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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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MrsStevo · 28/06/2011 22:25

cake - NO!!! Turn it off!!!! I sobbed through the half-episode I watched last week. It is just too sad.

So pleased that your scan went well today - great news!! Clever babies!

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silverangel · 29/06/2011 07:38

Morning all

Cake good news re scan:). I started to watch that programme last night - husband made me turn it over. I normally love stuff like that but a little too clost to home at the moment!

Went to the doc about my back - its PGP not sciatica, apparently sciatica sends shooting pains down your leg as well and thankfully I don't have that. He prescribed me a gel called Peroxicane (I think!) But googled it when I got home and it says not to use it in pref esp third trimester so being overly cautious am going to run it past my consultant first. I swear I never used to be so paranoid!

I'm back to kings today for my scan - haven't quite figured out how I'm going to deal with the bus and train up there yet though!

Mrs S - I would def transfer hospital if you're not happy - I'm not letting Kings sign me off again now. Will be thinking of you for scan on friday.

Twinnies - how are you?

X

CakeForBreakfast · 29/06/2011 14:21

i did turn Baby Hospital over, I was crying by the first advert break and didn't think I could handle a whole hour.

SilverAngel good luck with the scan and the travelling

My mumbrain is awful at the moment, and I'm so clumsy too!

twinnies26 · 30/06/2011 11:20

hello ladies - my little sister came and borrowed laptop for a few days so been out of contact with the internet!

Cake - great scan went well! and Silverangelhope yours went well too and the travelling!

Mrs.Stevo hope you have a more positive week with your hospital and if you really feel a transfer is necessary do it. I had a hospital transfer at 14 weeks to a hospital that is better equipped for emergencies (better ICU etc..) and conditions like ours and i am so pleased that i did it and listened to my gut feelings at the time. The transfer itself was a little frustrating due to all the paper work and some admin people sent me running around in circles - but worth it to make yourself feel comfortable and more secure.

Hope everything goes well for you this week.Thinking of you. Glad your DH is going with you, it's alot to deal with and better if he is there asking questions too if you are overwhelmed.

We had another scan on Tuesday - the babies are doing well :) All fluid and blood flow good. I'm hoping i might start relaxing abit more now - i was so anxious and nervous from last Sun until Tues, probably the worst since the surgery - not quite sure where it all came out of! The consultant even offered us the option of coming back in two weeks instead for a scan. I said i felt i'd still be too worried as i'm not even a month post- surgery,so we are going back next week,but i guess it's a positive thing if he thinks we could maybe go for a longer spell without a checkup. How long did you all have weekly scans for after surgery??

Twinnies xx

MrsStevo · 30/06/2011 12:25

That's great news twinnies! So pleased your babies are behaving now and learning to share nicely!! I agree with you about wanting to stick with weekly - a fortnight is a veeeeerrrry long time if you become a bit anxious. I have been scanned weekly ever since the surgery (twice a week sometimes) and, although it is a bit of a pain in the ass having to travel to and park at the hospital every week, it is worth it for the monitoring and re-assurance.

silver - how's the back now? And what did your consultant say about the gel?

I had a bit of a Hmm day yesterday. Got a call from the lead midwife at the hospital at 9:50am who said that she had spoken with my consultant who wanted me in at 10:15am for dopplers on the babies. I confess I was still in my PJs at the time so had a mad rush to get there in time. Was slightly concerned about the apparent urgency of it all but got there in time. Then hung about for 1/2 an hour and was scanned by random sonographer, waited for 45 minutes and was seen by random midwife and then ANOTHER random doctor who just said that the dopplers were fine and sent me on my way. I was very Hmm and a bit Angry too as I had thought I'd be seeing my consultant. I also wasn't too sure why the dopplers were necessary - there wasn't any concern about them on Friday - and yet they didn't say anything about the brain ventricle thing. I left in a bit of a rage as I felt that they'd wasted my time.

Am back there tomorrow for my usual weekly scan and DH is coming too - we're not leaving until we've seen my consultant and got some answers!!!

Being pregnant with twins is STRESSFUL! Goodness knows what actually parenting twins is going to be like!!!

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silverangel · 30/06/2011 13:39

ARGHHH I just wrote a big long reply and it has dissapeared somewhere that is clearly not here!

Anyway, what I said was great news Twinnies!! My husband is of the opinion that the weekly scans cause me more distress than if they were less often bit I have got used to the security and reassurance of it. I am on weekly scans now until delivery.

Mrs S - your day sounds like a complete pain in the arse. On the plus side the dopplers were all good but would have been nice if they had let you know what their reasoning was and to see your own consultant. Will be thinking of you tomorrow and hope you get some answers. My mind seems to go blank when I go for my appointments so hopfully having DH there will help.

