Embryo Project Encyclopedia Articles

In the article “The History of Twins, As a Criterion of the Relative Powers of Nature and Nurture,” Francis Galton describes his study of twins. Published in 1875 in Fraser’s Magazine in London, England, the article lays out Galton’s use of twins to examine and distinguish between the characteristics people have at birth and the characteristics they receive from the circumstances of life and experience. Galton calls those factors nature and nurture. Based on his study, Galton concluded that nature has a larger effect than nurture on development. By studying twins, Galton introduced a way to examine the effects of nature and nurture in people who were born with similar traits, which allowed him to focus on the effects of experience on a person’s development.

In 2015, the Public Broadcasting Service, or PBS, released a three-part documentary series, Twice Born–Stories from the Special Delivery Unit, hereafter Twice Born, that follows several pregnant women and their experiences with fetal surgery. Trailblazer Studios produced the film, which predominantly features two women, although it includes the stories of many women. The two main women are pregnant with fetuses diagnosed with physical deformities. One woman’s fetus is diagnosed with spina bifida, an incomplete closure of the fetus’s spinal column. The other woman’s fetus is diagnosed with an oral teratoma, a tumor of the mouth. All the pregnant women in the series went to the Children’s Hospital of Philadelphia, or CHOP, in Philadelphia, Pennsylvania, to have in utero surgery to correct the fetus’s birth defects. Twice Born examines the benefits and risks of performing surgery on a fetus still in the pregnant woman’s uterus. Due to the popularity of PBS, the documentary reached a wide audience and brought the topic of in utero surgery to the public’s attention.

From 1993 to 1995 researchers led by Robert J. Berry from the US Centers for Disease Control headquartered in Atlanta, Georgia, and Zhu Li from Beijing Medical University in Beijing, China, conducted a collaborative study in China on the prevention of neural tube defects or NTDs using folic acid supplements. NTDs are birth defects in which openings in the spinal cord or the brain that occur during early development remain after birth. Neural-tube formation occurs in early pregnancy, often before a woman knows she is pregnant and therefore before she has begun taking prenatal vitamins. The researchers presented their findings in the article “Prevention of the Neural Tube Defects with Folic Acid in China” published in 1999 in The New England Journal of Medicine. The researchers from The China-US study found that women who took folic acid in the periconceptional period, or the time before conception through the first twenty-eight days after conception, reduced the occurrence of NTDs.

From February 2003 to December 2010, researchers of the Management of Myelomeningocele Study, or MOMS, clinical trial compared the safety and efficacy of different treatments for a specific type of spina bifida, called myelomeningocele. Myelomeningocele, the most frequent and severe form of spina bifida, is a condition in which the bony spinal column does not develop correctly, which causes an opening of the spine, exposure of the spinal cord, and formation of a small sac containing cerebrospinal fluid. Myelomeningocele affects 3.4 infants per 10,000 live births in the United States and is fatal in ten percent of affected infants. Investigators in the MOMS trial aimed to find a more successful treatment for myelomeningocele through different types of surgery. To accomplish that, they performed prenatal, or in utero, and postnatal repair operations in their study. The MOMS researchers concluded that prenatal repair improved motor and neurologic outcomes, such as the ability to activate and coordinate the muscles and limbs, and reduced the risk for fetal death.

In 1990, Thomas J. Bouchard and his colleagues published the paper “Sources of Human Psychological Differences: The Minnesota Study of Twins Reared Apart” in Science Magazine. The paper described the results of a study initiated in 1979 on the development of twins raised in different environments. The scientists conducted their experiment at the University of Minnesota, in Minneapolis, Minnesota. The researchers physiologically and psychologically assessed monozygotic twins or triplets who were reared apart, comparing the similarity of those twins to twins who were reared together. The research team found that identical twins who are reared apart had the same chance of being similar as twins who were raised together. Bouchard and his colleagues concluded that genetic factors have a large influence on behavioral habits demonstrating the influence of the genetics on development.