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.

Travel Restrictions To Canada: The top court of the land, that is the Supreme Court of Canada ruled that travel restrictions were violative of citizen's right, however, are reasonable during "grave emergency" like pandemic.

Travel Restrictions To Canada: What Happened That Led To Supreme Court Ruling?

During May 2020, in early days of the COVID-19 pandemic, Kimberley Taylor, who was living in Halifax, got the news of her mother Eileen's passing away at the age of 75 of natural causes at St John's, as reported by The Global Mail. Kimberley wanted to attend a small memorial service however was unable to go there due to the Newfoundland government's rejection of her initial request.

The memorial service and the burial was attended by her father, sister and niece. "I was denied the ability to join my family to grieve my mother," she said, as reported.

This is when she along with the Canadian Civil Liberties Association launched a legal challenge. They noted that strict travel restrictions were in violation of the mobility rights within Canada as guaranteed by Section 6 of the Charter of Rights and Freedoms.

Last week, on Friday, a nine judge bench in the Supreme Court of Canada provided an expansive view of the Canadians' Charter mobility rights.

Travel Restrictions To Canada: What Did The Canadian Supreme Court Say?

The top court said that while Kimberley's rights were in fact violated by Newfoundland's pandemic rules, these were within the reasonable limits. The court deemed the pandemic travels rules to be in bounds within the reasonable limits on rights and freedoms in Section 1 of the Charter.

Jessica Kuredjian, a lawyer at Cassels in Toronto, as reported by The Global Mail, said, "This is a great ruling, and an important one. It is very human case. It is a great example of where Charter rights impact the real rights of everyday citizens."

The ruling will serve as a precedent for the ambit of government actions and restrictions during potential health emergencies in the future.

In a majority ruling authored by Justices Andromache Karakatsanis and Sheilah Martin, the court noted that early pandemic deaths and scientific uncertainty created an “extraordinarily difficult situation,” requiring swift decisions to protect public health and prevent further loss of life.

The judgment marks the latest major court effort to define the balance between individual freedoms and government authority stemming from pandemic-era actions. Just last month, the Federal Court of Appeal found the federal government’s 2022 use of the Emergencies Act to curb large protests was not legally justified.

Friday’s ruling also adds to the legal interpretation of the 1982 Charter of Rights. While many Charter provisions have been heavily litigated over the years, Section 6 — mobility rights — has rarely been tested in court.

“There really was a dearth of jurisprudence on the topic,” said Anaïs Bussières McNicoll, director of the Civil Liberties Association’s fundamental-freedoms program.

The pandemic travel-restriction case effectively marks the Supreme Court’s first detailed examination of Section 6 as it applies to Canadians’ general freedom of movement within the country.

In their majority opinion, five judges stressed that Charter rights must receive “generous protection.” On mobility rights, they traced the concept back nearly a millennium, linking it to common-law traditions from the 1200s and even earlier “ancient customs.”

North London Measles Outbreak: 34 children have been infected by a "fast spreading" measles outbreak in several north London schools, confirmed health officials. The cases were first confirmed from Enfield in laboratory tests in January, as is reported by the UK Health Security Agency or the UKHSA.

A local GP, as reported by the BBC said that one in fiver children who contracted the illness had been admitted to hospital. The doctor also said that these children "had not been fully immunized".

Families are now asked to ensure that their children are up to date with their immunizations and vaccinations against this highly contagious disease. Measles could cause serious health complications.

North London Measles Outbreak: Who Can Get The Vaccines?

Measles vaccinations for children are available at the school, however, if they missed it, they can also get it at a number of catch-up clinics around the UK. The vaccinations are for free.

Enfield's NHS Ordnance Unity Centre For Health on its website noted that there is a "fast spreading measles outbreak in several schools" across the borough. The infections were confirmed in "at least" seven schools in Enfield, which means there could be more. Some reports also came from neighboring Haringey.

