[Fetofetal transfusion syndrome. A case report]

Area of Science:

• Perinatology
• Maternal-Fetal Medicine
• Neonatology

Background:

• Twin pregnancies present unique challenges in prenatal monitoring.
• Silent abnormalities on antenatal cardiotocography can indicate serious fetal compromise.
• Fetofetal transfusion syndrome (FFTS) is a severe complication of monochorionic twin pregnancies.

Observation:

• An urgent caesarean section was performed based on subtle antenatal cardiotocography findings.
• Postnatal examination confirmed the diagnosis of fetofetal transfusion syndrome.
• Placental vascular anastomosis between donor and acceptor sites was visualized using X-ray.

Findings:

• The study reports a case of twin pregnancy complicated by FFTS.
• Diagnostic imaging confirmed placental vascular connections indicative of FFTS.
• Clinical management and prognosis for the donor twin were discussed.

Implications:

• Early recognition of subtle CTG changes is crucial in twin pregnancies.
• Prompt intervention can improve outcomes in cases of FFTS.
• Understanding placental vasculature is key to diagnosing and managing FFTS.