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.

Actress Shamita Shetty recently opened up about her endometriosis diagnosis as well as navigating perimenopause. It has sparked concerns about delayed detection of the condition and risks associated with it.

Shamita Shetty’s Endometriosis Diagnosis

Speaking to Soha Ali Khan on her podcast All About Her alongside gynecological surgeon Dr. Neeta Warty, Shetty shared how her symptoms were dismissed repeatedly, leaving her searching for answers until the pain became unbearable and impossible to ignore.

She said that years of unexplained pain delayed her diagnosis, making her question whether what she was experiencing was simply a “normal” part of being a woman.

Shetty said routine medical tests initially failed to confirm the condition. As her health reports checked fine, she assumed her symptoms were ordinary, even as they kept returning.

“I wasn't given the right diagnosis initially,” Shetty said, explaining that she underwent standard gynecological examinations, including Pap smears, but no underlying cause was identified.

The actress said her symptoms intensified significantly in the months leading up to surgery. Although she considers herself to have a high pain tolerance due to previous injuries, she realized something was seriously wrong when the pain began waking her from sleep. After further investigations, she got diagnosed with endometriosis.

Shetty also revealed that she was entering perimenopause around the same time her symptoms of endometriosis worsened, making it difficult to distinguish between hormonal changes and signs of endometriosis.

Also read: World Population Day: How America's Falling Birth Rate Is Redefining Women's Healthcare?

Raising Awareness

Shetty underwent surgery for endometriosis in May 2024 and has since used her platform to encourage women not to ignore persistent pelvic pain.

During the podcast, she also addressed outdated advice that women with endometriosis should “have a baby” to solve the condition, recalling that one doctor suggested pregnancy as a treatment.

Shetty's diagnosis underscores the importance of paying attention to persistent symptoms rather than dismissing them as ordinary menstrual discomfort.

Severe period pain that disrupts daily activities, chronic pelvic pain, pain during intercourse, heavy menstrual bleeding, or difficulty becoming pregnant should be evaluated by a healthcare professional.

About Endometriosis And Perimenopause

Also read: Beyond The Bump: Why Preconceptions And Antenatal Care Are Key To A Healthy Pregnancy

Endometriosis is a chronic condition in which tissue similar to the lining of the uterus grows outside the uterus. The condition often requires long-term management. It can cause symptoms like:

• Pevere pelvic pain
• Painful periods
• Infertility
• Inflammation

On the other hand, perimenopause, the transitional period before menopause, can bring symptoms such as irregular menstrual cycles, hot flashes, mood changes, sleep disturbances, and hormonal fluctuations.

If diagnosed late, endometriosis can lead to complications like:

• Chronic pelvic pain that could worsen over time.
• Reduced fertility or infertility.
• Progression of the disease that could lead to larger lesions and ovarian cysts.
• Scar tissue (adhesions) that can cause organs to stick together.
• More complex surgeries.
• Bowel or bladder complications if the disease spreads beyond the uterus.
• Mental health effects, including anxiety, depression, and poor quality of life.

Recent Advancements In Endometriosis Diagnosis

According to the World Health Organization, endometriosis affects around 190 million women and girls worldwide, or 1 in 10 women of reproductive age.

The organization notes that many women experience diagnostic delays because symptoms are frequently normalized or mistaken for other conditions.

To curb this, the National Institute for Health and Care Excellence's (NICE) recently rolled out two non-invasive tests — the saliva-based Endotest and the gut sensor-based EndoSure — to help speed up the diagnosis of endometriosis in England and Wales.

Endotest analyses a saliva sample to identify tiny biological markers called microRNAs that can indicate whether endometriosis is likely to be present.

EndoSure is a non-invasive test that detects endometriosis by measuring electrical signals in the gut using sensor pads placed on the abdomen.

For this test, patients fast for six to eight hours before the test and drink water until full during the 45-minute procedure to help the device accurately record gut activity. Results are available immediately after the test.

A U.S. humanitarian worker in the Democratic Republic of the Congo (DRC) has tested positive for Ebola, raising fresh concerns as the country struggles with one of the worst Ebola outbreaks.

US Humanitarian Worker In DRC Tests Positive For Ebola

On Friday, the U.S. Centers for Disease Control and Prevention (CDC) confirmed, saying it is working closely with the individual's employer, U.S. government health agencies, and Congolese health authorities to prevent further transmission by tracing contacts to identify people who may have been exposed.

