Thankfully, most pregnancies go smoothly and most babies are born healthy. But, if a complication should arise, the team at The Ohio State University Wexner Medical Center stands ready to assist you with a variety of programs to meet your unique needs.
Some more common factors that contribute to a high-risk pregnancy include being pregnant with multiples, diabetes, genetic conditions, history of premature births, advanced maternal age or any condition the mother or baby presents that could require high-risk care or fetal treatment.
High-level targeted ultrasounds and screenings such as amniocentesis, chorionic villus sampling, fetal blood typing and fetal echocardiogram can help diagnose fetal abnormalities and other high-risk pregnancy issues.
If your primary OB/GYN referred you to Ohio State's Maternal Fetal Medicine for advanced maternal fetal care, we will work hand-in-hand with your primary OB/GYN to monitor your care and make sure that you are receiving exactly what you need, when you need it.
Ohio State's Wexner Medical Center is committed to providing women convenient and comprehensive care for every stage of life. The latest "America's Best Hospitals" issue of U.S. News & World Report recognizes our gynecology/women's health program as being among the best in the country.
What is Twin-to-Twin Transfusion Syndrome (TTTS)?
Twin-to-Twin Transfusion Syndrome (TTTS) occurs in 5%-15% of identical twins and is diagnosed by a high-risk obstetrician using ultrasound. This is a complication affecting a small number of identical twins in which the twins are sharing one placenta unevenly. One baby acts as the "recipient" of too much blood and the other becomes the "donor" receiving less blood (and therefore less nutrients) from the placenta. This uneven sharing causes problems for both babies.
Weekly ultrasound measurements of growth, fluid levels, the function of the fetal hearts and blood flow through the umbilical cords are used to determine how severe the problem is and to decide if treatment is needed.
When choosing treatment options, Ohio State considers the unique characteristics of each pregnancy and approaches a care plan step-by-step to minimize risks. Some of the TTTS treatments available are:
- Amnio-reduction removes excess amniotic fluid with a thin needle. This procedure has the lowest risk.
- Laser photocoagulation of the placental vessels uses laser energy to interrupt connecting blood vessels on the surface of the placenta, allowing each fetus to have its individual blood supply. This outpatient surgery is performed only at qualified fetal centers in the United States, such as The Ohio State University Wexner Medical Center. In fact, Ohio State's Maternal Fetal Medicine program is home to one of only a few specialists in the nation with the expertise to perform this laser surgery. This procedure has more risk, but studies show it may be more effective in treating the cause of the disease.
- Bed rest: Since a decreased level of activity is often recommended, bed rest may be suggested as a treatment. The recommended level of activity may change as the pregnancy changes.
When experiencing a high-risk pregnancy you should select a facility, such as the OSU Maternity Center, that offers a Level III—the highest level—Neonatal Intensive Care Unit (NICU). This means should your baby require special care after delivery, our team has been trained in the latest advances in neonatal care. You can take comfort in the fact that should the unexpected happen, our team is prepared.
To schedule an appointment with Ohio State's Maternal Fetal Medicine, consult your primary OB/GYN and ask him or her to schedule an appointment at 614-293-2222.