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.

Health officials in the United States have raised alarms after confirming cases of a more severe mpox strain, known as Clade I, in California. This marks the first reported instance of this strain spreading locally, as previous US cases had all been linked to international travel.

So far, three cases have been confirmed across Southern California, including Los Angeles County and Long Beach. All patients required hospitalization but are now recovering at home. The discovery has triggered concern among health experts as Clade I mpox is known to cause more serious illness than the milder Clade II strain that led to the 2022 global outbreak.

What Is Clade I Mpox?

Mpox (formerly called monkeypox) is caused by a virus from the same family as smallpox. There are two main genetic variants or clades that infect humans, Clade I and Clade II.

While Clade II was responsible for the global outbreak in 2022–23, Clade I has historically circulated in parts of central and western Africa. It is associated with more severe disease, higher rates of complications, and in some cases, fatalities, particularly among children, pregnant women, and people with weakened immune systems.

Experts are now investigating how this strain might have started circulating within US borders and whether community transmission is occurring.

Early Signs and Symptoms to Watch For

Mpox usually begins with flu-like symptoms and can be easily mistaken for a seasonal illness in its early stages. Common early signs include:

• Fever, chills, or sweating
• Headache and muscle aches
• Fatigue or weakness
• Swollen lymph nodes
• Sore throat or nasal congestion

Within a few days, a distinctive rash develops, starting as red spots that progress into fluid-filled blisters or pustules. These can appear on the face, palms, soles, genitals, or even inside the mouth and eyes. The rash typically scabs over and heals within two to four weeks.

In more severe Clade I infections, complications may include secondary bacterial infections, prolonged healing, scarring, eye involvement leading to blindness, or inflammation of internal organs. In rare cases, systemic infection can occur, posing life-threatening risks.

Who Is Most at Risk?

Certain groups are more likely to contract or develop severe mpox:

• Those in close, intimate, or prolonged contact with an infected person
• Individuals who share contaminated clothing, bedding, or surfaces
• People exposed to respiratory droplets through face-to-face interaction
• Individuals with multiple sexual partners or exposure in commercial sexual venues
• People with compromised immunity, such as those living with HIV, cancer, or transplant recipients

Children and pregnant women

Public health experts emphasize that awareness of symptoms and early diagnosis are key to preventing further spread.

How to Stay Safe

While most mpox cases are not fatal, Clade I poses a higher risk, making prevention critical. Health agencies recommend the following:

• Avoid direct contact with people who have rashes or lesions resembling mpox.
• Do not share personal items like towels, bedding, or clothing.
• Practice good hand hygiene, wash hands often with soap and water or use an alcohol-based sanitizer.
• Use masks in crowded or high-risk settings where close contact occurs.
• Seek medical attention immediately if you notice suspicious rashes or flu-like symptoms after possible exposure.

Experts also stress that vaccines used during the 2022 outbreak, such as Jynneos, remain effective against both Clade I and Clade II strains. Vaccination, combined with early treatment and isolation of confirmed cases, is expected to play a crucial role in containing the spread.

The Long Beach Department of Health and Human Services has confirmed its first case of locally acquired Clade-1 Monkeypox strain. In a recent press release, the authorities informed the citizens that the person who was diagnosed had no recent travel history, which means the virus was contracted locally.

While the risk for the public remains low, the health department warns people to stay safe. Since it is a contagious disease, the health investigation is still ongoing, as the public officers comb through the person’s history. However, currently there are no other cases of the clade 1 mpox. Mayor Rex Richardson said, “While the overall risk of mpox clade I exposure to the public remains low, we are taking this very seriously and ensuring our community and health care partners remain vigilant so we can prevent any more cases.”

What Is Mpox?

According to the World Health Organization, Mpox (previously called monkeypox) is a sickness caused by a virus. Think of it as being like different types of flu—there are a few versions of the mpox virus, called clades.

The global outbreak that happened in 2022–2023 was caused by one of these versions, specifically Clade IIb. The virus spreads through close contact with an infected person's sores or body fluids, with contaminated items like bedding, or with infected animals. The virus can also be passed from a pregnant person to their baby.

Most mpox treatment involves supportive care—doctors help manage symptoms like pain and fever while the body recovers. This includes keeping the patient well-nourished and hydrated, caring for the rash, and addressing any secondary infections. Fortunately, vaccines are available for mpox.

