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.

NHS Flu Cases: England has reported a surge in flu cases, which have been more critical than ever. As per the NHS data of the same period in 2024, the cases now are 50% more in numbers, with flu patients ending up in hospital beds and critical care. A record average of 1,717 patients were in England each day last week, and 69 in critical care. The figures reflect a steep rise from the same week in 2024, when 1,098 patients were admitted and 39 needed critical care.

The trend is even more stark when compared with earlier years. The average for the same week in 2023 was 243 patients. In 2022, the figure stood at 772.

On 30 November alone, hospitals saw 2,040 flu patients in beds across England. This marks a 74 percent rise from the same date in 2024, when 1,175 patients were recorded. That number was already the highest on any single day since 2021.

Health officials say the flu season began earlier this year and has yet to reach its peak. The rising numbers suggest hospitals will face increasing strain through December, especially as the timing lines up with industrial action by the British Medical Association, which could see thousands of resident doctors walking out.

NHS Experts Are Warning For Difficult Weeks Ahead

Professor Julian Redhead, national medical director for urgent and emergency care, said the figures confirm long standing worries inside the health service.

He said the current case load is extremely high for early winter and that the peak has not yet arrived. He added that although the NHS prepared for winter earlier than usual, the combination of rising flu cases and industrial action may push staff to the brink.

Despite the rise in the number of cases, the flu vaccination numbers remain similar to that of the previous year. The NHS administered 16.9 million flu vaccines across England by the final week of November. This is slightly higher than the 16.6 million recorded by this time in each of the past two years. Roughly half of all doses, about 8.4 million, were given to adults aged over 65.

Overwhelming Conditions In Hospital, Pressure On System

According to Sky News, hospital staff described conditions as increasingly overwhelming. Waiting rooms were full, patients lined corridors on trolleys, and emergency department staff were struggling to keep pace.

One consultant described the situation as a repeating cycle with no relief in sight. Patients like Paul Mather, who was admitted to the hospital’s respiratory ward, spoke of severe pain and fear as their conditions worsened.

Along with rising hospital admissions, NHS data shows that call volumes to the 111 helpline increased by more than 11,000 last week compared with the same period last year. Ambulances handed over 99,000 patients to hospitals, about 4,500 more than in the same week of 2024.

Handover delays have improved slightly. Thirty percent of patients waited more than 30 minutes to be transferred to A and E teams, compared with 36 percent last year. Ten percent waited more than an hour, down from 16 percent in 2024.

Bed occupancy levels remain similar to previous years, though hospitals continue to fall short of the recommended 8 percent availability target. Norovirus cases appear to be lower than last year, with an average of 261 beds occupied by patients with vomiting or diarrhea compared with 751 at this point in 2023.

Health Secretary Wes Streeting praised improvements in ambulance response and handover times but warned that strike action by the BMA could jeopardize progress. He said the government will continue efforts to strengthen the NHS through investment, planning and modernization.

Hepatitis B: Changes in hepatitis B vaccine schedule in children could lead to resurgence of the disease, warn health officials. This comes after the Vaccine advisers for the US Centers for Disease Control and Prevention (CDC), known as the Advisory Committee on Immunization Practices (ACIP) met on Thursday to discuss the hepatitis B vaccine guidelines for newborns. The meeting was held to discuss the potential changes to the childhood immunization schedule, the vote is delayed until Friday.

However, there are several changes suggested that say only infants born to mothers who test positive for hepatitis B, or whose status is unknown would receive the birth dose. The potential changes also hint that babies whose mothers test negative could delay their first dose until the baby is two months old, instead of receiving it within the first 24 hours.

Why Are Health Experts Warning Against These Changes?

According to the local health experts, these guidelines could lead to a resurgence of the disease. These guidelines have been in place since the 1990s. Dr Hector Ocaranza, El Paso Health Authority, as reporting by KFoxTv, said, "This vaccine can be considered a vaccine that is going to be preventing cancer because hepatitis B virus is considered a carcinogen, meaning that this virus is going to cause liver cancer, and that's what we're trying to prevent in children."

Ocaranza further noted, "Changing the recommendation is going to create a lot of those infections coming back, and we're going to start seeing children that are going to be infected with a hepatitis B virus."

Doctors and scientists have noted that if the vaccine is delayed from birth to two months, it could lead to at least 1,400 new infections, 300 cases of liver cancer, and 480 preventable deaths every year. The shift would also add more than 222 million dollars in extra healthcare costs annually.

