Özet:

INTRODUCTION: The aim of this study was to evaluate the results of the neonatal period of infants affected by twin-to-twin transfusion syndrome (TTTS), which may lead to serious life-threatening complications in monochorionic multiple pregnancies METHODS: The demographic and clinical data of the cases diagnosed with TTTS in our clinic between January 2013 and December 2017 were evaluated retrospectively RESULTS: Thirty-one infants born to 18 twin pregnancies who developed TTTS were delivered alive. One fetus of four twins had died in the intrauterine period. Four pregnant women underwent laser photocoagulation, the two donor twins of these pregnancies died during the intrauterine period. Seventeen cases were recipient and 14 were donor twins. The birth weights of the cases were 1346±654 grams and the gestational weeks were 30.1±3.7 weeks. Hydrops were detected in two cases. The hemoglobin and hematocrit values of donor twins were significantly lower; mortality rates were significantly higher than the recipient twins (p = 0.0001;0.0001;0.018, respectively). Exchange transfusion was done to two patients for anemia and six patients for polycythemia. No significant difference was found between donor and recipient twins in terms of birth weight, respiratory distress syndrome, patent ductus arteriosus, bronchopulmonary dysplasia, retinopathy of prematurity, necrotizing enterocolitis; respiratory support and inotropic need. Cardiac hypertrophy was detected in three of the recipient cases. One recipient and three donor cases developed renal failure. Four donor cases, one recipient case were lost. Twenty-one cases were discharged with healing. Close follow-up of twin pregnancies, prevention of premature birth and awareness of TTTS specific problems encountered by babies with TTTS are vital for these babies.

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