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Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Twin-Twin Transfusion Syndrome

320 replies

MrsStevo · 11/04/2011 15:25

Hi!

I wanted to share my experience of the most horrendous week of my life and find out if there is anyone else out there in the same / a similar boat?

My MCDA (identical) twins were diagnosed as having Twin-Twin Transfusion Syndrome (TTTS) at my 20 week scan last Tuesday (5th April). The doctor established this because one twin was smaller than the other, had virtually no amniotic fluid around it and was stuck to the wall of my uterus, not moving. It had a heartbeat but no bladder could be seen (as no fluid for it to drink / urinate). The other baby was swimming around in waaaaay too much amniotic fluid. The doctor thought I was at stage III of the condition (Stage V being babies have already died) so very serious.

So, I was referred to Birmingham Women's Hospital (I live in Lincoln) and had an appointment there on Wednesday afternoon. The (amazing) consultant - Mr. Bill Martin - scanned me and confirmed TTTS. He said he thought I was actually only stage II but basically said the only chance babies had was for me to have Fetoscopic Laser Ablation Surgery - keyhole surgery where they go into the sac that the bigger baby is in and laser / cut off some of the blood vessels in the placenta that the babies share so both babies have their own half. Odds are 40% chance of both babies surviving and 80% of one surviving. Plus added risk of early labour / waters breaking, infection etc.

Long story short, I was admitted to Birmingham Hosp on Wed PM and had the surgery at about 9am on Thursday. I was terrified - had to have spinal anaesthetic, be catheterised, wear a surgical gown and it was done in a big operating theatre with literally 15-20 people in it. However, my consultant was just amazing - so re-assuring and acted as though it was something he did everyday. He and his colleague were even chatting away about holidays whilst they lasered away.

After the surgery we (DH and I) had to wait for 6 hours before they would scan me again to see if the babies had survived the surgery. At the time, that was the longest 6 hours of my life. We had the scan at about 5pm and both babies were alive - the doctor said they looked healthy and it was the best outcome they could hope for. However, they also said that the next week is a crucial time and, if babies survive the week, then that is really good and indicates they both have a good chance of making it.

So. Here I am 4 days post-surgery with 43 hours until my next scan (they're doing it a day earlier in Lincoln so I can see my consultant there). I feel completely lost and totally in limbo. I don't know what to do with myself (aside from rest, feet up etc etc) but am just trying to stay sane. I'm trying my hardest to keep myself away from Dr. Google so I don't freak myself out by the statistics.

The biggest things I worried about right now:
Will both babies survive? I can't imagine my life without having twins in it now -these will be our first babies, having had a miscarriage last year.
IF they do survive, will they have any neurological damage as a result of surgery - cerebral palsy is a risk. How will we cope if they do?
I'm vegetarian - should I be on protein suppliements to promote healing / good blood quality etc?
Is there ANYTHING I can do to make the odds better?!

Oh. It is just a horrible time. My DH went back to work today (although he wants to be at home with me as much as I want him to be) so I'm alone with just my overactive mind (and a pesky cat) for company.

I wanted to write about this experience on here in case anyone has any pearls of wisdom or wants to share their experience of this horrible condition. Or, if anyone on here happens to be an expert in this condition, perhaps they can pump me full of optimism with a bunch of statistics that everything will be ok?

Thanks for taking the time to read / listen.

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whackamole · 12/06/2011 13:58

Hi ladies,

Just wanted to wish you all luck, I had TTTS when pg with my boys back in 2008, we never got to the needing surgery stage and the only difference between them is 2lb in size (now, I mean!) and about 2cm in height. I was scanned weekly from 18-28 weeks and although it was an awful, awful time, I am so grateful for the care we had.

PS - I was signed off work for about 8 weeks and I truly believe that not having the stress of work to worry about as well helped. I could be talking out of my backside of course!

Hope all goes well, will also be keeping an eye out as this is an issue close to my heart x

CakeForBreakfast · 13/06/2011 10:50

Hi Whackamole

Thanks for joining and all the positive toughts. Positivity is just the tonic

MrsStevo how far along are you now??

MrsStevo · 13/06/2011 11:10

Morning cake - how are you feeling?

I will be 30 weeks tomorrow! Never thought I would make it this far but I had a growth scan on Friday and both babies are looking good - although their measurements are a week apart, so they will be obviously different sizes on arrival. Consultant has said I will have to have a CS now and is hoping that I'll get to 36-37 weeks before they bring them into the world.

Big day for you and twinnies tomorrow. I'll be thinking of you both all day. Would be great to hear from you when you have any news x x

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twinnies26 · 13/06/2011 11:59

Hi there,

MrsStevo fantastic you are 30weeks now, so great to hear you had same treatment and are almost there! Very exciting for you,bet you can't wait for their safe arrival.

