Singer Jesy Nelson recently shared an emotional update regarding the complications she is experiencing in her pregnancy with twin babies. Former Little Mix singer Jesy, who is having twins with partner Zion Foster, announced that she has been diagnosed with pre-twin-to-twin transfusion syndrome (pre-TTTS). The condition, which is present in pregnancies involving twins with a shared placenta, has serious risks involved and needs intense medical supervision. As Nelson embarks on this difficult journey, her story enlightens us about a rare but dangerous condition many expectant parents may not know much about.

Twin-to-twin transfusion syndrome is a rare but dangerous condition that arises in monochorionic twin pregnancies, in which identical twins share a single placenta. The placenta supplies the developing babies with oxygen, nutrients, and blood flow, but in TTTS, there is an imbalance of blood vessels that interconnect the twins, and thus the vital resources are not evenly distributed. One twin, or the donor twin, shares excess blood with the other, referred to as the recipient twin. This leads to one baby becoming malnourished and possibly anemic, and the other in danger of heart problems due to too much blood.

Nelson described her diagnosis in a heartfelt Instagram video, explaining that she is currently in the pre-stage of TTTS and undergoing frequent monitoring. "I am being scanned twice a week, and each time, things have gotten a little worse," she shared, expressing her fears and hopes for the health of her babies.

Potential Risks of TTTS

If left untreated, TTTS can have devastating consequences. Medical research indicates that:

• 90% of the cases of untreated TTTS lead to loss of one or both twins.
• Despite treatment, only a 70% survival rate for both twins is assured.
• Severe forms can result in preterm labor, cardiac failure in the recipient twin, and organ failure in the donor twin.
• Complications in long-term survivors include neurological damage and developmental delay in surviving infants.

TTTS usually advances in stages, beginning with minimal changes in fluid levels and worsening as one twin continues to get an unequal share of blood. In extreme cases, fetal laser surgery, referred to as the Solomon technique, can be employed to divide the blood vessels and balance the twins.

Why Identical Twin Pregnancies Are More Complicated

Identical twins may develop differently, and their own unique form of placental sharing can have a dramatic effect on pregnancy risk. Jesy Nelson's twins are considered monochorionic diamniotic (mono/di), which means they share a placenta but have two amniotic sacs. This is the type of pregnancy in about 70% of identical twin pregnancies and carries an increased risk of complications like TTTS, umbilical cord entanglement, and growth restriction.

Conversely, dichorionic diamniotic (di/di) twins both have a separate placenta and amniotic sac, which greatly diminishes the threat of TTTS. Twin pregnancy type is normally identified by early ultrasound, with physicians being able to track future complications from inception.

Other Twin Pregnancy Health Risks

Twin pregnancies, even without the presence of TTTS, entail a variety of health risks to the mother as well as infants:

1. Premature Birth

Over 60% of twin pregnancies end in premature delivery, with birth usually taking place before 37 weeks. Premature infants can have immature organs and need neonatal intensive care (NICU) assistance to assist with breathing, feeding, and infection fighting.

2. Gestational Hypertension and Preeclampsia

Pregnant women with multiples are at increased risk of having high blood pressure during pregnancy. This, if left untreated, can result in preeclampsia, a serious complication of pregnancy that can result in damage to organs, preterm labor, and in some cases, maternal or fetal death.

3. Anemia

Pregnant women carrying multiples are twice as likely to experience anemia, a condition where the body does not produce enough healthy red blood cells. This can lead to fatigue, dizziness, and complications during delivery.

4. Birth Defects

According to John Hopkins Medicine, multiple birth babies are twice as likely to have congenital abnormalities compared to single births. These can include heart defects, neural tube defects, and gastrointestinal issues.

5. Amniotic Fluid Imbalances

When twins have to share a placenta, they are more likely to have polyhydramnios (excess amniotic fluid) or oligohydramnios (not enough amniotic fluid). Both result in distress to the babies during fetal development and can result in premature labor.

6. Postpartum Hemorrhage

Twins are at increased risk of excessive postpartum hemorrhage because their uterus is larger and there are greater blood supply needs.

Jesy Nelson's openness about her challenging experience is raising awareness for TTTS, a condition that few individuals—let alone expectant mothers and fathers—might be aware of. Through her tearful video, Nelson stressed the significance of knowing about twin pregnancies aside from the thrill of having multiples. "We had no idea that this type of thing occurs when you're having twins. We just desperately want to make people aware of this because there are so many people who aren't aware."

