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The share of births that are twins has risen over time. The chart shows data for France, Canada, the United States, and England & Wales in the Human Multiple Births Database.

One reason is the use of reproductive technologies such as in vitro fertilization (IVF), which make it possible for many more couples to conceive. During procedures like IVF, multiple eggs can be used at the same time to maximize the chances of a successful pregnancy, which can lead to twin births.

Another reason for the rise in twin births is that the average age of women at childbirth has risen. Older women are more likely to have twin births, even without using reproductive technologies.

Twin births are a chance event, but data shows they can also be influenced by societal changes and reproductive technologies.

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Yes, most IVF clinics will not do or strongly warn against the transfer of multiple embryos at a time. Research suggests it does not increase likelihood of pregnancy, only likelihood of multiples which brings additional risk in pregnancy.