Resources from leading medical experts from UCSF Medical Center
UCSF performed the first successful open fetal surgery in 1981, and is one of the most experienced institutions in fetal surgery and endoscopic fetal intervention in the world. Our success in correcting life-threatening problems in utero lies in the combination of specialized technology – much of which was developed or refined here -- and the precise coordination of pediatric experts from across multiple specialties.
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Monochorionic twins are identical twins who share a single placenta between them. Two of the more significant complications that arise in these pregnancies are discussed by perinatologist and twin expert, Dr. Larry Rand.
The number of placentas that a twin pregnancy has is critical in determining the best way to safely care for the pregnancy. Perinatologist and twin expert, Dr. Larry Rand, discusses the importance of early diagnosis and frequent monitoring.
Monochorionic twins have to share a single placenta but don’t always share it equally. Perinatologist and twin expert, Dr. Larry Rand, describes the clinical markers of this condition and when frequent ultrasound surveillance is important.
Perinatologist and twin expert, Dr. Larry Rand, explains the clinical characteristics of TTTS, how it is diagnosed, the various stages of the condition and why it is so important to differentiate between those stages.
Perinatologist and twin expert, Dr. Larry Rand, describes the risks and advantages of placental laser ablation therapy, the best treatment for TTTS that has reached stage 2 and beyond, as well as the expected long-term outcomes.
UCSF Health is recognized throughout the world for innovative treatments, advanced technology, collaboration among clinicians and scientists, and a highly compassionate team of patient care providers.
The following recommendations are meant for both patients and their providers as guidance during a pregnancy with monochorionic twins.