How is Clade 1 Different From Clade 2?

This new case involves Clade 1 mpox, which is historically associated with more severe illness and is typically found in Central and East Africa.

In contrast, the large 2022-2023 outbreak in the U.S. and globally was caused by Clade 2, which usually results in milder illness. Mpox, regardless of the clade, spreads through direct contact with sores, body fluids, intimate contact, or contaminated items. Symptoms can include a rash or sores, fever, chills, sore throat, swollen lymph nodes, and body aches.

What Are The Health Risks of Mpox?

Long Beach health officials are currently investigating the patient's source of exposure and conducting contact tracing, though no other cases have been identified so far.

Long Beach Mayor Rex Richardson emphasized that while the overall risk to the public remains low, the city is taking the situation seriously. He stressed the importance of continued surveillance, early response, and vaccination.

A Long Beach public health physician, Dr. Cliff Okada, advised: "Anyone with an unexplained rash or lesions should seek care promptly. Speak openly with intimate partners and your healthcare provider. Early action protects you and others."

Who Is At Risk For Mpox Clade 1?

The Centers for Disease Control and Prevention (CDC) continues to recommend the Jynneos vaccine for people at high risk of exposure. This includes gay, bisexual, and other men who are intimately involved with other men, transgender and non-binary people, those with weakened immune systems (such as people with HIV), individuals exposed to an infected person, those with occupational exposure, and people traveling to areas with ongoing outbreaks.

Most mpox patients recover on their own within 2 to 4 weeks. A booster shot is not currently recommended for those who have completed the two-dose vaccine series.

Liam Payne's death marks a whole year, and his girlfriend Kate Cassidy reflected on his death anniversary. She also opened up about her depression after his death. Cassidy lost her boyfriend, former One Direction member in 2024, and as she said, her world collapsed.

The 26-year-old social media star has now opened up about her painful journey through grief, depression, and eventually healing.

In an interview to Page Six, she said, "I was always just kind of doing nothing and just dealing with that grief and pain. I was admittedly mired in depression and just not wanting to really live my life.”

For weeks, Cassidy found herself unable to function, trapped between disbelief and heartbreak. But around two months later, something shifted.

“I finally realized, ‘OK, like I need to live my life. I need to get up, get out of bed,’” she recalled.

The Way To Healing

However, she was determined to pull herself out of darkness and so she began to rebuild her days, one small habit at a time. She started to set her alarm earlier each morning, forcing herself to wake up and move. "I began working out, eating clean," she said. "I like to always be up early, have a workout class planned, go for a nice walk, eat cleaner. For me, being active always keep my mind so much cleaner and healthier," she explained.

Gradually, she also learned to navigate her life without Payne, and kept herself busy. She said that she tried to be as busy as she can to help her headspace.

Also Read: Liam Payne Investigation: How Pink Cocaine Affects You?

Acknowledging The Hard Truth

Payne's death was a devastating news for her as well as for her fans. The 31-year-old singer died in October 2024, after falling from a third-storey balcony at the CasaSur Palermo Hotel in Buenos Aries, Argentina.

An autopsy report later revealed that Payne had drugs in his system and the authorities determined that he fell to his death while trying to escape the hotel room after he was locked in.

Cassidy had joined Payne on the trip, but returned home two days before his death. Following his death, she revealed that they had talked about spending their lives together. "We had so many plans. He lit up my room. He was just so sweet, so funny. I've never met anybody like him and I'm sure I probably won't ever meet anybody like him in my life."

Almost a year later, Cassidy is filled with both sorrow and gratitude. "In a way, I am glad that he is going to be that one person. He was the best person I ever met."

Cassidy said that through grief she is learning to embrace life again.

What Depression Feels Like After You Lose Someone

Cassidy opened up that right after losing Payne, she felt like she could not live anymore. While grief and loss is a natural emotional response to the loss of someone close, often, one slips through depression, if they are not able to cope with the loss.

Depression is a mood disorder and it causes a persistent feeling of sadness, and further affects your emotional and physical well-being.

NHS UK notes that people who deal with grief and loss feel shock and first and numb after and then they go into the phase of overwhelming sadness, tiredness, exhaustion, and sometimes anger.

However, there are things one can do, notes NHS UK, which includes talking to a friend, a mental health expert, go for peer support, and try to bring in simple lifestyle changes to help you feel more in control and able to cope.