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By sharing the same placenta Twin-to-twin transfusion syndrome (TTTS) is occurred.

TTTS, or twin-twin transfusion syndrome, is an uncommon but deadly illness that can develop during pregnancy. When a placenta is shared by identical twins, this occurs (monochorionic). The placenta develops abnormal blood vessel connections. They permit the fetuses' blood to circulate inequitably. Dehydration affects one twin, known as the donor. High blood pressure appears in the recipient twin, the other twin. The recipient overfills the amniotic sac by excreting too much urine.

The placenta is afflicted with TTTS. The impact varies for every twin. Urine production on the donor twin is below average. The result is inadequate fetal growth and insufficient amniotic fluid. The donor twin excretes more pee than usual. The result is a larger bladder and an excess of amniotic fluid.

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