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Twin to Twin Transfusion (TOTS) Ultrasound Worksheet Date: Tech: Gestational Age: Placenta MFM: Ant / Post / Lateral R/L Patient Label Here (cm) Cervical Length: Patient Name: Initial Visit / Surveillance
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How to fill out twin to twin transfusion

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How to fill out twin to twin transfusion:

01
First, consult with a healthcare professional who specializes in high-risk pregnancies or twin pregnancies to discuss the possibility of twin to twin transfusion syndrome (TTTS).
02
The doctor will likely perform a thorough examination, including ultrasounds and Doppler scans, to assess the severity of the condition and determine the appropriate treatment options.
03
If it is determined that intervention is necessary, the doctor may recommend a fetal surgery called fetoscopic laser ablation, which involves using a laser to separate the shared blood vessels in the placenta.
04
Prior to the procedure, it is important to carefully go through the consent forms provided by the medical team. These forms will outline the potential risks, benefits, and alternatives of the treatment, and it is essential to thoroughly read and understand them before signing.
05
If you have any questions or concerns about the procedure, do not hesitate to ask the medical team for clarification. It is important to have a clear understanding of the steps involved and what to expect during and after the procedure.
06
Follow any pre-operative instructions provided by the medical team in terms of fasting, medication restrictions, and any other preparations that may be necessary prior to the procedure.
07
On the day of the procedure, arrive at the hospital or medical facility at the designated time. The medical team will guide you through the necessary preparations, such as changing into a hospital gown and having any necessary tests or monitoring done prior to the surgery.
08
The fetoscopic laser ablation procedure typically involves making small incisions in the mother's abdomen and inserting a tiny camera and laser instrument to perform the necessary steps. The surgeon will use the laser to seal off the abnormal blood vessel connections in the placenta, effectively stopping the transfusion between the twins.
09
Following the procedure, there will be a recovery period during which the medical team will monitor both the mother and the babies closely. It is important to follow any post-operative instructions given by the medical team, which may include restrictions on physical activity, medication to manage pain or potential complications, and scheduled follow-up appointments.
10
Finally, continue to attend regular prenatal check-ups to monitor the condition of both twins. It is important to communicate any changes or concerns to your healthcare provider to ensure the best possible outcome for both babies.

Who needs twin to twin transfusion?

01
Twins who are diagnosed with twin to twin transfusion syndrome (TTTS) may require a twin to twin transfusion procedure.
02
TTTS occurs when there is an unequal blood flow between the twins sharing a placenta, resulting in one twin receiving an excessive amount of blood (donor twin) while the other twin does not receive enough blood (recipient twin).
03
The severity of TTTS can vary, and not all cases require intervention. However, if the condition is severe and poses a significant risk to the health and survival of both twins, a twin to twin transfusion procedure may be recommended by the medical team.
04
It is important for expectant parents to work closely with their healthcare providers to monitor and assess the condition throughout the pregnancy and determine if twin to twin transfusion is necessary for the well-being of the babies.
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Twin to twin transfusion syndrome (TTTS) is a condition that affects identical twins who share a placenta.
The medical professionals who diagnose TTTS and the parents of the twins are required to file the report.
The report for TTTS should be filled out with the medical information of the twins and the treatment plan in place.
The purpose of TTTS report is to monitor the condition of the twins and track the effectiveness of the treatment.
The report must include the medical history of the twins, the diagnosis of TTTS, the treatment plan, and any complications.
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