Fetal transfusion syndrome

The goal of treatment is to treat each child's problem. The donor twin may be anemic enough to need a blood transfusion. The recipient twin may need to have the volume of fluid reduced (this may involve a exchange transfusion).

Medications, such as furosemide (Lasix), and, rarely, digitalis (digoxin), may be used as supportive treatment. A digoxin level may be tested at regular intervals if this medication is needed to treat heart failure in the recipient twin.

If the twin-to-twin transfusion is mild, full recovery is expected for both babies. However, severe cases may result in the death of a twin.

This condition is usually diagnosed at or shortly before the time of birth.

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