TTTS Treatment Woonsocket RI

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 Woonsocket, RI that can help answer your questions about TTTS Treatment.

Salim Assaad Wehbe
(401) 767-4100
450 Clinton Street
Woonsocket, RI
Specialty
Obstetrics & Gynecology

Data Provided By:
Laurie A Curry
(401) 597-5070
63 Eddie Dowling Hwy
N Smithfield, RI
Specialty
Obstetrics & Gynecology

Data Provided By:
Jan J Penkala
(401) 334-2229
6 Blackstone Valley Pl
Lincoln, RI
Specialty
Obstetrics & Gynecology

Data Provided By:
Jan Joseph Penkala, MD
(401) 334-2229
6 Blackstone Valley Pl
Lincoln, RI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduation Year: 1978

Data Provided By:
Thomas Alfonso Spina, MD
(508) 473-8360
54 Hopedale St
Hopedale, MA
Specialties
Obstetrics & Gynecology
Gender
Male
Languages
Spanish
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1958
Hospital
Hospital: Milford-Whittinsville Regional, Milford, Ma
Group Practice: Spina Obstetrics Inc

Data Provided By:
Michael Edward Spizzirri, MD
(401) 762-0700
20 Cumberland Hill Rd
Woonsocket, RI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Di Bologna, Fac Di Med E Chirurgia, Bologna, Italy
Graduation Year: 1970

Data Provided By:
Marsha Kay Smith, MD
(401) 769-5300
501 Great Rd
N Smithfield, RI
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1994

Data Provided By:
Michael Victor Cummings, MD
(315) 234-9171
1 Commerce St Ste 2
Lincoln, RI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210
Graduation Year: 1970
Hospital
Hospital: St Josephs Hospital Health Cen, Syracuse, Ny
Group Practice: Northern Syracuse Ob Gyn Associates Md Pc

Data Provided By:
Mary Louise Giovetti, MD
(401) 568-7661
20 Doire Rd
Cumberland, RI
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1985

Data Provided By:
Steven R Maynard, MD
(508) 478-5550
94 Mendon St
Hopedale, MA
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1986

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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