My scan was all good yesterday, they are really pleased with progress - one is 1lb 13 and the other 2lb. There was no loss of EDF and fluid levels perfectly normal. The consultant at Kings said the sonographers at local hospital have no experience in post laser scanning or in measuring dopplers as they dont normally do them. She also said she can see no reason at this stage as to why they can't be delivered at 34 / 35 weeks.

As for the back OUCHHHH. Apparently the gel is fine, it just doesnt seem to do anything. I am back at work today but think I may need to go to the GP and get signed off as the travel really is too much. Also, just walking around the office is nigh on impossible. Its scary how I have gone from being pretty active on Saturday to being overtaken by people on zimmer frames yesterday in the hospital!! BUT if this all turns out ok in the end I will quite happily put up with a bit of backache:)

CakeForBreakfast · 01/07/2011 08:55

Morning,

twinnies and Silver - really good news on your scans. Silver are you nearly 30 weeks yet? - I refuse to buy anything or even window shop for stuff until I get past 24 weeks (and pref 28), I am 21.5 weeks now and willing time to pass quickly and uneventfully!

MrsStevo Best of luck for todays scan, I will be thinking of you and I really hope your consultant gives you good answers. let us know how you go. xx

twinnies26 · 01/07/2011 14:22

hi ladies,

Silver you are doing so well! great they say you will get towards full term with your twins! Delighted for you that things are so positive.How many weeks are you now? Hope your back doesn't give you too much trouble. Mine is sniggling at me now ,bottom left side and sometimes sharp pains at 21weeks - hopefully not the start of something.....

Cake I am the same as you - all my friends and sisters keep pointing out deals in the sales but i just can't even think about buying or looking as it's so early with these complications - i am the eldest of three sisters, i'm 29 with first pregnancy (so we have NOTHING) and my youngest sister is only 17 so she still wants to 'window' shop as she is just beside herself with excitement despite the complications etc... I f i get to the end of the pregnancy i think my twins will be born and we won't be organised at all - but that doesn't really matter to me now, between the family we'll get it sorted.

Mr.S you just seem to be having a really frustrating time - i hope this week is less stressful for you! Best of luck today thinking of you xx

Something to make you all giggle - i bought my first pair of maternity jeans from H&M, wore them twice and then went to bring car for a service. When we left and went to the supermarket, my little sister howled and then told me my new jeans had ripped in half on the seem at the bum and it seems i must have walked in and out of the mechanics workshop like that flashing my bright blue knickers!! cringe Blush!!

xx

MrsStevo · 02/07/2011 22:55

Hi fellow TTTS ladies. Hope you're all ok. Silver - great news about your latest scan. Clever babies that sound to be podging out a bit too!

twinnies - sorry, but that's hilarious about your jeans splitting!! Must have been hideous at the time though - a proper 'I want the ground to open up and swallow me NOW' kind of moment! Maybe you need to find a new garage and supermarket to shop at now!

As for me, my scan yesterday went pretty well. The babies were VERY wriggly though so it was hard for the sonographer to do the dopplers properly! But dopplers looked good on both babies, fluid has balanced out to around 6cm each and the one that had a dilated brain ventricle last week now doesn't BUT the other one's ventricle is now on the high end of normal .... but ultimately that still means normal! Had a long conversation with my consultant afterwards and he now wants me to be scanned twice a week (every 3-4 days) to keep an eye on dopplers. This is because the bigger twin's growth had slowed down a lot at last week's scan and the next growth scan is next Friday. He said that if the baby's growth tails off even more next week then he would probably look to deliver them next weekend. But he would weigh the growth up against the doppler measurements and fluid levels and make the decision based on that as he said growth isn't the only indicator of them thriving / not thriving. If any of the dopplers suggest that babies aren't getting enough blood they'll be whipped out straight away. Consultant said said he is just trying to 'buy' a bit more time of them being inside as he wants them to be as developed as poss when they arrive. BUT he said that, whatever happens, they wouldn't go past 36 weeks which is 26th July so I am having my babies THIS MONTH!!!!!

I have to say that I left the hospital pretty much on cloud 9! I know our babies are still only 32 + 4 and, if they were delivered next week, they would be in SCBU for ages, but it just feels as though we are finally reaching the end of this LONG road. I can't believe that this time next month I won't be pregnant anymore and will actually have my babies!!!!

Anyway, hope that gives some of you earlier-on people some hope. And I REALLY hope my babies arrive safe and sound and are healthy so I can also be living proof that babies can survive TTTS and laser ablation surgery.

Hope you're all ok x x x

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silverangel · 03/07/2011 12:17

Hi all, quick post as on phone and on way out but Mrs S - FAB news, if you're delivered next weekend they will be nearly 34, they may not even need SCBUi for that long. How exciting! Lots of rest for you this week:) x

CakeForBreakfast · 04/07/2011 14:04

Hello all,

MrsStevo Wow, what news, very exciting actually. Just think how far you've come and will soon meet the little ones! How proud you and MrStevo must be with everything you've come through to get here. Gosh, I really hope I can do as well as you have.

