{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:24:53Z","timestamp":1762507493026},"reference-count":31,"publisher":"Springer Publishing Company","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neonatal Network"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>To present a case of twin-to-twin transfusion syndrome (TTTS), followed by discussion of the etiology, pathophysiology, prenatal diagnosis, management, complications, prognosis, and family considerations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A literature review was conducted using MEDLINE, PubMed, CINAHL, ProQuest, and Google Scholar. The search resulted in 593 articles; 25 relevant articles were chosen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Approximately 1 of every 250 cases of monochorionic twins acquire TTTS. The progression of TTTS is unpredictable; nontreatment and early onset have been associated with &gt;90 percent mortality of both twins. Neurodevelopmental impairment, preterm birth, renal hypoperfusion, growth restriction, cardiomyopathy, and hydrops fetalis have been associated with TTTS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Limitations<\/jats:title><jats:p>A paucity of research and case reports exists, limiting recommendations for optimal diagnosis, management, and treatment regimens.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for Practice<\/jats:title><jats:p>TTTS is unpredictable in progression; earlier identification of chorionicity, diagnosis of TTTS, and improvement of treatment and management have the potential to improve the mortality and morbidity outcomes associated with TTTS.<\/jats:p><\/jats:sec>","DOI":"10.1891\/0730-0832.37.5.292","type":"journal-article","created":{"date-parts":[[2018,9,12]],"date-time":"2018-09-12T13:08:18Z","timestamp":1536757698000},"page":"292-302","source":"Crossref","is-referenced-by-count":3,"title":["Twin-to-Twin Transfusion Syndrome: A Case Report"],"prefix":"10.1891","volume":"37","author":[{"given":"Tiffany Nicole","family":"Bautista","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Traci L.","family":"Krebs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Jnah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Desi","family":"Newberry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2018,9,1]]},"reference":[{"issue":"7","key":"2019091816140628000_37.5.292.1","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1055\/s-0034-1372428","article-title":"Twin-to-twin transfusion syndrome: prenatal diagnosis and treatment","volume":"31","year":"2014","journal-title":"Amer J Perinatol"},{"key":"2019091816140628000_37.5.292.2","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2011-0208"},{"key":"2019091816140628000_37.5.292.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.10.880"},{"key":"2019091816140628000_37.5.292.4","doi-asserted-by":"publisher","DOI":"10.1017\/thg.2016.27"},{"key":"2019091816140628000_37.5.292.5","unstructured":"Bajaj K , Gross SJ . 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