Her case reminds us of the intricacies involved in twin pregnancy and the significance of early identification and medical management. For mothers carrying twins, frequent ultrasounds and vigilance can become a life-and-death issue for early detection and better outcomes of both babies.

Through constant medical attention and care, she and her partner Zion Foster remain positive and get ready for their babies to be born. In other parents whose situations are no different, the story of Nelson highlights awareness, medical progress, and emotional encouragement in handling complicated pregnancies.

The expecting parents of twin siblings are advised to discuss TTTS screening and possible interventions with their physicians to give their babies the best chance.

The US Food and Drug Administration (FDA) has expanded the approval of Vertex Pharmaceuticals' Casgevy (exagamglogene autotemcel), making it the first gene therapy approved for children as young as 2 years with sickle cell disease (SCD) and transfusion-dependent beta thalassemia (TDT).

Earlier, the one-time CRISPR-based gene-editing therapy was approved only for patients aged 12 years and older. The expanded label is expected to make approximately 5,500 additional children in the US eligible for treatment, the company said.

Why The Expanded Approval Matters

The FDA said earlier intervention could help prevent irreversible organ damage and improve long-term health outcomes.

“With today’s decision, pediatric patients as young as 2 years of age can now access a critical additional treatment option to treat these debilitating, life-threatening diseases,” said Karim Mikhail, Acting Director of the FDA's Center for Biologics Evaluation and Research (CBER).

"Making this therapy available to younger patients opens a critical window for intervention and gives these children a meaningful chance at a healthier future," added Megha Kaushal, Acting Deputy Director of the FDA's Office of Therapeutic Products.

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Clinical Trial Results

The expanded approval is backed by clinical trial data in children aged 5 to under 12 years.

For sickle cell disease:

• All 8 evaluable patients experienced no severe vaso-occlusive crises (painful episodes) for at least 12 consecutive months within the first two years after treatment.

For transfusion-dependent beta thalassemia:

• Eight of nine evaluable patients achieved transfusion independence for at least 12 consecutive months.
• The median duration of transfusion independence was 20.1 months.

What Is Casgevy?

Casgevy is a one-time gene-editing therapy that uses CRISPR technology to modify a patient's own blood stem cells, enabling the body to produce healthier red blood cells.

For people with sickle cell disease, it aims to prevent painful vaso-occlusive crises. In beta thalassemia, it can eliminate the need for regular blood transfusions in many patients.

“These disorders carry a heavy burden for children and their families, affecting growth, development, and long-term health in profound ways,” said Kaushal, also a pediatric hematologist. “Grounded in the scientific evidence that earlier treatment reduces the risk of lasting end-organ damage, making this therapy available to younger patients opens a critical window for intervention and gives these children a meaningful chance at a healthier future.”

The FDA granted the expanded approval through its Commissioner's National Priority Voucher program, completing the review in 53 days.

Vertex said it has also submitted applications to expand Casgevy's use in the United Kingdom and Saudi Arabia, where regulatory reviews are currently underway.

A popular snack brand is currently under scrutiny after its multiple products were classified under the US Food and Drug Administration's (FDA) Class I recall. The move came after concerns over its product being contaminated with Salmonella surfaced.

Why Did The Product Get Recalled?

According to the FDA, the recall was initiated in May by Utz Quality Foods LLC after the company found out that a seasoning ingredient containing milk powder, sourced from California Dairies Inc. through a third-party supplier, may have been contaminated with Salmonella.

The recall affects a few varieties of its Zapp's and Dirty’s potato chips, including Zapp's Bayou Blackened Ranch, Big Cheezy, and Salt and Vinegar potato chips, as well as Dirty brand Salt and Vinegar, Maui Onion, and Sour Cream and Onion potato chips.

According to the FDA, Utz said the seasoning batches tested negative before being used in production, but the decision to recall the products was taken as a precautionary measure.

While no illnesses have been reported yet, the FDA's move indicates there is a reasonable probability that consuming these products could result in adverse health consequences and even death.

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What Does FDA’s Class I Recall Signify?

The FDA uses three categories to classify product recalls based on the level of public health risk. A Class I recall is usually reserved for products that pose the highest risk to consumers.

It is issued when there is a reasonable probability that consumption or use of the product will cause serious health problems or death.

What Is Salmonella & How Serious It Is?

