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What are the effects of VTS on the mother and surviving twin?
If the loss occurs within the first trimester, neither the remaining fetus nor the mother will exhibit clinical signs or
symptoms. The prognosis of the surviving twin is usually excellent, but depends on the specific factors that
contributed to the loss of the other twin.
If the twin is lost in the second or third trimester, there are increased risks to the surviving fetus. This could
include a higher rate of cerebral palsy and a threat to the continuation of the pregnancy.
When a twin is lost after the embryonic period of gestation (eight weeks), the water within the twins tissues, the
amniotic fluid and the placental tissue may be reabsorbed. This results in the flattening of the deceased twin from
the pressure of the surviving twin. At delivery, the deceased fetus may be identified as fetus compressus
(compressed enough to be noticed) or as fetus papyraceous (flattened through loss of fluid and most of the soft
tissue).
The information in this leaflet is for reference purposes only. Sources available on request.
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Always consult a qualified healthcare provider regarding which genetic testing options are right for you.