Twin-to-Twin Transfusion Syndrome Quiz

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Seiji Kanazawa

Seiji Kanazawa, MD, PHD (Obstetrics and gynecology (OBGYN))

Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.

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People with these symptoms also use Ubie's symptom checker to find possible causes

  • Decreased fetal movements

  • I feel my baby isn't moving as much

  • I feel my baby has stopped moving

  • I feel my baby is moving less

  • My baby has stopped moving

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Learn more about Twin-to-twin transfusion syndrome

Content updated on Nov 2, 2022

What is twin-to-twin transfusion syndrome?

Twin-to-twin transfusion syndrome (TTTS) is a rare condition that results from an unequal blood supply between two or more identical fetuses sharing a single placenta. One twin, the donor twin, gives away more blood than it receives, leading to a risk of malnourishment and organ failure. The recipient twin receives too much blood, which can cause the heart to be overworked and lead to other cardiac complications.

Symptoms of twin-to-twin transfusion syndrome

  • Diagnosed with multiple pregnancy (twins or more)

  • Currently pregnant

  • Diagnosis of Monochorionic twins

  • Rapid increase in abdominal circumference (waist size)

  • Feel my child is moving less. (Decreased fetal movements)

Questions your doctor may ask to check for twin-to-twin transfusion syndrome

Your doctor may ask these questions to diagnose twin-to-twin transfusion syndrome

  • Have you been told that you are carrying more than one fetus (multiple pregnancy)?

  • Are you currently pregnant?

  • Have you been told that you have Monochorionic twins, which means multiple fetuses sharing one placenta?

  • Has your abdominal circumference (waist size) increased rapidly?

  • Do you feel your child is moving less? This is also known as "decreased fetal movements".

Treatment for twin-to-twin transfusion syndrome

Ultrasound examinations every two weeks, starting at 16 weeks of pregnancy, are required. Treatment for TTTS includes monitoring and laser fetal surgery.

View the symptoms of Twin-to-twin transfusion syndrome

  • Decreased fetal movements

Diseases related to Twin-to-twin transfusion syndrome

References

  • Yoda H. Fetal and Neonatal Circulatory Disorders in Twin to Twin Transfusion Syndrome (The Secondary Publication). J Nippon Med Sch. 2019;86(4):192-200. doi: 10.1272/jnms.JNMS.2019_86-301. PMID: 31484880.

    https://www.jstage.jst.go.jp/article/jnms/86/4/86_JNMS.2019_86-301/_article

User testimonials

Reviewed By:

Seiji Kanazawa

Seiji Kanazawa, MD, PHD (Obstetrics and gynecology (OBGYN))

Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.

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National Center for Child Health and Development, Japan

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