I'm just dying to get to the appointment now to know one way or the other. I think my pregnancy was hit with this the earliest of everyones - 17 +3 so i'm hoping we can still have some good news tomorrow.

will let you know how we go either way. thanks for all the support everyone xx

twinnies26 · 13/06/2011 12:00

oh and Cake the VERY best of luck to you tomorrow. I will be thinking of you and sending you good wishes. xx

CakeForBreakfast · 13/06/2011 15:23

Hi

MrsStevo that is incredible! What a wonderful result and still going! You must eat as many chocolate biscuits as possible to fatten up your babies, consider it medicine!!

Thanks Twinnies I am nervous and worried but also quite keen to get to it! I will also be thinking of you tomorrow, how do you feel? How have the last few days been for you?

silverangel · 13/06/2011 15:49

Mrs S - 30 weeks, wow! They'll be with you before you know it:) I'm seeing my consultant on Wednseday and hoping to get some firmer answers on when they hope to deliver, am 24+3 now.

Cake and Twinnies will be thinking of both of you tomorrow x

twinnies26 · 13/06/2011 18:14

Hi Cake - i'm sure you're keen to get it done now!the thing to remember is that it will be over before you know it.All in all a fast procedure.

Today's not great for me, i'm really anxious and actually quite panicky and teary about tomorrow. I am trying to be positive but now that i'm going back to the hospital i'm just so worried and finding it really hard to relax this evening and stay calm.Mr. Twinnies is being fantastic and my parents were just over too so plenty of people rallying around us and supporting us.

Been abit of a rollarcoaster since the procedure,two days of shock (i did nothing and was capable of nothing) as it all happened so quickly for me, then a few days of tears on and off and just wanting to hide away and have quite time, occupying myself with jigsaws,crosswords and dvd's. This is my first pregnancy so i'm finding it all quite overwhelming to be honest.

Let me know how tomorrow goes.x

Silverangel thanks for the good wishes x

CakeForBreakfast · 13/06/2011 20:11

Hi Twinnies I'm not surprised you are up and down, it is a BIG thing to go through and the tension of waiting for the outcomes is enormous.

I too am a bit wobbly today. My twins condition is at stage 3 and I STUPIDLY googled a bit more today and read a report that treatments done at stage 3 have a lower percentage of good outcomes than any other stage (even stage 4). So now I'm a wreck! I wish I hadn't googled.

lets see how tomorrow goes. Everything is crossed for you!

twinnies26 · 13/06/2011 20:28

Cake don't google! it's the worst thing to do isn't it??try to put that out of your mind! x good luck tomorrow, am offline for the night now. chat soon!

twinnies26 · 14/06/2011 17:10

Hi there ladies,

Just thought i'd let you know that were arrived back from our scan with good news today. Two little girls, recovering as well as could be expected!!So we are thrilled. Hearts strong,brains good, twin 2's bladder is back and good size, equal fluid in both sacs etc... They're going to take me next week for the big 20weeks scan so will get all the proper measurements etc... They said it's still week by week and we will just have to see how it goes but we are thrilled that there is much more hope and positivity today.

Thank you so much for sharing you stories and experiences- I can't tell you enough how much help it has been. That was probably the toughest week of my life to date!

Cake how did you get on today?Hope it was a success and that your twins are doing well. Please keep us posted-hope the week goes by ok for you.Waiting is hard!but i think you said you have other children (?) so i guess they will keep you distracted-but rest up all the same!

Will keep my checking this thread.

Twinnies

MrsStevo · 14/06/2011 18:43

twinnnies I am SO relieved for you. That is fantastic news!!! Well done you for growing such feisty babies!! Thank you so much for updating with another positive story.

If you have the same deal as me, you'll be scanned weekly from now on to monitor them - I've had a growth scan every fortnight and another scan to measure fluid levels and dopplers on the week inbetween.

It is a week by week thing now I'm afraid and the weeks do tend to drag, BUT I've made it to 30 weeks so it can be done. I'm so pleased for you - bet you feel like an enormous weight has been lifted and will get a good night's sleep tonight!!

Keep us posted on your progress.

cake - I've been thinking of you all day today as well and keep checking for updates. Really hope you're ok and the consultant has come up with a plan for you so you know what is going to happen. Fingers crossed you'll have super-feisty babies as well x x

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silverangel · 14/06/2011 19:45

Fantastic news twinnies - I agree that week when I was diagnosed \ treated was the toughest week of my life too. Ditto for me what Mrs S said, being scanned every week now and consultant said it is a week by week thing now and see how it goes before they make a decision on delivery.

Cake - hope all went well for you today x

twinnies26 · 14/06/2011 20:06

thanks ladies! yes like you both am to be scanned every week now and next week is growth scan and the consultant said he is optimistic based on todays progress that next week should go well - so fingers crossed. He was talking so differently today which was so nice, last week was all so morbid and frightening. fantastic you are 30weeks MrsStevo,that's what i aspire to be! am hoping to catch up on some sleep tonight i was awake at 4am this morning as i was so nervous about appointment.

