ultrasound diagnosis of fatal anomalies

MULTIPLE PREGNANCY
Fig. 15.13 Twin-to-twin transfusion syndrome.
Abdominal scan, showing a monoamniotic twin
pregnancy at 21+3weekswithtwin-to-twin transfusion
syndrome and severe hydramnios. Intrauterine
fetal death followed.
Fig. 15.14 Twin-to-twin transfusion syndrome.
Twins after intrauterine fetal demise following twinto-twin
transfusion syndrome.
1
2
3
4
5
TTTS, cesarean section should be the mode of
delivery.
Procedure after birth: Intensive medical treatment
of both twins is required. The recipient
shows polycythemia and the donor twin anemia
(difference in hemoglobin concentration of more
than 5 g%). Ultrasound of the fetal skull at the
early neonatal stage is advisable to detect prenatal
infarction or periventricular leukomalacia.
Prognosis: There is a high mortality rate of
50–90% in severe cases. Intrauterine death of
one or both twins may occur. Complications
arise due to premature birth. If intrauterine
death of one twin occurs, the surviving twin has
a high risk of neurological morbidity.
Self-Help Organizations
Title: Twin-to-twin Transfusion Syndrome
Foundation
Description: Soley dedicated to providing immediate
and life-saving educational,
emotional, and financial support for families,
medical professionals, and caregivers before,
during, and after pregnancy with twin-totwin
transfusion syndrome. Dedicated to
saving the babies, improving their future
health and care, furthering medical research,
providing neonatal intensive care, and support
for special needs and bereavement. Pen
pals, newsletter, literature, phone support,
visitation, conferences. Guidelines for professionals
on multiple birth loss during preg-
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