While there are mixed reactions in the community, the medical community mostly agree on the fact that vaccine should be mandatory for all children. Many stress on the importance of vaccines at birth. While the recommendation is not final yet as ACIP is to set to revisit the proposal tomorrow. Even if it passes, it requires approval from the CDC director before it becomes a national guidance.

Are There Any Negative Side Affects On Health After Receiving The Hepatitis B Vaccine At Birth?

As for now, no new evidence on harms of the vaccines has been revealed. The vaccine is administered to 1.4 bullion for more than three decades. Experts have pointed out that the vaccine has a "stellar safety record". This was also presented during the meeting. In fact, two members also demanded the evidence of any harm from the vaccine while pointing to its benefits. However, the members were interrupted by the vice-chair. Most members in the committee are hand-picked by the anti-vaxxer US health secretary Robert F Kennedy Jr, and those members too are long time anti-vaccine advocates.

This is not the first time discussion on delaying safe and life saving vaccines are taking place. Previous meetings where advisors recommended restricting access to COVID vaccines, and measles, mums and rubella, and chickenpox vaccines have already been taken.

The experts point out that infant immunization is directly linked to a 99% decline in acute hepatitis B cases in children, adolescents and young adults between 1990 and 2019. Experts also point out that holding discussions on well established vaccines without changing recommendation, too gives an impression that science is not clear, pointed Debra Houry, who was the chief medical officer of the CDC until this year, as reported by Guardian.

“For parents, they’re going to be very confused. They might question the whole vaccine schedule, or why things are done the way they are," Houry said.

Malfunctioning glucose sensors made by Abbott Diabetes Care have been tied to more than seven hundred serious medical events and seven possible deaths, according to updates from both Abbott and the Food and Drug Administration (FDA). The company issued a public notice on November 24 and sent letters to those who may be affected, explaining that it had begun a “medical device correction” for select FreeStyle Libre 3 and FreeStyle Libre 3 Plus sensors.

On December 2, the FDA released an early safety communication, which is the type of alert shared when a product is corrected or removed because of a significant risk before the agency can determine whether an official recall is necessary.

FDA: Seven Deaths Possibly Linked To Malfunctioning Glucose Monitors

Some FreeStyle Libre 3 sensors may show falsely low blood sugar levels, which can lead people with diabetes to make treatment choices that are not appropriate for their actual condition. When someone’s glucose appears low, they might delay their insulin dose or skip it altogether, or they may eat more carbohydrates in an effort to raise their levels, as noted by USA Today.

When treatment decisions are based on incorrect readings, blood sugar can quickly become unstable. Poor glucose control can result in dangerous medical complications, including injury or even death. Problems linked to mismanaged diabetes can include diabetic ketoacidosis, heart issues, stroke, kidney damage, nerve and eye problems, and a higher chance of infection.

USA Today reports that the issue affects nearly three million Libre 3 and Libre 3 Plus sensors sold in the United States, and Abbott estimates that roughly half of them have already been used or have expired. Worldwide, the company has received 736 reports of severe adverse events (57 in the U.S.) and seven reports of deaths (none in the U.S.) that may be associated with this problem.

Which Abbott Diabetes Care Products Are Impacted?

Only specific FreeStyle Libre 3 and FreeStyle Libre 3 Plus Continuous Glucose Monitoring Systems are affected. The FreeStyle Libre 3 handheld reader and mobile app are working normally.

No other Libre devices (FreeStyle Libre 14-day, FreeStyle Libre 2, FreeStyle Libre 2 Plus, or the FreeStyle Libre Pro sensors) or Abbott biowearable products are involved.

FreeStyle Libre 3 Sensor

• Model Numbers: 72081-01, 72080-01
• Unique Device Identifiers (UDI-DI): 00357599818005, 00357599819002

FreeStyle Libre 3 Plus Sensor

• Model Numbers: 78768-01, 78769-01
• Unique Device Identifiers (UDI-DI): 00357599844011, 00357599843014

The serial number for a FreeStyle Libre 3 or FreeStyle Libre 3 Plus sensor is available in the app or reader, and it is also printed on the label at the bottom of the sensor applicator or on the carton. Consumers who are wearing a sensor that has been confirmed as part of the affected group should stop using it at once and safely discard it.