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TTTS
Twin-To-Twin Transfusion Syndrome

TTTS is a condition in which twins share unbalanced blood circulation. This only happens with identical twins (monozygotic) that also have a monochorionic (shared) placenta. There are almost always connections of blood vessels between twins sharing a single placenta. Yet, for reasons that are not totally understood, approximately 20% of these pregnancies will develop Twin-To-Twin Transfusion Syndrome, an uneven amount of blood circulating between the two babies. One twin will be smaller because of lack of blood and is usually known as the “donor” twin. While the larger twin gets overloaded with blood and is usually known as the “recipient” twin. There is no genetic predisposition, nor is it caused or prevented by something the parents do.

There are several stages of this syndrome and just as many treatments. With severe cases there is, unfortunately, an extremely high mortality rate of about 60- 100%. While mild to moderate forms of the syndrome often result in premature birth. Once diagnosed, careful monitoring and/or treatment will have to be implemented. That's why it is imperative that you seek the proper professional care throughout your twin pregnancy.

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Get extensive details on TTTS as well as a visiual guide
at the Texas Children's Hospital site.

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