternal twins develop from two eggs fertilized by two sperm and are no more genetically alike than are other siblings. Most common among persons of African ancestry and least common among those of Asian ancestry, fraternal twins seem to run in families. Repeated twinning produces triplets, quadruplets, and so on; these multiples may be identical, fraternal, or a combination. The use of fertility drugs has increased the number of high-order multiple births. Medical and psychological "twin studies" compare fraternal and identical twins to learn about genetic influences on various characteristics and diseases.