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Doctor insights on: Does Twin Twin Transfusion Syndrome Cause Fetal Growth Restriction

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What causes fetal growth restriction?

What causes fetal growth restriction?

MF/placental factors: Maternal-fetal and placental etiologies can all cause fetal growth restriction. Severa fetal syndromes can lead to fgr (e.g. Down, patau, triploidy, edwards, noonan's, digeorge). Multifetal pregnancies are at increased risk for fgr; this can result in fetal demise, fetal brain injury, cerebral palsy or even normal outcomes in non-syndromic cases. Placental infarcts, hypertension, lupus: culprits. ...Read more

Dr. Juan Merayo-Rodriguez
317 doctors shared insights

Transfusions (Definition)

Sometimes babies are given whole blood to supply what they are lacking, and sometimes only components of blood, such as platelets or ...Read more


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What is twin-twin transfusion syndrome?

What is twin-twin transfusion syndrome?

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 more

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What are the symptoms of twin-twin transfusion syndrome?

What are the symptoms of twin-twin transfusion syndrome?

Large uterus.: Rapidly enlarging uterus is the hallmark of ttts and results from massive polyhydramnios in the recipient's gestational sac. Prompt expert medical care can help avoid death to both twins. ...Read more

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What is the treatment for twin-twin transfusion syndrome?

Laser, amnioreductio: Laser to try to separate the two fused placentas and/or amnioreduction can help manage ttts to a certain extent. Laser is preferred but both methods have pretty high failure an complication rates. Ttts is a bad diagnosis to have.. ...Read more

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How is amnio used for twin-twin transfusion?

How is amnio used for twin-twin transfusion?

Amnioreduction.: Before laser therapy became trendy for ttts management, serial amnioreductions with or without amnioseptostomy were successfully used to increase perinatal survival in such complicated twin pregnancies. The decrease of amniotic fluid volume in the recipient's sac alleviates the pressure on the placenta and helps prolong the pregnancy while avoiding fetal demise; neurological damage can still occur. ...Read more

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Where do I go to find most common stages of fetal growth and development?

Where do I go to find most common stages of fetal growth and development?

There's an app, also: http://www.babycenter.com/pregnancy-week-by-week. It'd be good if all women of child-bearing age took daily Folate (folic acid) supplements, protected themselves from " the flu", planned their pregnancies, knew that 4 standard alcoholic drinks = a binge in women & understood that the fetal brain & spinal cord start forming at 3 weeks & other organs between 3- 10 weeks after conception. ...Read more

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