After successful fetoscopic laser treatment for Twin-to-Twin Transfusion Syndrome (TTTS), I will continue to monitor your pregnancy closely until delivery. In many cases, babies treated for TTTS are born at around 33 weeks of pregnancy, which is earlier than uncomplicated monochorionic twin pregnancies. However, if both you and your babies remain healthy and no additional complications develop, I will aim to safely prolong your pregnancy and, when possible, plan delivery between 36 and 37 weeks of gestation.
When it is time for delivery, I will recommend the safest approach based on your individual pregnancy. Together, we will consider the position of both babies, the difference in their sizes, and any other factors that may affect a safe birth. A vaginal delivery is often possible and is not automatically contraindicated after successful TTTS treatment. However, because your pregnancy remains high risk, I will recommend continuous fetal monitoring during labor and effective pain management, such as labor epidural analgesia, to keep you comfortable and to allow us to respond quickly if concerns arise. If circumstances change during labor or if the safety of you or your babies is at risk, I may recommend a Cesarean delivery to achieve the best possible outcome.