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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 moreSee 1 more doctor answer
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
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
Perfect twins by.Csect.; wife alert, /but placenta removal: severe hem 4.5l & , bp=29/15 no transfusion wife unconscious ever since -> now 32 hours?
You need answers.: Please understand that I am a family physician, not an obstetrician. If i understand you, your wife had a serious post-partum hemorrhage after a c-section delivery of twins. I would imagine that blood would be given unless there was a specific reason not to. My questions would pertain to her neurological status, and the possibility of bleeding into her pituitary gland. Talk with the doctors asap. ...Read more
My dad (85) has myelodysplastic syndrome (mds), hgb recently fell to 9 and red cell count near critical. Getting transfusion and procrit (epoetin alfa). Outlook?
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
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
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