Table of Contents

Section 1: Where did we come from? History Section 2: Why does TTTS Occur? The Hidden Costs of Monochorionicity Placentation Pathophysiology Colour Injection and Digital Angiography Section 3: What is TTTS? Natural History Clinical Effects Diagnosis Maternal Nutrition The Cervix Section 4: When does TTTS Occur? Acute Twin-to-Twin Transfusion Syndrome Triplets Section 5: How do we Treat TTTS? Therapy Neonatal Outcomes Monitoring of Disease Ethical Dimensions Section 6: What's Next? The Future

About the Author

Daniel W Skupski MD Professor, Department of Obstetrics and Gynecology, Weill Medical College of Cornell University; Associate Chairman, Department of Obstetrics and Gynecology, New York Hospital Queens, New York, USA