A patient with twin pregnancy, USG done at 26 weeks of pregnancy shows a single placenta, first twin with AFI of 5 cm, fetal weight of 700 gms, bladder not visible, second twin with AFI of 16 cm, fetal weight of 1200gms. Diagnosis is?
Twin to twin transfusion syndrome (TTTS) Occurs in monochorionic twin pregnancy. Cause is unidirectional blood flow through A-V anastomosis in a cotyledon shared by the two twins. Features: Discordant twins (difference in fetal weight > 20 % with larger twins as reference) Donor twin: oliguria, anemia, cardiac failure, IUGR, absent bladder Recipient twin: polyuria, hyperbilirubinemia, polyhydramnios, hydrops Poly-oli ( 'polyhydramnios in recipient -oligohydramnios in donor' sequence)
IUGR of first twin and normal second twin
Twin reverse aerial perfusion syndrome
Acardiac second twin
Twin to twin transfusion syndrome
Twin Pregnancy, Molar Pregnancy, Gestational Trophoblastic disease and contraception in special situations (Sour Grapes!)