Can TTTS be misdiagnosed?
Compared with cases in whom chorionicity and TTTS were correctly diagnosed, misdiagnosed patients were referred at a more advanced stage of disease (Stage IV TTTS: 16.8% vs 7.9%, P = 0.014) and later in pregnancy (gestational age at laser: 20.9 weeks vs 20.1 weeks, P = 0.018).
Does protein help TTTS?
In the experimental protein drink group, only 8 cases developed TTTS. They also reported that nutritional supplementation counterbalanced the issues that are normally found in TTTS moms. Fantastic results!
What is the survival rate for twin-to-twin transfusion syndrome?
The majority of TTTS twins who have appropriate treatment during pregnancy will survive and the majority of survivors will be normal and healthy. If untreated, the survival rate for TTTS twins is approximately 10 to 15 percent. Once TTTS babies are born, blood supply sharing is no longer a factor.
How early can TTTS be diagnosed?
How is twin-to-twin transfusion syndrome diagnosed? Twin-to-twin transfusion syndrome typically develops between weeks 16 and 26 of a woman’s pregnancy. But an ultrasound as early as 10 to 14 weeks can put doctors on alert that there is a twin gestation, and if they are sharing a placenta.
Can diet help TTTS?
Nutritional intervention also significantly prolonged the time between the diagnosis of TTTS and delivery (9.4 +/- 3.7 weeks versus 4.6 +/- 6.5 weeks; P = 0.014). The earlier nutritional regimen was introduced, the lesser chance of detecting TTTS ( P = 0.001).
How do you treat TTTS?
Laser fetal surgery is the only treatment that targets the cause of the TTTS. In this procedure, a laser fiber enclosed in a long, thin telescope is inserted into the uterus to separate the blood vessels on the placenta that run from one twin to the other.
How quickly can TTTS progress?
Results: Among 132 consecutive cases of TTTS, 46 women presented with Stage I disease. In the majority (69.6%), disease remained stable (28.3%) or regressed (41.3%). Of cases that progressed, 79% did so within 2 weeks and 93% progressed to at least Stage III.
What is the role of amnioreduction in the treatment of TTTS?
Overall, amnioreduction is an easy procedure. The rationale behind it is that the normalizing of fluid levels reduces maternal discomfort, improves uteroplacental perfusion (especially in the setting of presumed twin-twin transfusion syndrome [TTTS]), and prolongs pregnancy. [ 1]
What are the indications for amnioreduction in the treatment of twinning?
Overall, however, the most common application of or indication for amnioreduction is in the setting of twin-to-twin transfusion syndrome (TTTS), where it is performed to reduce fluid volume in the recipient twin and thereby increase blood flow to the donor twin by decreasing pressure inside the amniotic cavity. [ 3]
What is TTTS (twin to twin transfusion syndrome)?
Twin to Twin Transfusion Syndrome (TTTS) is a disease of the placenta (or afterbirth) that affects identical twin pregnancies. TTTS affects identical twins (or higher multiple gestations) who share a common monochorionic placenta.
What is the TTTS Foundation?
The TTTS Foundation is literally HOPE, LIFE, COMFORT, EDUCATION, FAITH, WRAPPED IN EMPOWERING MOTHERS WITH LIFE SAVING INFORMATION AND SUPPORT, IN THE MIDST OF A HOPELESS DIAGNOSIS The TTTS Foundation did more than I could have ever imagined to help my daughter and her husband get through two of the most difficult pregnancies of their lives!