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Appointment today...."Mono-Di" twins.
Hey ladies!
I had an appointment today, which was the first time I got to see my regular doc since the peri found out I was having twins.
I didn't know what all to ask the peri as I didn't know ANYTHING about twins, so I was able to ask my doc some things today. I asked him about the number of placentas, but he said they didn't say in the report how many I had, so they must not have been able to locate the placenta. Then he drew me a diagram of what twins are possible (di-di, mo-mo, mono-di) and told me I have mono-di twins and that they are likely identical....can he know this before he can confirm a single placenta?
We also discussed delivery...he said a c-section isn't 100% certain, it all depends on the position of the babies, so that pleased me.
Anyways, at the end of the appt, I got a quick sono to peek the the babies and make sure their heartbeats look good....they are ADORABLE. I mean, really, really adorable. I'm in love. 
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Re: Appointment today...."Mono-Di" twins.
If they are mono-di then you want to be aware of Twin to twin transfusion syndrom, or TTTS. It only happens when they share a placenta and it only happens in 10-15% of mono-di pregnancies, but you need to be aware of the risk and make sure your docs are keeping a close eye on you to monitor you for this. There are sooo many docs who don't take this seriously and it's imortant that you are aware of it.
I have mono-di twins who did/do have TTTS, so I make sure to tell anyone and everyone about the risk. I don't tell you this to scare you or make you worry. I genuinely just want all mono-di moms to be aware to this and make sure their docs are watching for the signs. I wish you all the best and a healthy 9 months!! congratulations!
Thanks for your reply! He did talk a bit about TTTS, as did the peri when I seen him, but I can't help but wonder if they are keeping a close eye out for it. I don't have another thorough scan until 20wks, but it's my understanding that it can potentially develop at anytime. Hopefully they keep an eye out for it and do something at the first hint that it may be an issue.
Thanks again!
Congrats! I'm a Mo-Di momma to be. I'm actually being watched for TTTS right now. It just came up in the last 2 weeks. We aren't there yet. I am more or less in a gray area right now, so I have an appointment every week to see what's happening. It is scary, but we are in good hands right now.
I can't answer your placenta question, as mine was pretty obvious, but I hope you have a very healthy and happy pregnancy!
Josie, I hope your case of TTTS isn't severe and that they can treat it effectively. I've been doing a lot of reading on it since my appointment yesterday, and to be honest, I'm freaking out.
Ugh the anxiety!
Again, best wishes, and please keep me updated! I don't personally know any twin mommas, so it's nice to be able to compare notes here with you ladies.
I would really push for an u/s before 20 weeks. If you can get one at 16-17 weeks go for that. And then again at 20 weeks especially since they aren't sure on the placenta. TTTS can change on a dime so every u/s at this point is important.
I was diagnosised at 18 weeks in stage1. If I had waited a few more weeks for the big u/s at 20-21 weeks, it's very likely I would have lost one or both of my girls. I got an early diagnosis and it saved my girls. You very well may not have any issues with TTTS, but do not take any chances. I have learned that you have to really advocate for yourself and your babies and push for what you want!
Yay for Mo/DI Twins. Welcome to the club! Peri/MFM noticed a problem at 16 weeks and that is when I started the bi-weekly u/s. I would suggest the same!
My regular OB didn't want to send me to an MFM. I insisted that I see one and when I went to that appt at 18 weeks we found out we were stage 1 TTTS. My MFM sent us to the Fetal Care Center in Cincinnati for more testing.
After we met with the doctors there we decided to try an amnio-reduction to remove the extra fluid from baby A. We were told that this procedure works 30-40% of the time and that if it works I would probably not need the laser surgery. Since this was the safest thing to try first we did it and it worked! The fluid levels balanced out and have been equal ever since. The babys' weights were never too far off to begin with, but have since equaled out as well.
We were closely monitored by the Cincinnati doctors for six weeks till I hit 25/26 weeks and laser surgery would no longer be an option anymore.(at that point delivery is considered safer) Then I have seen my MFM every week for u/s and dopplers on the babies to make sure everything was going well. I will say that I don't know that too many TTTS cases go this well. Many end up needing the surgery and then delivering early. I have been very fortunate to make it this far. I have heard several times from the staff in the MFM office that they can't believe I only had the one reduction. Usually, you have to have it repeated at some point.
If there's any suspicion of TTTS then I think the doctors should be doing u/s every week. My MFM told us that it's very unpredictable and can change for the worse very quickly and then it might be too late. If I had listened to my original OB, I'm afraid of what the outcome might have been.