I am expecting Twins/Triplets/More. Now what?

Posted on January 7, 2018. Filed under: Breastfeeding multiplies, Multiple Birth, raising multiples, simultaneous breast feeding, Triplets, Twins, Uncategorized | Tags: , , , , , , , , |

AS SOON AS YOU KNOW you are expecting twins, triplets or more, there are some important steps to be taken.  Here goes:

-Find out if the babies are monozyotic (identical) because you need to know as soon as is possible if any of the babies have Twin–to-Twin-Transfusion Syndrome (TTTS).  EVEN WITHIN TRIPLETS, QUADRUPLETS OR MORE.  If yes, you will be under the umbrella of “High Risk” and both you and the babies will be followed very closely until birth.  Find out all you can about TTTS so that you are informed and know what questions to ask of your healthcare professionals.  My Site at http://www.jumelle.ca has an in depth article on TTTS.

-Join your local Twin and Triplet support chapter.  They will have a ton of information to share and it is nice to be with others making the same journey.  In Canada, Multiple Births Canada (MBC) has a full list of all multiple-birth support Chapters across the country.  They can be found at http://www.multiplebirthscanada.org

-Sign-up for a multiple-birth prenatal class in your community if they have one and both partners should attend.  You will get information pertinent for having twins or more.  SINGLETON PRENATAL CLASSES ARE LIMITED IN PERTINENT INFORMATION AND HAVING ONE AT A TIME IS NOT THE SAME AS HAVING TWO OR MORE AT A TIME.

-If you are considering breastfeeding your babies, sign up with a knowledgeable Lactation Consultant.  You will not be disappointed.

-Learn as much as you can ahead of time before your babies arrive so you are better prepared and receive support and resources focused on your pregnancy.

-If you are stuck at any time, ASK FOR HELP/SUPPORT.  You are not alone.  So many reliable people are here to help

-Very best wishes and enjoy your babies!!!

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TWIN TO TWIN TRANSFUSION SYNDROME (TTTS)

Posted on February 7, 2017. Filed under: Uncategorized | Tags: , , , , , |

TTTS, if it is going to happen, only occurs with monozygotic (identical) multiples, including any monozygotics within triplets, quadruplets or quintuplets.  As soon as you are diagnosed with having multiples, parents need to find out if they are carrying monozygotic babies and if they have TTTS.

TTTS is a disease of the placenta found in monochorionic (MC) multiples when two or more babies share a placenta.  In short, the babies have an unbalanced flow of blood and nutrients between them through the blood vessels which connect the circulation of both babies.*  It is important to find out as soon as is possible if any of your babies share a placenta, thus putting them at risk for TTTS.  We do not know why TTTS occurs.  TTTS is all about the placenta and how it distributes blood through the umbilical cords to the babies.*

Here are some complications of TTTS:

-both babies are usually affected;                                                                                                               -ultrasound shows that the babies are growing at different rates;                                                 -babies they have difference sizes of umbilical cords;                                                                         -one baby (the donor) receives little blood supply inside the womb, while the other baby (the recipient) receives too much and is unable to adequately expel the excess fluid.  The donor, as a result, is unable to properly grow and develop with little blood supply, while the recipient has an overloaded cardiovascular system.  TTTS puts both babies at risk of organ failure for opposite reasons, i.e. one has too little blood supply and the other too much.                                                                                                                                                                   -preterm labour is a risk, as is the death of one or both babies either in the womb, at birth or shortly after birth.

If your babies are diagnosed with TTTS you can expect to be considered High Risk and babies and Mother are monitored closely until birth.

For more detailed information on TTTS, check out Multiple Births Canada’s Web Site at http://www.multiplebirthscanada.org and their Fact Sheet on TTTS.

*Multiple Births Canada’s Fact Sheet, Monochorionic Multiple Pregnancy and Twin-to-Twin-Transfusion Syndrome

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Twin to twin transfusion syndrome (TTTS)

Posted on August 10, 2012. Filed under: Uncategorized | Tags: , , , , |

If you are looking for any information on the possible long term effects on survivors of TTTS, Google “long terms effects of twin to twin transfusion syndrome.”

There is a lot of information available which may be of interest/use.

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