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twin peak sign / delta sign / lambda sign
di/di
T sign
mono/di
twin to twin transfusion syndrome (TTTS)
fetal shunting through vessels in placenta
what happens to the donor in TTTS?
gives blood, suffers from IUGR and anemia
what happens to the recipient in TTTS?
recipient receives too much blood, suffers from hydrops and CHF due to overload of blood going to heart
acardiac twin
aka TRAP sequence
twin reversed arterial perfusion
abnormal anastomoses of placental vessels
what happens to the pump twin?
Maintains growth of parasitic twin
50% mortality, polyhydramnios and prematurity
what happens to the acardiac twin?
absent upper body, absent heart, and hydrops
chorionic villi sampling
done 10-12 weeks
samples placenta for aspiration of trophoblastic cells
amniocentesis
after 15 weeks
cordocentesis
samples fetal blood
after 17 weeks