How to Avoid Twin-to-Twin Transfusion Syndrome

Patient's question:

How to prevent twin-to-twin transfusion syndrome (TTTS)? How dangerous is it for the patient? Is there a way to prevent it? The two fetuses are a bit different in size. I'm pregnant with twins and I'm worried about the risks. How can I avoid twin-to-twin transfusion syndrome?

Doctor's answer:

Hello. Twin-to-twin transfusion syndrome (TTTS) is a serious complication of twin pregnancy. It has an extremely high perinatal mortality rate. The untreated mortality rate is currently 70% to 100%. Fetal microscopic laser coagulation of placental anastomotic vessels for the treatment of TTTs has become the preferred method in many international fetal medicine centers. This can achieve a survival rate of at least one fetus of 75% to 80%. The gestational period should be extended as much as possible. This can help to prevent it to some extent.

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