Patient's question:
Single pregnancy at 16 weeks? Ultrasound, the two babies differ by 30%, diagnosis of Selective Growth Restriction type 1, will it transform into type 2 or type 3?Doctor's answer:
A monochorionic diamniotic (MCDA) twin pregnancy may recur severe twin-twin transfusion syndrome (TTTS). In monochorionic twins, if the weight difference between the two fetuses is >20%, your babies' weight difference is greater than 30%, it is already considered TTTS. It is recommended to seek follow-up treatment at a provincial-level or higher hospital, where placental endovascular laser coagulation may be considered.Examine fetal size, amniotic fluid levels, and umbilical artery blood flow to detect complications early.