Target:
The American College of Obstetricians and Gynecologists
Region:
United States of America
Website:
www.fetalhope.org

Over 90% of TTTS pregnancies end with mortality when conservatively monitored.

Please help greatly reduce these outcomes by signing this petition to simply require an increase in monitoring of pregnancies at high risk for developing TTTS or SIUGR.

If you have recently been Diagnosed with TTTS, please visit TTTSParents.org



Helpful resources:

http://goo.gl/bRCPy

http://goo.gl/iiR8R

http://europepmc.org/abstract/MED/18262471

http://www.mendeley.com/research/twin-anemia-polycythemia-sequence-prenatal-perspective-7/#


We the undersigned call on 'The American College of Obstetricians and Gynecologists' to require the following standards in the care of a monochorionic pregnancy:

~Determine the chorionicity of a twin or higher pregnancy between 6-14 weeks of gestation.

~Referrals be made to a Maternal-Fetal Medicine Specialist or Perinatologist at the determination of a monochorionic pregnancy.

~Ultrasounds be given a minimum of every two weeks starting at 16 weeks of gestation.

~Check for the largest vertical pocket of fluid with each ultrasound.

~Take MCA/PSV measurements monthly after 18 weeks of gestation.

~Educate the patients about TTTS and SIUGR. Inform the patients about how Specialists can help them.

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