Question 190 · LEK · Multiple pregnancy

A patient with twin monochorionic pregnancy has been informed about the risk of twin- to-twin transfusion syndrome (TTTS). The syndrome is characterized by an unbalanced blood flow between the twins through active interconnecting blood vessels. One of the complications of TTTS that occurs in the recipient is:

  1. A. fetal hypertrophy.
  2. B. growth retardation.
  3. C. anemia.
  4. D. oligohydramnios.
  5. E. hypovolemia.
Hint

Decide which twin receives the excess blood volume and how that affects its size, heart and amniotic fluid.

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