Choosing the Right Treatment

Choosing the management option most appropriate for you is a challenging task. As parents, your choice is very individual and there is no "right" or "wrong" decision. It is important to consider all of your options before making a management decision. For example, an initial amnioreduction removes the necessary amniotic fluid pocket for successful laser therapy and may, therefore, limit or delay the possibility for definitive treatment. The following table gives you an overview of the typical procedure-related risks and outcomes.

Acute previable TTTS management options and outcome

Management plan

Both survive

One survives

Brain injury

Both die

Procedural risk

F = fetal; M = maternal

Do nothing, observe

<5%

<30%

50%

70%

2-5% maternal

Pregnancy termination

0

0

-

100%

1-2% maternal

Serial amniodrainage

42%

60%

20%

40%

4% F, procedure

Umbilical cord ligation

0

95%

4-6%

5%

10% F, 1-2% M

Laser coagulation

60%

82%

10%

18%

10% F, 1-2% M

For detailed assessment, call the Center for Advanced Fetal Care at 1-888-349-8946 (FIX-TWIN).

This page was last updated: July 10, 2013

         
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