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411 Longbeach Parkway
Bay Village, Ohio 44140 USA
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Creating a Medical Plan of Action The Monochorionic Twin Placenta What Is TTTS? Monochorionic Placental Pictures Sonography and Appointment Questionaire Cervical Assessment, Nutrition and Bedrest Planning for Your Delivery Pregnancy Continues with a Loss Medical Research History of TTTS Placental Protocol International Registry Support From Families

What Are the Warning Signs of TTTS

Warning signs in the mother include:

Bullet Point The sensation of a rapid growth of the womb
Bullet Point A uterus that measures large for dates
Bullet Point Abdominal pain or tightness, or uterine contractions
Bullet Point Sudden increases in body weight
Bullet Point Hand and leg swelling in early pregnancy

Warning signs in the twins appear on ultrasound scans and include:

Bullet Point Evidence of a monochorionic or shared placenta
Bullet Point A single placenta
Bullet Point Same sex twins
Bullet Point A thin, hard to see, dividing membrane

Evidence of TTTS

Bullet Point Polyhydramnios (excess amniotic fluid) in the sac of one twin
Bullet Point Oligohydramnios (decreased to no amniotic fluid) in the sac of the other twin
Bullet Point Size differences (discordance) in the twins
Hydrops fetalis (water in one baby's body from heart failure)

It is crucial for parents with a multiple gestation to determine their placental type early. With monochorionic twins, you should watch carefully for the warning signs listed above. Since TTTS is a high-risk problem that can happen quickly and at any time in pregnancy, frequent examinations and ultrasound scans are necessary to catch the problem early. It is critical that physicians be aware of the warning signs. THE FOUNDATION ADVOCATES WEEKLY ULTRASOUNDS WITH A PERINATOLGIST FROM 16 WEEKS GESTATION THROUGH DELIVERY TO LOOK FOR PLACENTAL SHARE PROBLEMS AND TTTS.

Joey and Eddie

You sent us your informational package last year and we memorized it front to back when we were first diagnosed. I can't describe how priceless the information was at that time. Because of you, we were able to find Dr. De Lia and had his life saving FLOC procedure. Joey and Eddie were still premature (30 weeks) but are now 14 months old and doing wonderful. Thank you so much for the work you do.

Ed, father to Joey and Eddie

The TTTS Foundation In The News


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Raise Donations on Facebook

This is a fantastic and easy way to support the fight against TTTS and bring help and hope to families
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Learn about TAPS- MUST do MCA dopplers on all pregnancies

A form of TTTS, TAPS can occur after laser surgery or during a monochorionic pregnancy with no signs of TTTS or problems.
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Updated List of Questions

Questions to Ask at Every Ultrasound. Ultrasounds Must Be Weekly Starting at 16 Weeks.
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World Awareness Day - Dec. 7 2010

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