TTTS Treatment Wilmington DE

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 Wilmington, DE that can help answer your questions about TTTS Treatment.

Beth R Schubert, MD
(302) 224-9400
875 AAA Blvd
Newark, DE
Business
Just for Women Ob/Gyn PA
Specialties
Obstetrics & Gynecology

Data Provided By:
Dr.Nieva Duque
(302) 655-5908
12B Trolley Sq
Wilmington, DE
Gender
F
Speciality
Gynecologist (OBGYN)
General Information
Accepting New Patients: Yes
RateMD Rating
2.8, out of 5 based on 26, reviews.

Data Provided By:
William Alvin Hohman, MD
(302) 623-4175
2323 Pennsylvania Ave
Wilmington, DE
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ De Lausanne, Fac De Med, Lausanne, Switzerland
Graduation Year: 1974
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De

Data Provided By:
Elias Mamberg, MD
(302) 428-0337
1301 N Harrison St Ste 104
Wilmington, DE
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduation Year: 1972
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De

Data Provided By:
Dr.Nancy Fan
(302) 778-2229
1806 N Van Buren St # 210
Wilmington, DE
Gender
F
Education
Medical School: Temple Univ Sch Of Med
Year of Graduation: 1993
Speciality
Gynecologist (OBGYN)
General Information
Hospital: Christiana Hosp, Newark, De
Accepting New Patients: Yes
RateMD Rating
1.8, out of 5 based on 2, reviews.

Data Provided By:
Richard Lee Fischer, MD
(650) 574-5823
1228 N Scott St
Wilmington, DE
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Ca, Irvine, Ca Coll Of Med, Irvine Ca 92717
Graduation Year: 1967

Data Provided By:
Margo Kanaga, MD
(302) 655-8440
2301 Pennsylvania Ave
Wilmington, DE
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1974

Data Provided By:
Alvin Herbert Weiner, MD
(718) 837-1300
1207 N Scott St
Wilmington, DE
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Van Amsterdam, Fac Der Geneeskunde, Amsterdam, Netherlands
Graduation Year: 1957

Data Provided By:
Domingo C Singson, MD
(302) 421-8282
1021 Gilpin Ave Ste 104
Wilmington, DE
Specialties
Family Practice, Obstetrics
Gender
Male
Languages
Tagalog
Education
Medical School: Univ Of Santo Tomas, Fac Of Med And Surg, Manila, Philippines
Graduation Year: 1975
Hospital
Hospital: St Francis Hosp, Wilmington, De; Christiana Care -Wilmington, Wilmington, De
Group Practice: Family Practice & Obstetrics

Data Provided By:
Nadine A Thompson
(302) 655-6187
601 New Castle Ave
Wilmington, DE
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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