How do you feel - prepared?

xx

twinnies26 · 04/07/2011 16:07

Mrs. Stevo - what exciting news- the end is within sight!! So exciting to think soon you're little babies will be out in the world! Do you have children already?I can't remember-sorry!- Like what Cake says- are you prepared?

Hopefully we can all get to the stage you have! I'm back in tomorrow for another scan.

Cake you are in again too?Wednesday is it? how are you doing/feeling?

xx

CakeForBreakfast · 04/07/2011 19:08

Hi twinnies, I am in tomorrow too for my next scan. Ridiculous how I get so nervous before each one now.

I've been melting today. How has everyone else been?

twinnies26 · 04/07/2011 20:58

Hi Cake,

yes i know - last week i lost the plot from Sunday eve until Tues morning as i was so worked up before the scan.... bit better this week but still nervous. Don't think we'll ever be relaxed about the scans now. Funny coz so many people say to me 'oh your sooooo lucky to be scanned all the time' coz we get to see the babies etc.. but i explain that it's not like a normal scan my hearts always in my mouth Hmm we'd rather not have to be in every week.....

I got lots of sun yesterday, the folks had their 35th wedding anniversary so we all went home and we had a big bbq - now i have a heat rash on one arm! We have rain forecast for next few days in Ireland - and we are always cooler that you... i really miss the hotter British summer!

Good luck tomorrow - will be thinking of you!

MrsStevo · 04/07/2011 20:59

Thanks ladies!! I am very excited to meet them now, but it still doesn't feel real. I am pretty much ready to go - I have all my / babies stuff ready for the hospital but haven't physically packed it yet as DH is going away for a night tomorrow so he's got my hospital bag. I don't have any children no, these little beauties will be our first..... and possibly last after all we've been through!!!

Good luck to twinnies and cake for tomorrow's scans - hope you have great news and enjoy watching your wriggly bambinos. I have to say that I'm anxious about mine as well - I don't think that feeling will go away until they actually arrive! Let us know how you both get on.

And cake - yep, I've been melting today too!! So humid!! I walked into town (about 10 mins) but was knackered by the time I got there. Fortunately I had gone to have my legs and bikini line waxed (can't reach those areas anymore!!) so was able to just lie back and recouperate (I won't say relax as it wasn't exactly a relaxing experience!!)

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silverangel · 05/07/2011 11:53

Hi all,

Cake, hope goes well at your scan today:)

I'm just back from consultant appt, all still good, she is going to book me in next appt for section, all being well will be third weeks in August. Back is no better, she has told me not to go back to work which is a relief, its not so much the being at work as the travel to work in the heat. Am doing what I can from home but tbh have kind of lost interest now anyway.

Stopped at Superdrug on way back from the hospital to buy toiletries for hospital bag as starting to feel like I really should get it sorted soon just in case. Mum is in baby clothes washing frenzy now so I can pack some too.

I'm loving this hot weather, have been in the garden for the last few days chomping through large amounts of ice!

twinnies26 · 05/07/2011 16:02

Wow - lots of babies arriving really soon! Silverangel you're almost there too! amazing!! :) so excited for you both! Also hope now you're off work you'll have some relief with your back.

We're sweltering away over here today - i thought i was going to turn purple from the heat on the drive home from the hospital today.

All going well with the babies :) am thrilled to tick off yet another week. They did another growth scan and are really happy with how everything is progressing, hopefully will stay that way. All fluid/blood etc.. normal.My twins are 13ounces and 12 ounces now (no idea whether that is big/small/average compared to other twin babies/singletons at 21.2weeks - but they said a good size!) So another good Tuesday :)

Cake how did you get on today? Was thinking of you!

MrsStevo · 05/07/2011 16:17

Silver and twinnies - fantastic news!! So pleased you've both had good scan days. Hurray for being able to tick off another week!

I too had a good scan! Babies' dopplers look all good and fluid levels are fine. Friday is a growth scan so is a big day really. I will be taking my hospital bag with me on Friday for the first time, just in case they decide to whip me in and whip the babies out. 33 weeks today though so that's pretty good going all things considered.

Looking forward to hearing from cake so we can make it a full house of good news for us!

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CakeForBreakfast · 06/07/2011 15:04

Hello,

Scan yesterday went fine, all normal and stable so far. Was a quick one today to check fluid and dopplers, next week I'll have another growth one.

MrsStevo - 33 weeks! Thats amazing. So, can I ask, erm, how big are you?

Silverangel - you too! I'm glad you are not going to work, I can't imagine commuting and working, the school run wipes me out at the moment!