Here's hoping Cake has feisty babies too! chat soon x

CakeForBreakfast · 14/06/2011 20:30

Hello,

Twinnies I am SO relieved and happy for you. I do understand its an ongoing thing, but you can be so proud of how many hurdles you have jumped so far. Well done Twinnies and mini-twinnies

I am home now after the procedure. It was nerve racking to say the least and I now face the anguish of waiting and hoping my uterus and babies cope. The procedure itself was straightforward, the consultant was poker faced as always but was content with the way things went. My diazepam and painkillers are still in effect so I feel ok really. Fingers crossed!

twinnies26 · 14/06/2011 21:23

Hi Cake so glad it all went well for you! I really am. My consultant was like that too on the day. I guess it's just such a serious time. Sending you lots of good wishes while you wait now. I'm sure you have two strong twins in there!Do you know the sex yet?We ended up asking seeing as the initial diagnosis was so awful. Rest up now for the next few days. You've got over the first hurdle today so now just take it day by day.That's all we can do! xx

silverangel · 14/06/2011 22:23

Cake - pleased to hear it went well. Rest as much as possible and hope the wait to the next scan goes as quickly as possible x

MrsStevo · 14/06/2011 22:34

Good to hear from you cake and so pleased it went well today - it must have been an awful, awful day for you but it is over now. Like twinnies said, you've got over the first hurdle today and every day is one more ticked off. When are you back for a scan - is it after one week? I will have everything crossed for you and twinnies as it is just an unspeakably anxious time.

I remember thinking 30 weeks seemed like a lifetime away when I had the surgery at 20 weeks and I'd have done anything to get there ... and I have, so keep positive and everything crossed as it can and does happen.

Are you both taking some time off work now that you've had the surgery? I was signed off for 2 weeks and I am SO glad that I was as it meant I could really rest up and put very little stress on my body / babies. I hope you have the same opportunity.

Keep in touch x x

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twinnies26 · 15/06/2011 06:54

Hi MrsStevo yes am off work for good now! Which still hasn't sunk in yet,not due back until January! I am a classical musician and was due to finish for summer break end of June but have had to cancel everything until then as it involved alot of travel around Ireland and to London - So i am probably going to start climbing the walls as my busy life has ground to a halt but will be good for the babies i guess!had hoped to be one of these people who works up to the end but as i travel so much it's not really going to suit this type of pregnancy now!

Cake hope all is well this morning! hope you are sleeping ok - i'm still awake from 4 onwards each day :S x

CakeForBreakfast · 15/06/2011 08:38

Morning all,

Feels strange this morning, I can feel movement around inside so am trying to do my best to rest and not over exert myself, like you all did, I am worrying that one wrong move and my waters could break and that would be the end of it!

My next scan is actually tomorrow (Thursday), which is a bit early and they wont expect to see any improvement but I will be scanned again then the following tuesday too and so on! I am having girls btw.

How are you all feeling now, silverangel you are about a month since the treatment aren't you - thats a great milestone, are you more or less back to 'normal'?

Mrs Stevo I have my fingers crossed you continue to go on and on - who knows maybe they will want to induce you because the babies are so happy inside and don't come out!!

Twinnies I hope you are still enjoying the relief as much as you can, are you snoozing in the day to make up for waking up so early?

PoppysMom · 15/06/2011 08:39

Twinnies and Cake so glad you both had good news and a good procedure. Hope that you manage to move on with your pregnancy easier now and that the wait isn't too long

CakeForBreakfast · 16/06/2011 19:47

Hi all,

Just a quick update for you. Its been 48 hours since the procedure. We went back for a quick scan today, (I think just to see if there are any survivors,) since I wasn't scanned before being sent home post surgery

They were both there alive and also showing some improvement. It is too early to see how much better things are, some things are not perfect such as recipient twin is still peeing alot, but also it would have been normal to see no change so soon after the procedure but we already have some improvement so thats positive.

Next scan in 5 days will be more indicative, I'm really hoping things go well.

How are you all doing?????

twinnies26 · 16/06/2011 19:49

Cake how did the scan go today? Was thinking of you today. I really hope it went well. You have to wait another few days though for the next one yes?.Oh congrats that they are girls! Everyone keeps saying girls are great fighters in the womb and at birth!

Great they scanned you again so soon- i had my surgery early evening and then was scanned at 7.30am next day but then had to wait 5days until the next one so it was a long wait!

I'm doing ok i hope hard to know when it doesn't actually affect our health! Getting abit more sleep so that's helping Babies are fluttering away so i presume that's a good sign :) Much more activity since the laser surgery!

Twinnies

twinnies26 · 16/06/2011 19:50

oh somehow i missed your post above!just saw it now for some reason.....

twinnies26 · 16/06/2011 19:54

yes i think the next few days will make a big difference - for me twin 2's (recipients) bladder was back to normal only at the 7day scan. So yes i think it takes a few days. Keep thinking positive thoughts and so great you know there are still two babies there! Super news :) That's another step!x

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