Department of Perinatal Medicine, Long Beach Memorial Medical Center Women's Hospital, California 90801-1428.
Twin transfusion syndrome (TTS) is a rare, yet frequently fatal, complication of twin gestations. Recently published data demonstrate a reduction in the perinatal mortality rate associated with TTS from nearly 100% to 20-40%. This article explains the pathophysiology of TTS, newly described treatments, complications, and specific aspects of nursing care for patients with this complication of multiple gestation.