Salmonella infection, known as salmonellosis, usually develops between six hours and six days after consuming contaminated food.

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Common symptoms of salmonellosis include:

• Diarrhea

• Fever

• Stomach cramps

• Nausea

• Vomiting

• Headache

Most healthy people recover within four to seven days without targeted treatment. However, it can become severe when the infection enters the bloodstream. Deemed as a medical emergency, this situation prompts urgent attention.

Those with weakened immunity systems, such as young children, older adults, and women who are expecting are at the greatest risk of developing serious complications from salmonellosis. In rare cases, the infection can become life-threatening.

The FDA has advised consumers not to eat the recalled potato chips. It has also said that anyone who has purchased the affected products should either discard them or return them to the place where they bought them for a refund.

The regulatory body has also said that consumers who experience symptoms of salmonellosis after eating the recalled products, especially those at higher risk for complications, should seek medical care immediately.

Although no infection cases linked to the recalled chips have been reported to date, health officials say the recall is intended to prevent potential cases before they occur.

Women diagnosed with polyendocrine metabolic ovarian syndrome (PMOS) should receive an annual NHS health review and be diagnosed earlier to reduce their long-term health risks, according to draft guidance released by the UK's National Institute for Health and Care Excellence (NICE).

The guidance, now open for public consultation, recommends yearly reviews to monitor symptoms, treatment and the risk of developing serious conditions such as type 2 diabetes and cardiovascular disease. Earlier diagnosis, NICE says, could help people access timely care and make lifestyle changes before complications develop.

PMOS, until recently known as polycystic ovary syndrome (PCOS), was renamed following an international consensus published in The Lancet. The new name better reflects the condition's endocrine, metabolic and ovarian features.

What Does The Draft Guideline Recommend?

Also read: PCOS Is Now PMOS: What The Name Change Means For Millions Of Women

NICE recommends that everyone diagnosed with PMOS should be offered an annual review covering:

• Menstrual irregularities
• Symptoms such as excess hair growth (hirsutism)
• Medication use
• Screening for long-term health risks, including diabetes and cardiovascular disease

The guideline also includes recommendations on fertility treatment, stating that eligible patients should be offered IVF in line with existing NHS fertility guidance. It also addresses the management of common PMOS-related conditions, including acne, hirsutism and obstructive sleep apnea.

Given the increased risk of metabolic and cardiovascular disease in people with PMOS, the guidance directs healthcare professionals to relevant NICE recommendations for managing these conditions.

Earlier Diagnosis A Key Priority

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The draft guideline highlights that PMOS remains underdiagnosed despite affecting an estimated one in eight women.

It recommends investigating PMOS in anyone with irregular or absent menstrual cycles alongside signs of excess male hormones, as these are common indicators of the condition.

The guidance covers girls aged over 10, as well as adult women, trans men and non-binary people who are not receiving gender-affirming hormone therapy or surgery.

People with suspected PMOS should be offered blood tests to measure hormone levels and, where appropriate, pelvic ultrasound scans. The guideline also states that PMOS should not be ruled out after menopause and notes that the condition may be more prevalent among women of Black, Asian and mixed ethnic backgrounds.

Marie Anne Ledingham, consultant clinical adviser for women's and reproductive health at NICE, said the guidance is intended to improve consistency of care and ensure people receive appropriate long-term monitoring.

"PMOS is a common but often overlooked condition that can have a major impact on health and well-being. Recommending a simple annual review is an important step towards ensuring people get the ongoing care and monitoring they need," Ledingham said, in a statement.

Mental Health And Fertility Addressed

The draft guidance recognizes that PMOS affects far more than reproductive health. It is associated with an increased risk of depression, anxiety, eating disorders, fatty liver disease, obstructive sleep apnoea, pregnancy complications and fertility problems.

For people planning a pregnancy, NICE recommends advice on achieving and maintaining a healthy weight, balanced nutrition, regular exercise, good sleep and mental wellbeing to improve reproductive outcomes.

The guidance also stresses that eating disorders should not be overlooked or dismissed based solely on a person's weight.

Laser Hair Removal Not Recommended

While the draft guideline includes recommendations to manage hirsutism, it does not support routine NHS funding for laser and light-based hair removal therapies. NICE concluded that these treatments are not cost-effective, estimating they could cost the NHS "up to £100 million annually" in England if routinely funded.

The draft guideline is open for consultation until August 11, 2026, with the final NICE guidance on PMOS expected to be published in December 2026.