“…Our findings confirm earlier studies reporting a higher rate of total congenital anomalies in twins compared with singletons (Myrianthopoulos, 1976;Luke and Keith, 1990;Spellacy et al, 1990;Kato and Fujiki, 1992;Doyle, 1996;Zimo et al, 1998;Jaikrishan et al, 1999;Mastroiacovo et al, 1999;Li et al, 2003). Some studies found that the total rate of anomalies did not differ significantly between twins and singletons (Windham and Bjerkedal, 1984;Ghai and Vidyasagar, 1988;Little and Nevin, 1989a;Doyle et al, 1991;Ramos-Arroyo, 1991;Campana and Roubicek, 1996); however, some specific major anomalies were significantly more common in twins than in singletons (Windham and Bjerkedal, 1984;Doyle et al, 1991).…”