TTTS Treatment Brenham TX

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 Brenham, TX that can help answer your questions about TTTS Treatment.

Wiley Edward Nobles
(979) 836-6153
600 North Park St
Brenham, TX
Specialty
Obstetrics & Gynecology

Data Provided By:
Wiley Edward Nobles, MD
(979) 865-9391
600 N Park St
Brenham, TX
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284
Graduation Year: 1985

Data Provided By:
Jesse Edward Justiss, MD
(979) 865-3613
Bellville, TX
Specialties
Obstetrics & Gynecology, General Practice
Gender
Male
Education
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduation Year: 1956
Hospital
Hospital: Bellville Gen Hosp, Bellville, Tx

Data Provided By:
Joy P LeBlanc, MD
(832) 553-5410
3203 E Broadway
Pearland, TX
Business
OB/GYN Associates
Specialties
Obstetrics & Gynecology

Data Provided By:
Jennifer Gulick
(972) 335-1490
4461 Coit Rd
Frisco, TX
Business
Elite Ob/Gyn
Specialties
Obstetrics & Gynecology
Insurance
Insurance Plans Accepted: We accept all insurance EXCEPT Medicare and Medicaid

Doctor Information
Primary Hospital: Centennial Medical Center
Residency Training: Baylor University Medical Center
Medical School: Loma Linda University, 2006
Additional Information
Member Organizations: American Medical Association Texas Medical Association Dallas County Medical Society American Congress of Obstetricians and Gynecologists, Junior Fellow


Data Provided By:
Dorovenia Nicole Hawkins-Koch
(979) 836-6153
600 North Park St
Brenham, TX
Specialty
Obstetrics & Gynecology

Data Provided By:
Lewis Russell Malinak, MD
(713) 798-7686
9777 Sawmill Rd
Brenham, TX
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1960
Hospital
Hospital: Methodist Health Care System, Houston, Tx; St Lukes Episcopal Hospital, Houston, Tx

Data Provided By:
Peter M Lotze, MD
(713) 512-7814
7900 Fannin St
Houston, TX
Business
Obstetrical & Gynecological Associates
Specialties
Obstetrics & Gynecology

Data Provided By:
Michelle Barcio, MD
(281) 890-5322
18220 Tomball Pkwy
Houston, TX
Business
Champion Womens Center
Specialties
Obstetrics & Gynecology

Data Provided By:
Gilda Cipriano, MD
(817) 684-5010
1615 Hospital Pkwy
Bedford, TX
Business
Associates in Obstetrics & Gynecology
Specialties
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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