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Trichy Fetal Medicine and Fertility Centre
Twins and high-risk pregnancy

Monochorionic vs Dichorionic Twins: What Is the Difference?

Chorionicity tells whether twins share a placenta. It decides how closely a twin pregnancy needs to be monitored. Learn the difference.

In this guide
Two babies in the womb in separate and shared sacs side by side

What Is Chorionicity?

The chorion is the outer membrane that forms the placenta. The number of chorions tells you whether the twins have separate or shared placentas. It is best determined by ultrasound in the first trimester, between about 11 and 14 weeks, when it is most accurate.

Dichorionic Twins

  • Each baby has a separate placenta.
  • They may be non-identical (from two eggs) or, sometimes, identical.
  • Risks are lower than in monochorionic twins, though twin pregnancies still need extra care.
  • Scans are usually done at regular intervals for growth.

Monochorionic Twins

  • The babies share one placenta. They are always identical.
  • They may share the same amniotic sac (monoamniotic) or have separate sacs (diamniotic).
  • Blood vessels in the shared placenta connect the babies, which can cause problems.

Extra risks in monochorionic twins

  • Twin-to-twin transfusion syndrome (TTTS): unbalanced blood flow between the twins.
  • Selective growth restriction: one twin grows less because of unequal sharing of the placenta.
  • Twin anaemia polycythaemia sequence (TAPS).
  • Cord entanglement in monoamniotic twins.

How care differs

Monochorionic diamniotic twins usually have scans every two weeks from about 16 weeks to look for TTTS and growth differences. Dichorionic twins are generally scanned less often, such as every four weeks, depending on the specialist's plan. Delivery timing may also differ.

The essentials

Knowing the type of twin pregnancy early lets your team plan the right monitoring. Dr Malathi G. Prasad at Trichy Fetal Medicine and Fertility Centre in Trichy can confirm chorionicity and arrange the follow-up your twins need.

For appointments, the twin specialised clinic page has the details, and our fetal medicine specialists can advise whether it fits your situation.

Common questions

Sources

  1. Khalil A, et al. ISUOG Practice Guidelines (updated): role of ultrasound in twin pregnancy. Ultrasound in Obstetrics & Gynecology, 2025. · isuog.org
  2. National Institute for Health and Care Excellence (NICE). Twin and triplet pregnancy (NG137), 2019. · nice.org.uk

This guide is for general information and does not replace a consultation with a fetal medicine specialist.

In line with the PCPNDT Act, we do not perform or support sex determination.

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