Doctor insights on:
Best Vanishing Twin Syndrome Treatment
None.: Vanishing twin syndrome is probably much more common that people think; it results in a singleton pregnancy and current evidence suggests it is rather the norm than the exception. No test can predict this, only serial prenatal sonograms can document it. No specific therapeutic intervention is warranted. ...Read more
Demise of one fetus: Vanishing twin syndrome is the demise of one twin sometime during the pregnancy. One study suggested it occurred about 20-30% of twin pregnancies. Most commonly it occurs early in the pregnancy and generally the remaining fetus has a good outcome. Its' occurrence later in pregnancy can be associated with adverse maternal and fetal outcomes. ...Read moreSee 1 more doctor answer
PCOS: Fortunately, we have great treatments for pcos. Some pcos patients may begin to ovulate if they loose weight, but others are not overweight. Metformin, a diabetic medication, often resets ovulation. Clomid (clomiphene) or letrezole are fertility pills that often work quite well for pcos. If you are facing infertility, i wrote a book about my own infertility - tick tock. ...Read moreSee 1 more doctor answer
Pregnancy 15 week, ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?
Your decision: in the end. These findings in the first trimester usually carry a poor outlook for survival of the baby but there have been many reports of resolution of both cystic hygroma and hydrops as pregnancy progresses. Turner syndrome will always be there. I cannot decide for you but suggest you consider re-evaluating by ultrasound in 3-4 weeks should you decide to continue the pregnancy, you will then know more about the prognosis for the baby and any associated problems such as congenital heart defect etc. see:http://www.turnersyndrome.org/#!child/c4ff ...Read more
Eggs splice, or the two fraternal twins suffer from vanishing twin syndrome and the twin literally absorbs the other twin, what does this mean?
Conjoined placenta: Unfortunately, the placenta often becomes shared between the twins and the one with the better access to the cotyledons of the placenta thrives and the other twin does not. An alternate scenario is when the two fraternal fetal twins are joined together but one does not develop as well as the other prior to placental development in the first trimester. ...Read more
Extra chromosome: In trisomy 18 the patient has an extra chromosome 18. This genetic disorder frequently causes heart and kidney defects. They may have a small head and jaw and usually have severe developmental delay. Here is a link http://www.Trisomy18.Org/site/pageserver?Pagename=whatist18_whatis. ...Read more
AKA TTTS: Ttts is when twins share abnormal blood vessel connections allowing one baby to "steal" blood from the other. Another name for this syndrome is poly/oli twins because one will have too much amniotic fluid (polyhydramnios) and the other too little fluid (oligohydramnios.) this is a high risk situation that will need to be carefully monitored by serial ultrasound and may require early delivery. ...Read moreSee 1 more doctor answer
Good: The ability to carry a pregnancy to term is very good but the major risk is to the mother who has had previous surgery for aortic root dilatation. Any pregnancy in a mother with Marfan Syndrome has to be treated with close attention to detail, especially with close monitoring of the aortic root diameter. The delivery should be by the least strtessful method. ...Read moreSee 1 more doctor answer
I have a fraternal twin brother with microdeletion 22q11.2 (velocardiofacial syndrome). What are the chances my children will have the same disorder?
Minimal: These odd micro-deletion syndromes are thought to arise as new defects which could be dominantly passed. Unless you carry it, you won't pass it to your kids and they would have the same risk as the general population to acquire it (new). You might benefit from discussing any and all genetic risk issues from both sides of the family with a geneticist. ...Read more
Blood problem: When blood from one twin is going to the other twin. One twin grows the other does not twin-to-twin transfusion syndrome ttts; fetal transfusion syndrome last reviewed: september 12, 2011. Twin-to-twin transfusion syndrome (ttts) is a rare condition that occurs only in identical twins while they are in the womb. Causes, incidence, and risk factors ttts occurs when blood moves from one twin. ...Read moreSee 1 more doctor answer
None: That's like asking, "One of the rooms in my house is uncomfortably warm. How can I prevent my house from burning down?" Aside from the fact that a house fire produces heat, the two things are unrelated. CAS is RARE. Sciatica and CAS can be produced by some of the same pathologies, but sciatica is just a pain. CAS is serious. My advice: Find something else to worry about. ...Read more
No: Data published in the 70's(50,000 births) showed more than half of kids showing some form of CP by age 7 were the product of a normal pregnancy, labor and delivery. Sometimes a causal event is suspected, but most are unknown & there is no prenatal test that can find it. At best a mom can try to stay healthy,eat right & get good prenatal care. The possibility remains a risk for anyone. ...Read moreSee 1 more doctor answer
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