by chiggerbit » Sun Sep 17, 2006 9:09 pm
OK, found the first part"<br><br><!--EZCODE AUTOLINK START--><a href="http://en.wikipedia.org/wiki/Twin-to-twin_transfusion_syndrome">en.wikipedia.org/wiki/Twi...n_syndrome</a><!--EZCODE AUTOLINK END--><br><br>"...Twin-to-twin transfusion syndrome (TTTS, also known as Feto-Fetal Transfusion Syndrome (FFTS) and Twin Oligohydramnios-Polyhydramnios Sequence (TOPS)) is a complication with high morbidity and mortality that can affect identical twin or higher multiple pregnancies where two or more fetuses share a common (monochorionic) placenta. Severe TTTS has a 60-100% mortality rate.<br><br>As a result of sharing a single placenta, the blood supplies of the fetuses can become connected, so that the fetuses essentially share a single blood supply. Depending on the number, type and direction of the interconnecting blood vessels (anastomoses), blood can be transferred disproportionately from one twin (the "donor") to the other (the "recipient"). The transfusion causes the donor twin to have decreased blood volume, retarding the donor's development and growth, and also decreased urinary output, leading to a lower than normal level of amniotic fluid (becoming oligohydramnios). The blood volume of the recipient is increased, which can strain the donor's heart and eventually lead to heart failure, and also higher than normal urinary output, which can lead to excess amniotic fluid (becoming polyhydramnios).<br><br>In early pregnancy (before 26 weeks), TTTS can cause both fetuses to die, or lead to severe disabilities. If TTTS develops after 26 weeks, the babies can usually be delivered and have a greater chance of survival without disability.<br><br>Other than requiring a monochorionic-diamniotic twin (or higher multiple) pregnancy, the causes of TTTS are not known, and its incidence is believed to be random.[citation needed] It is not known to be hereditary or genetic.,,,,"<br><br> <p></p><i></i>