Twin-to-twin transfusion syndrome: Miracle Story

Twin-to-twin transfusion syndrome: Miracle Story

The doctor told her that their babies had twin to twin transfusion syndrome and needed to be taken to Children’s Hospital of Philadelphia. And the doctor informed that Sarah might be candidate for surgical procedure and without it there is 98 percent chance that both babies would die. Although twins passed the Down syndrome tests but there were concerns that one baby had soft marker for it and if the other baby would also have it then surgery wouldn’t be a right option. According to Eugene that moment was pathetic and sad, one can think that how it feels when someone is expecting good news but unfortunately their world turned upside down.

Twin-to-twin transfusion syndrome

Twin-to twin transfusion syndrome(TTTS) is condition where the blood flow between identical twins that share placenta is unequal. There are blood vessel connections along the surface of the placenta between the two babies. Although most of the time twins are able to keep blood flow balanced but TTTS occurs in about 15 percent of twin pregnancies that share placenta and has two amniotic sacs. The imbalance is caused due to smaller ‘donor’ twin pumps blood to the larger recipient twin. TTTS condition is divided into five stages with each stage more severe than previous one. And every stage is marked by different condition which include amniotic fluid imbalance, urine production problem, blood blow in blood vessels and umbilical cord and heart failure.

Sarah told that they were living scan to scan and she was monitored twice a week with ultrasounds and babies were teetering between stages 1 and 2. The likelihood that TTTS will progress from first stage to second is anywhere between 10 to 30 percent only. And it take couple of weeks to progress from stage 1 to stage 2 but if TTTS left untreated then more than 90 percent of twins will die.

Early Methods for TTTS treatment

Years back there were two surgical options that was followed to treat TTTS which were Amino reduction and Septostomy. In the former few liters of aminotic fluid is removed using minimally invasive needle procedure to equalize pressure between the two sacs whereas in latter a hole is created in the membrane between two sacs so the fluid can flow equally.

Both of these methods is not preferred because the main problem with these two is that it does not treat underlying blood vessel connections as a result the outcomes were not that much great. Today these procedures are less common and for TTTS in stage 2 and above, laser therapy is the best choice for TTTS treatment as the outcomes are much better.

The couple’s miracle babies enter the World

At last for the treatment of TTTS, Sarah is taken to the Children’s Hospital of Philadelphia where the initial diagnosis and half day of in depth tests were taken which revealed that miracle babies were in stage 2 but there were also some mild signs of stage 3. Although they were excited that laser procedure is being implemented on twins but in mean time they were worried and afraid as twins were progressing in stages. And few days later, Sarah underwent surgery to sever all of shared connections to placenta. With almighty’s blessing the surgery was successful and the twins fluid levels gradually started to even out and with passage of time the fluid levels continued to improve. Today both the babies, Darren and Eoin are healthy and have endless amount of energy. Sarah feels very blessed and grateful to have miracle babies.

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