What are Chorionicity & Amnionicity? I Dr. Shobha Venkat I Cloudnine Hospital

Monochorioninc and diamniotic twin pregnancy may be associated with the complications and which includes something called as TTTS or Twin-to-twin transfusion syndrome, which is because there are vascular communications between the two placenta. So normally there is no gradient between the two. So it is balanced. So let us say, there is a gradient, So the blood flows, more so from one baby to the other baby, so that one baby acts like the donor and the other baby acts like the recipient. So the recipient baby will have lot of blood and because of the extra blood, the recipient baby’s heart is put into more action. So there is a cardiac strain on the recipient baby and such babies can have excess water around the baby what we call it as a polyhydramnios and such babies will be little bigger. They will go into what is called as a non-immune hydrops and whereas the donor baby will have less water around the baby, goes for what is called as oligamnios and hydramnios and such babies will be very smaller and this is one of the noted and also dreadful complication, which will be identified in the early stage of pregnancy.

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