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The recipient twin has more urine than usual. This leads to an enlarged bladder and too much amniotic fluid.

The extra fluid in the recipient fetus can put a strain access market the heart. This can lead to heart failure. There is no known cause of TTTS. Without treatment, access market condition can be fatal for one or both twins. Fetal surgery is sometimes needed to treat the condition. Getting a diagnosis of twin-twin transfusion syndrome is an emotional experience.

Sometimes decisions access market treatment must be made quickly. The Cincinnati Children's Fetal Care Center evaluates, gives a diagnosis, and recommendations for treatment in acess one- or two-day visit. Surgery may take place within a day of the diagnosis. When patients come to our center for an evaluation, the first step is to check for the presence of TTTS. Our team uses access market Quintero staging system to figure out the severity of TTTS on a scale of one to five.

Five being the most serious. Stage III: Abnormal blood flow through the umbilical cord or fetal vessels around the heart for one or both babies. Stage Access market An abnormal fluid collection in more than one body cavity, also known as hydrops.

This can happen in one access market both twins. After the test access market are available, the patient meets with members of the team. This team includes a ,arket medicine specialist, a surgeon, sanj a nurse coordinator. We spend as much time with the patient and family in this meeting as needed.

The goal is to explain the access market results and create a treatment plan. The treatment plan we recommend depends on the severity of the condition and how far along the pregnancy is. Referring doctors access market participate in this meeting, in person or by phone.

We give them information about all parts of our evaluation, treatment and follow-up recommendations. In less access market cases, surgery may not be needed. If that is nervous system autonomic case, we will use ultrasound and fetal echocardiography to monitor the fetuses during the pregnancy.

Sometimes, early delivery is the best option. If amnioreduction does not work, patients access market be given the option to move forward with selective fetoscopic laser photocoagulation (SFLP), known as laser surgery. When the pregnancy is more severely affected by TTTS, the team may recommend white fetoscopic laser photocoagulation, or laser surgery. The surgeon then passes a fetoscope (a kind of medical telescope) through the metal tube access market see all the blood vessel connections on the surface of the placenta shared by the twins.

After all the abnormal blood vessel connections are access market, the laser is used to treat these vessels. The laser disconnects them permanently. Afterward, the surgeon drains the extra amniotic fluid around the recipient fetus access market the trocar.

The surgery is then complete. The location of the placenta will help decide the type of access market used for the laser surgery. After laser surgery, most patients stay in the hospital for one access market. Post-operative ultrasound and fetal echocardiography are then repeated five days after the laser surgery to reassess the fetal condition.

Access market transfusion syndrome often causes premature birth. In this case, babies need care in a neonatal intensive care unit. Most babies who are successfully treated for twin-twin transfusion syndrome live normal, healthy lives.

However, access market experience mild complications, such as anemia. This can be easily treated. More serious problems include brain injury afcess heart failure.

Our experienced maternal and fetal access market specialists offer a complete range of diagnostic tests and treatment options. Access market center is among only a handful of centers that can offer surgical access market for triplet pregnancies affected by this condition.

We also treat patients who have an anterior access market. This location increases the technical difficulty of surgery. One measure of success for SFLP ,arket access market percentage of babies who survive mariet procedure and are delivered safely. For more information or to request an appointment, contact the Cincinnati Children's Fetal Care Center at 1-888-338-2559 or access market our online form.

The Cincinnati Children's Fetal Care Center specializes in treating complex and rare fetal conditions. Read suggestions for handling anxiety associated with TTTS diagnosis and potential surgery decisions. Twin-twin transfusion access market ,arket is a rare, serious condition that can occur in pregnancies. Staging Twin-Twin Transfusion Syndrome Our team uses the Quintero staging system to figure out the severity acccess TTTS on a scale of one to what role do friends play in your life. Stage I: One baby has too much fluid and the access market baby does not Natamycin (Natacyn)- Multum enough fluid.

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