Monochorionic twins Β· Curated guide

Twin-to-twin transfusion syndrome

A cautious explainer for TTTS and why shared-placenta twins need specific monitoring.

Medical disclaimer

Pregnancy Radar is general educational content. It does not replace medical advice, diagnosis, emergency care, midwife care, obstetric care or individualized guidance. Always follow your own healthcare team for symptoms, scans, birth planning, medications and urgent concerns.

Simple educational illustration representing twin-to-twin transfusion syndrome monitoring

Quick answer

What is twin-to-twin transfusion syndrome?

Twin-to-twin transfusion syndrome, or TTTS, is a condition linked to twins who share a placenta. It involves unbalanced blood flow between the babies and is monitored by qualified maternity or fetal medicine teams. This article is for awareness only and should not delay contacting care.

What the sources say

NHS explains that TTTS affects twins who share a placenta and describes unbalanced blood flow. RCOG explains that monochorionic pregnancies share placental blood supply and may develop TTTS.

TwinPare summary

TTTS is one reason monochorionic twin pregnancies are watched closely. It is not something parents can diagnose from a general article, but it is a term worth recognizing if your babies share a placenta.

TwinPare takeaway

If your care team says the twins share a placenta, ask how TTTS screening works and what changes should prompt contact.

Key points

  • TTTS is linked to twins who share a placenta.
  • Monitoring is usually scan-based and handled by qualified maternity or fetal medicine teams.
  • The goal for parents is awareness and timely communication, not self-diagnosis.

Questions to ask your care team

  • Are my twins monochorionic?
  • How will you screen for TTTS?
  • Who should I contact if I am worried between scans?

Important caution

TTTS can be serious. This radar item is not a diagnostic guide and should not delay contacting qualified care.

Original sources

Source notes

These public sources are used for orientation and context. TwinPare links back to the original source instead of replacing it.

Level A Β· NHS

Antenatal care with twins

Public NHS guidance on scans, appointments, monochorionic pregnancy, TTTS and twin pregnancy risks.

Original source β†’
Level A Β· RCOG

Multiple pregnancy: having more than one baby

Patient information from the Royal College of Obstetricians and Gynaecologists.

Original source β†’
Level A Β· NICE

Twin and triplet pregnancy: recommendations

Detailed recommendations on chorionicity, antenatal care, monitoring, complications and timing of birth.

Original source β†’