Enfield Councillor Alev Cazimoglu said that current outbreak had "mainly affected children and some have required additional care with a short stay in hospital". She also said, "Vaccination is the most effective way to protect yourself and your family. We urge everyone who is not fully vaccinated to act now."

The 34 cases of Enfield represent over a third of the 96 total cases which were confirmed in England in the first month of this year as per the UKHSA data.

As per the Enfield Council, it is working closely with UKHSA, the NHS and local partners to limit any further spread.

Read: UK Loses Measles Elimination Status: Why Is This Disease Making A Comeback?

North London Measles Outbreak: Who Are At Most Risk?

As per a UKHSA medical practitioner, Dr Vanessa Saliba, as also reported by the BBC, the "big" outbreak is "mostly affecting unvaccinated children under 10 in schools and nurseries". She also added, "Measles is a nasty illness for any child, but for some it can lead to long term complications and tragically death, but is so easily preventable with two doses of the MMRV [measles, mumps, rubella, chickenpox] vaccine."

Dr Saliba also suggested children to catch-up with their vaccine schedule in case they have missed it and also urged those travelling abroad over the Easter holidays to check their vaccination status.

North London Measles Outbreak: What Is It And What Are The Symptoms?

Measles is a highly contagious disease. It spreads by coughs or sneezes or by touching things that someone with measles has coughed or sneezed on.

Measles, also known as rubeola, is an extremely contagious viral illness that typically causes high fever, cough, runny nose, red and watery eyes, and a characteristic rash that begins on the face and spreads downward across the body. It spreads through respiratory droplets and can lead to severe and sometimes fatal complications, including pneumonia and inflammation of the brain known as encephalitis.

Symptoms include high fever, sore or red and watery eyes, coughing, sneezing, and small white spots in the mouth.

Two strains of the monkeypox virus (MPXV) have combined with each other to create a new version of the disease, prompting the World Health Organisation to raise an alarm.

According to scientists, the Ib and IIb of MPXV have mutated together, and a case has been found in the UK and India, respectively. The first case was detected in the UK with travel history to a country in South-East Asia, and the second in India, with travel history to a country in the Arabian Peninsula.

Further analysis of each case shows that the two individuals fell ill several weeks apart with the same combined strain. Both cases had similar reported signs and symptoms of the disease and neither experienced severe outcomes.

As of now, these are the only known cases of this version of the virus.

What Is Mpox?

Mpox (formerly monkeypox) is an infectious disease caused by the monkeypox virus, a member of the Orthopoxvirus genus. Symptoms usually appear 1-21 days after exposure, and the illness lasts 2–4 weeks. People are considered to be contagious until all scabs have fallen off.

Mostly based in Africa, it was discovered by captive monkeys in 1958, after whom the disease was named in 1970. However, the name attracted many racist comments, especially on social media, where people wrote “the disease of monkeys” and associated it with Africans.

Under WHO guidelines, the naming of diseases must not drive any unnecessary negative impact on trade, travel, tourism or animal welfare, and avoid offending any cultural, social, national, regional, professional or ethnic groups. Thus, the name monkeypox became the ‘m-pox’.

How Can You Detect Mpox?

There are signs and symptoms of M-pox. They start to show within seven to 14 days of being infected. Therefore, for about a week, a person may not know they have m-pox, and they can spread it by travelling.

The earliest signs are getting a fever, sweating and having chills through your body. Other signs involve rashes, which start from a distant rash on the face and spread throughout the body. These rashes can be in different forms, sometimes a flat lesion, bumps, boils or scabs.

Symptoms can also include swollen lymph nodes, migraine, muscle aches, fatigue, weakness and back pain.

How Do You Prevent Mpox?

• Restrict your movement by avoiding going out in public, meeting people and interacting with animals.
• Wear clothes that will prevent skin-to-skin infections.
• Hydrate yourself to get rid of the toxins from your body
• Check if you have received your smallpox vaccination

Doctors also prescribe medications like acetaminophen and ibuprofen to treat the pain and fever one may experience after being infected