Twin to twin transfusion syndrome ttts is a serious disorder that occurs in identical twins and higher order multiples who share a placenta. Twin to twin transfusion syndrome ttts also known as feto fetal transfusion syndrome ffts and twin oligohydramnios polyhydramnios sequence tops is a . In twin twin transfusion syndrome ttts blood passes unequally between twins that share a placenta without intervention ttts can be fatal. Twin to twin transfusion syndrome ttts is a disease of the placenta or afterbirth that affects identical twin pregnancies. Twin to twin transfusion syndrome ttts is the result of an intrauterine blood transfusion from one twin donor to another twin recipient ttts only
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