TTTS Treatment Bolivar MO

This page provides relevant content and local businesses that can help with your search for information on TTTS Treatment. You will find informative articles about TTTS Treatment, including "Twin-to-Twin Transfusion Syndrome (TTTS)". Below you will also find local businesses that may provide the products or services you are looking for. Please scroll down to find the local resources in Bolivar, MO that can help answer your questions about TTTS Treatment.

Bryan Joseph Treacy, MD
(417) 777-6246
1551 N Oakland Ave
Bolivar, MO
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1986

Data Provided By:
Dana M Meents
(314) 849-0311
1165 N Butterfield Rd
Bolivar, MO
Specialty
Obstetrics & Gynecology

Data Provided By:
Stacey L Clancy, MD
(314) 965-6033
10345 Watson Rd
Saint Louis, MO
Business
Probst & Behm Ob/Gyn Services
Specialties
Obstetrics & Gynecology

Data Provided By:
Peter Martin Ahlering, MD
(314) 439-9700
456 N New Ballas Rd
Creve Coeur, MO
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Mo-Kansas City Sch Of Med, Kansas City Mo 64108
Graduation Year: 1988

Data Provided By:
Willliam Trumbower, MD
(573) 443-8796
1601 E Broadway Ste 350
Columbia, MO
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1971

Data Provided By:
Charles K Burlison
(314) 849-0311
1165 N Butterfield Rd
Bolivar, MO
Specialty
Obstetrics & Gynecology

Data Provided By:
Bryan J. Treacy
(417) 777-6246
1551 N. Oakland Ave.
Bolivar, MO
Specialty
Reproductive Endocrinology and Infertility, Urogynecology/Reconstructive Pelvic Surgery, Obstetrics, Gynecology and Preventive Primary Care, Ultrasonography, Infertility
Education
English

Judy K Munyon Parton, MD
(417) 358-9428
1503 Hazel St
Carthage, MO
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1971

Data Provided By:
Russell Burks Dieterich, MD
(636) 946-7838
1475 Kisker Rd
Saint Charles, MO
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1970
Hospital
Hospital: St Joseph Health Center, Saint Charles, Mo; Barnes St Peters Hosp, Saint Peters, Mo
Group Practice: St Charles Clinic; St Charles Clinic Medical Group

Data Provided By:
Kirim Chang
(636) 916-9376
10 Hospital Dr
Saint Peters, MO
Specialty
Obstetrics & Gynecology

Data Provided By:
Data Provided By:

Twin-to-Twin Transfusion Syndrome (TTTS)

Written by Administrator   

Twin-to-Twin Transfusion Syndrome (TTTS) is a disease of the placenta. It affects pregnancies with monochorionic (shared placenta) multiples when blood passes disproportionately from one baby to the other through connecting blood vessels within their shared placenta. One baby, the recipient twin, gets too much blood overloading his or her cardiovascular system, and may die from heart failure. The other baby, the donor twin or stuck twin, does not get enough blood and may die from severe anemia. Left untreated, mortality rates near 100%.

Cause of Twin-to-Twin Transfusion Syndrome (TTTS)

The cause of TTTS is attributed to unbalanced flow of blood through vascular channels that connect the circulatory systems of each twin via the common placenta. The shunting of blood through the vascular communications leads to a net flow of blood from one twin (the donor) to the other twin (the recipient). The donor twin develops oligohydramnios (low amniotic fluid) and poor fetal growth, while the recipient twin develops polyhydramnios (excess amniotic fluid), heart failure, and hydrops. If left untreated, the pregnancy may be lost due to lack of blood getting to the smaller twin, fluid overload and heart failure in the larger twin, and/or preterm (early) labor leading to miscarriage of the entire pregnancy.

Some general treatment approaches consist of using laser energy to seal off the blood vessels that shunt blood between the fetuses. Because the surgical approach is via an operative fetoscope, there is minimal risk to the mother. Laser therapy for TTTS has been shown to provide improved pregnancy outcomes compared to alternative therapies. Although all treatment options should be discussed with your fetal surgeon.

Frequency of Twin-to-Twin Transfusion Syndrome (TTTS)

1 in 7 monochorionic pregnancies are afflicted with TTTS.

Diagnosis and Staging of Twin-to-Twin Transfusion Syndrome (TTTS)

The in utero diagnosis of TTTS is established by ultrasound. First, the presence of a shared placenta (monochorionic) confirmed. Ultrasounds performed earlier in the pregnancy may be useful in establishing the chorionicity (number of placentas). Ultrasound findings such as a single placenta, same fetal sex, and a "T-sign" in which the dividing membrane inserts perpendicular to the placenta are helpful in diagnosing a monochorionic twin gestation.

TTTS is then diagnosed simply by assessing the discordance of amniotic fluid volume on either side of the dividing fetal membranes. The maximum vertical pocket (MVP) of amniotic fluid volume must be greater than or equal to 8.0 centimeters in the recipient's sac, and less than or equal to 2.0 centimeters in the donor's sac.

Although TTTS is diagnosed via ultrasound, women with a monochorionic or monoamniotic pregnancy can be alerted to certain symptoms that may require medical attention. Symptoms may include a sudden ...

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