Will Twins Born With One Placenta Continue To Grow Normally?
I am pregnant for 35 weeks with TTTS twins. The last time I checked was the 32nd week, my fetus weighed 1.9kg and one was very small at 400gr. What I want to ask is that if my two babies were born safe, would the small one grow normally after birth and would he receive special care after birth?
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TTTS or twin to twin transfusion syndrome is a condition that occurs in identical twin pregnancies (characterized by one placenta for 2 or more fetuses). In TTTS there is disruption of placental blood flow to the fetus, where the flow that occurs is not the same. If there are 2 fetuses, then at TTTS one fetus gets more flow and the other fetus gets less flow.
The placenta is a network that functions as a link between maternal and fetal blood flow. Through the maternal blood placenta which contains oxygen and nutrients needed to the fetus.
Pregnancy with TTTS complication is targeted to deliver all fetuses safely and healthy mothers. For this reason, routine control is needed and is more frequent than complications without complications. If necessary, treatment will be carried out, such as laser surgery to repair placental blood vessels. Sometimes doctors must decide to deliver prematurely for a reason for the purpose of saving all fetuses and their mothers.
If after birth the baby has an indication of care in a special room for babies, then of course it will be done. Some indications that newborn babies must be treated with special care, namely:
1. The baby is born prematurely, which is less than 37 weeks.
2. Babies born with low weight (ie less than 2500 grams) or excess (ie more than 4000 grams).
3. There are respiratory problems.
4. And others you can read more here.
As for the future child development, of course it can be the same as a normal child growth and development reference, but there can also be inappropriate growth and / or developmental delays. In this case certainly parents must prepare themselves. Perhaps later there are many things that parents must provide so that children can grow and develop like normal children, both in terms of time to finance.
Thus hopefully useful.