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