Fetomaternal placental transfusion syndrome digital illustration

Fetomaternal placental transfusion syndrome Save


ICD-10 code: O43.01

Chapter: Pregnancy, childbirth and the puerperium

Fetomaternal Placental Transfusion Syndrome: A Rare Complication of Pregnancy

Fetomaternal placental transfusion syndrome (FMPTS) is a rare but serious complication that can occur during pregnancy. In this condition, there is an abnormal transfer of blood from the placenta to the fetus, which can lead to a range of health issues for both the mother and the baby.

FMPTS is also known as twin-to-twin transfusion syndrome, as it most commonly affects identical twins who share a placenta. However, it can occur in any pregnancy where there is a shared placenta, including those with triplets or more.

The syndrome occurs when there is an imbalance in blood flow between the fetuses sharing the placenta. One fetus receives too much blood, while the other receives too little. This can lead to a range of complications, including:

  1. Premature delivery
  2. Low birth weight
  3. Anemia
  4. Polycythemia
  5. Heart failure
  6. Brain damage

Diagnosis of FMPTS can be difficult as there are no specific symptoms associated with the condition. However, doctors may suspect the condition if they observe differences in the size or growth of the fetuses during routine ultrasounds. Further testing, such as amniocentesis or doppler ultrasound, may be used to confirm the diagnosis.

Treatment for FMPTS depends on the severity of the condition and the gestational age of the fetuses. In some cases, close monitoring of the pregnancy may be all that is needed. However, more severe cases may require in utero transfusions or early delivery of the babies.

Overall, FMPTS is a rare but serious complication of pregnancy that can have a range of health implications for both the mother and the baby. Early diagnosis and appropriate management are key to ensuring the best possible outcomes for both.