{Reference Type}: Case Reports
{Title}: Twin to Twin Transfusion Syndrome: A Case Report.
{Author}: Agrawal P;Vaidya A;Vaidya A;Phuyal S;Pandey A;
{Journal}: JNMA J Nepal Med Assoc
{Volume}: 60
{Issue}: 256
{Year}: Dec 2022 1
{Factor}: 0.556
{DOI}: 10.31729/jnma.5574
{Abstract}: Twin-twin transfusion syndrome occurs in multiple gestations and involves a chronic flow of blood from one twin to another twin and is a rare entity. We present a case of 32-years-old primigravida with a twin pregnancy who presented with increasing abdominal girth inappropriate with her gestational age at 21 weeks of her pregnancy. Ultrasound findings were suggestive of twin-twin transfusion syndrome. The patient was provided with treatment options but due to polyhydramnios and short cervix, the patient went into spontaneous labour the same day with a poor pregnancy outcome. Twin-twin transfusion syndrome leads to a high rate of perinatal morbidity due to its poorly understood aetiology and difficulty in diagnosing and treatment. Early diagnosis during antenatal ultrasound is important in reducing morbidity and mortality rates.<BR><B>UNASSIGNED: </B>case reports; fetoscopy; oligohydramnios; polyhydramnios; twins.