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Turning the eggs accomplishes two things. If you don't turn the eggs when body parts are forming, they body parts can form in the wrong place. This mostly happens in the early days of incubation. Internal organs can get out of place. You might get a chick with both eyes on the same side of the head. Most of these don't make it to hatch, but you can occasionally get a deformed chick.

If the yolk or developing chick comes into contact with the inside of the eggshell, it can get stuck and dry out through the porous shell. Many of these don't make it to hatch and if they do they cannot position themselves for pip and zip.

Do you have to turn the eggs at least three times a day? Not really. Sometimes you will still get decent hatches if you turn them a lot less. These bad things don't happen 100% of the time if you don't turn them, but they do happen. Your odds of a good hatch really drop if you don't turn them, but I'm not going to guarantee you that none will hatch. You might look at it that the odds of success go up if you turn them regularly and the less you turn them, the less likely you are to get a good hatch.
 
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