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It's odd because I think that "the woman is going to have twins" is determined at conception, whereas I know from save scumming before I kicked that habit that gender isn't determined until the child is born. I know this because when I save scummed when my stupid wife had twins and messed up my carefully planned succession, twins were ALWAYS born, sometimes it would be two boys and sometimes it would be a boy and a girl. (Interestingly enough it always ended up with at least one boy which is what really screwed the pooch on my succession.)
There is an event that makes a female character pregnant. I think I've read somewhere that if you call for that event twice in a row for a female character she will get twins.