On February 5, Tu Du Hospital informed that upon admission, pregnant woman T.T.T.H (in Khanh Hoa) was diagnosed with a 25-week twin pregnancy, level II twin blood transfusion, and intrauterine growth retardation. Doctors conducted a consultation and decided to intervene in the fetus by using a laser to cauterize blood vessels, perform amniotic fluid reduction, and remove 3 liters of amniotic fluid.
After 1 week of intervention, Ms. H returned for a check-up and discovered that the polyhydramnios had reappeared. The pregnant woman had another 2 liters of amniotic fluid reduced.
At 26.3 weeks of pregnancy (October 2024), Ms. H had symptoms of abdominal pain and signs of premature labor. Ms. H was admitted to the hospital and gave birth to two extremely premature babies weighing 850 grams and 700 grams each. The two babies were actively resuscitated on the spot and transferred to the Neonatal Department, where the 1-hour golden hour treatment procedure was performed.
The baby was kept in an incubator for more than 1 month with long-term combined antibiotic treatment, intravenous feeding and breast milk feeding to gradually stabilize the respiratory, circulatory and digestive tracts.
In November 2024, the first baby was given Kangaroo care - held in the arms of the parents. Ms. H recalled that when she held the baby in her arms, the baby was so small that she was afraid of dropping it. 10 days later, the second baby was also given Kangaroo care.
After 81 days of care and treatment at the hospital, the two children were discharged. Up to now, the health of the two children is good, with weights of 2,500 grams and 2,300 grams respectively. Currently, the family is still in Ho Chi Minh City to care for and periodically check up for the children.
According to Ms. H, she discovered she was pregnant for the first time at 11 weeks, with monochorionic twins and diamniotic sacs. The screening results for fetal abnormalities showed no abnormalities.
At 21 weeks of pregnancy, the local hospital announced that the two babies had a 50 gram difference. However, this was within the allowable weight limit and they were advised to wait for another 3 weeks of monitoring.
After 2 weeks, the pregnant woman began to feel abdominal pain, discomfort and fatigue. A follow-up examination revealed that she had twin-to-twin transfusion syndrome. The weight difference between the two babies was 100 grams, along with polyhydramnios. The doctor instructed the pregnant woman to go to a more specialized hospital for advice and treatment.
