TTTS Treatment West Fargo ND

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 West Fargo, ND that can help answer your questions about TTTS Treatment.

Jon D Dangerfield, MD
(701) 234-4467
1220 Sheyenne St
West Fargo, ND
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Nd Sch Of Med, Grand Forks Nd 58201
Graduation Year: 1992

Data Provided By:
Margaret T Mickelson, MD
(701) 234-2271
737 North Broasway
Fargo, ND
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1994

Data Provided By:
Jan M Bexell, MD
1702 South Univ Drive
Fargo, ND
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Nd Sch Of Med, Grand Forks Nd 58201
Graduation Year: 1990

Data Provided By:
Jan M Bexell-Gierke
(701) 364-8000
3000 32nd Ave S
Fargo, ND
Specialty
Obstetrics & Gynecology

Data Provided By:
Alan Eugene Smith, MD
(912) 355-8136
3000 32nd Ave S
Fargo, ND
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Mercer Univ Sch Of Med, MacOn Ga 31207
Graduation Year: 1991
Hospital
Hospital: St Josephs Hosp, Savannah, Ga
Group Practice: Savannah Ob/Gyn

Data Provided By:
Dr.Jon Dangerfield
(701) 234-4811
1220 Sheyenne Street
West Fargo, ND
Gender
M
Education
Medical School: Univ Of Nd Sch Of Med
Year of Graduation: 1992
Speciality
Gynecologist (OBGYN)
General Information
Hospital: Meritcare
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

Data Provided By:
Jeffrey Allen Rondeau
(701) 234-8880
2400 32nd Ave S
Fargo, ND
Specialty
Obstetrics & Gynecology

Data Provided By:
Dr.Kari Wessman
(701) 234-2241
737 Broadway N
Fargo, ND
Gender
F
Education
Medical School: Univ Of Mn Med Sch-Minneapolis
Year of Graduation: 1992
Speciality
Gynecologist (OBGYN)
General Information
Accepting New Patients: Yes
RateMD Rating
3.7, out of 5 based on 5, reviews.

Data Provided By:
Kimberly Ann Kelly, MD
2345 25th St S
Fargo, ND
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Northeastern Oh Univs Coll Of Med, Rootstown Oh 44272
Graduation Year: 1982

Data Provided By:
Dr.Mary Holm
(701) 364-8000
3000 32nd Avenue South
Fargo, ND
Gender
F
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd
Year of Graduation: 1990
Speciality
Gynecologist (OBGYN)
General Information
Accepting New Patients: Yes
RateMD Rating
3.4, out of 5 based on 5, reviews.

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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