MrsStevo · 06/07/2011 16:17

Woohooo! Great news cake. We are all doing very well!!

I am fairly massive to be honest! Waist is 46+1/2 inches and I've put on 2 + 1/2 stone. But touch wood I haven't piled on much weight elsewhere yet. I DO, however, have a hideous mess of stretch marks on my stomach. So much so that you can't really tell where the scar from the surgery is. Humph. Still, well worth it if babies arrive safe and sound.

I am still in my PJs Grin - having a very lazy day indeed, but I have done quite a few jobs around the house.

Had a bit of a fret this morning. I had bloods taken last week to test for Toxoplasmosis, Parvo and various other diseases. Consultant wanted them done after the babies' brain ventricles were more dilated than they should have been. I STUPIDLY googled toxoplasmosis today and discovered all the hideous things it can do to unborn babies. Now I'm very anxious about getting the results (on friday). Honestly. I will be SO glad when these babies arrive - I'm exhausted by all this worrying.

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CakeForBreakfast · 07/07/2011 15:09

MrsStevo That is a good girth! I am currently 40 inches, my shape is a bit of a torpedo (poor abdominal muscles!)

Oh I am sorry to hear you've done the google-self-scare thing. When my sister was preg with her first baby, her early bloods showed positive for toxoplasmosis. The doctors all told her to terminate with horror stories of what toxoplasmosis could do. She refused and instead had to have monthly scans. Well, baby was growing textbook fashion, so they repeated the bloods and realised that the first positive result was a false positive! Baby was fine!

I don't really know how that story is supposed to help you, maybe just another example of how things can seem dodgy but just aren't?

When is your next scan?

silverangel · 07/07/2011 16:37

Good news all round then - yay!

Mrs S - leave Dr Google alone, all it will do is scare you. Now, so I can panic about it, did you ask for the bloods or is do they do them as routine?!

I've just come back from the physio, they've ordered me a support belt which will hopefully do the job but if not, on to crutches for me. Oh well, its an excuse to do nothing and as I've said before, if it means these two come out well and healthy I'll take the bad back please!

silverangel · 07/07/2011 16:39

Meant to say, I just tried to measure my waist but I can't find the tape measure and I have not been near the scales since week 18 I think it was. Had put on 11lb then and really don't want to know! I think I have been doing ok with regard to putting it on anywhere apart from bump but now I am pretty much immobile (apart from hand to mouth eating cake!) that is probably going to change!

twinnies26 · 08/07/2011 19:44

hi ladies!

So a good week for everyone - that's really great!

Mr.S i agree with silverangel - stay away from google! Even though it's not easy i think we all have to keep trying to be in the present moment and not looking/fretting too much for the future weeks with the pregnancies. Easier said than done i knnnooooowwww - cause i still sometimes freak out about everything that can go wrong!

silverangel - the belt should help you- my physio gave me one at 16 weeks - i go often to maintain my back and shoulders from work strain as i'm a musician. My lower left back/bum has been niggling for a while now. Wear the belt when walking, cooking,doing housework etc... It will help hold you in place. I'm bold and only use it walking/excercising. Don't feel i need it all the time yet. Did they give you excercises? They've helped me alot since i've been pregnant.

Impressive waists ladies! babies are growing nicely then :) I don't own a scales -last time i'd checked i put on a stone and my waist was about 36. It will be interesting to see what i look like in a few weeks time. I'm an 8 on top and a 10 below - must admit my legs look abit like tree chunks these days the weights going there - even though i'm walking and doing yoga all the time! Won't complain about the breast size increase though! Wink

Hope you all have a relaxing weekend - Mr.S try not to stress too much. Hopefully it will worry for nothing xx

MrsStevo · 10/07/2011 17:36

I have failed in my own advice of no-googling haven't I?! Still. I haven't been near google since and intend to stay strong and avoid it from now on.

Had a scan on Friday and babies are still looking ok - the baby that was tailing off size-wise has picked up again, but the other baby now has a slightly enlarged brain ventricle again. No results of my blood tests yet (it was called a TORCH screen, which tests for various infections) but a lovely midwife has promised to check every day and call me as soon as the results are in. silver, not that you are allowed to panic about it, but I didn't ask for the test and it isn't routine, consultant only wanted it done to rule out the brain ventricle enlargement thing being the result of an infection.

Consultant has said he would like to eek out delivery until 36+6 now (assuming they continue to behave) so, having said babies will be born in July, I now have a booked date for my c-sec of 1st August - 3 weeks tomorrow!! I had got everything sorted and packed as I'd thought I'd be having them this weekend so now have another 3 weeks of sitting about to do. Think I may have to start some kind of project.... like putting honeymoon photos in albums etc. Something to keep me sane anyway!!

Hope you're all keeping well and having a good weekend x

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