Twin to Twin Transfusion Syndrome (Fetofetal Transfusion) | TTTS treatment

HealthlineSubscribeTwintoTwinTransfusionSyndrome(FetofetalTransfusion)MedicallyreviewedbyKarenGill,M.D.—WrittenbyMarissaSelner—UpdatedonMarch31,2017SymptomsRiskfactorsCausesDiagnosisTreatmentOutlookPreventionWhatisfetofetaltransfusion?Fetofetaltransfusion,morecommonlyknownastwintotwintransfusionsyndrome(TTTS),isaveryseriousprenatalcomplication.IfyourtwinshaveTTTS,onebabywillreceivetoomuchbloodandtheotherwillreceivetoolittle.Thisisduetoimbalancedbloodvesselconnectionsbetweentheplacentaandthetwins.Recognizingsymptoms:ThematernalmirrorsyndromeTTTSisusuallyidentifiedthroughultrasoundsandprenataltestingbeforeyoufeelanythingmorethantypicalsymptomsofpregnancy.WhenTTTShasprogressed,youmayexperience“maternalmirrorsyndrome.”Thisiswhenyoursymptomsmimicthoseoftherecipientbaby,whohasincreasedcardiovascularactivity.Youmayexperiencethefollowing:severeswellingvomitinghighbloodpressureMaternalmirrorsyndromeisrarebutserious.SeekmedicalcareifyourpregnancyisaffectedbyTTTSandyouhaveanyofthesesymptoms.Youmaybeadmittedtothehospitaltocontrolyoursymptomsandtomonitoryourtwins.UnderstandingyourriskforTTTSPregnancieswithmultiplebabiesandoneplacentahaveanelevatedriskofTTTS.Thistypeofpregnancyisusuallyidentifiedduringanearlyultrasound.You’llneedtohavefrequentscansduringpregnancytomonitorthesizeandconditionofyourtwins.AccordingtotheTwintoTwinTransfusionSyndromeFoundation,earlyresearchsuggestslinksbetweenmaternalnutritionandTTTS.Ifyouhaveahigh-riskpregnancy,yourdoctormayrecommendaspecificdiet,orprescribevitamins.Whatcausesfetofetaltransfusion?TTTSoccurswhenbloodisn’tequallyexchangedbetweenbothbabies.Insomepregnancieswithtwins,eachbabyisconnectedtoonesharedplacentathroughitsownumbilicalcord.Bloodvesselsspreadfromeachcordintotheplacenta.Eachtwinsendsbloodthroughthesevesselsintotheplacenta.Theythenreceivebloodthroughtheveinsthathavebeenenrichedwithoxygenandnutrients.Circulationisbalanced—eachtwinsendsandreceivesbloodthesameway.Althoughrare,thissituationcanbehealthy,andiscalledmonochorionictwins.Onlyi

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