According to reports, the infected individual was working for a humanitarian organization in eastern Congo, where the outbreak has continued to spread despite ongoing response efforts.

The CDC has not released details about the patient's identity or condition but emphasized that contact tracing and public health measures are underway.

A spokesperson for the U.S. State Department said it is aware of the case and is assisting the affected American.

The spokesperson said, “A U.S. citizen working for a humanitarian organization in the Democratic Republic of the Congo has tested positive for the Bundibugyo strain of the Ebola virus. The CDC is working with the patient's employing organization, other federal agencies and partners in the Democratic Republic of the Congo to help prevent further transmission and identify high-risk contacts.”

The health regulatory body further said, “The risk of Ebola spreading in the United States remains low.”

Also read: Ebola In DRC Is Still In ‘Expansion Phase’: WHO Doctor Opens About Major Challenges In Containing The Outbreak

Ebola Outbreak In DRC: Latest Updates

The case comes as the Democratic Republic of the Congo faces an escalating Ebola crisis. According to the Africa CDC, the outbreak has now reached 1,830 confirmed cases and 648 deaths, making it the fastest-growing Ebola outbreak ever recorded on the continent. The outbreak was officially declared on May 15, 2026, and has spread across multiple provinces in eastern Congo.

Health officials say this outbreak is particularly concerning because it is caused by the Bundibugyo strain of the Ebola virus, a rare variant for which there is currently no approved vaccine or specific antiviral treatment.

WHO Says Actual Number Of Cases Could Be Higher

The World Health Organization (WHO) has also warned that the official case count may significantly underestimate the true scale of the outbreak.

WHO modeling suggests that actual infections could be two to four times higher than reported because many cases are not being detected.

Nearly 80% of newly identified infections in some of the hardest-hit communities cannot be linked to known Ebola patients, indicating widespread community transmission.

The agency also reported that about 70% of deaths early in the outbreak occurred outside treatment centers, making surveillance and contact tracing even more difficult.

WHO Emergencies Director Chikwe Ihekweazu told Reuters, “Eighty percent of the new patients confirmed are coming outside of known contact lists” in Bunia, the epicenter of the outbreak, highlighting widespread undetected transmission.

He also warned, “The true scale of the outbreak is likely two to four times larger than the official figures suggest.”

The latest case highlights the dangers faced by frontline aid workers and underscores the urgency of strengthening outbreak control measures before the virus spreads further.

With no approved vaccine for the Bundibugyo strain and transmission continuing in several provinces, global health officials say rapid detection, isolation, and international cooperation remain essential to bringing the outbreak under control.

Health officials in England have confirmed that an adult with an underlying immunological condition has died from measles, marking the third measles-related death this year after two children died in June.

According to the latest figures from the UK Health Security Agency (UKHSA), England has recorded 883 confirmed measles cases between the start of the year and July 6. More than half of the cases have been reported in London, with most infections occurring in children aged 10 years and under.

All regions of England, including London (52 per cent), the West Midlands 17 per cent, and the North West 10 per cent, have now reported measles cases.

The UK was declared measles-free in 2017 but lost that status in 2019 after vaccination rates declined and outbreaks resumed.

In January, the World Health Organization (WHO) confirmed that the UK was no longer considered to have eliminated measles, citing stagnant vaccination coverage and rising case numbers.

NHS Launches Catch-Up Vaccination Drive

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In response to the surge in infections, NHS leaders have launched a nationwide catch-up campaign targeting children aged two to 11 years who have missed one or both doses of the measles, mumps and rubella (MMR) vaccine.

The program will contact around one million families whose children are not fully vaccinated.

• GPs will contact parents of children under six.
• Families with children aged six to 11 will be contacted through the NHS App, text message, email or letter.

Current figures show that 84.1% of five-year-olds in England had received both doses of the MMR vaccine during the first three months of the year—well below the 95% coverage recommended to prevent outbreaks.

"We urge all parents to ensure their children are up to date with their MMR or MMRV vaccines, giving them the best and safest protection against measles," said Dr Vanessa Saliba, consultant epidemiologist at UKHSA.

"Anyone who has missed their measles vaccines can catch up through their GP practice, whatever their age. Getting vaccinated also helps protect babies who are too young to be vaccinated and people who cannot receive the vaccine because of certain health conditions," Dr Saliba added.

What Is Measles?

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Measles (rubeola) is one of the world's most contagious viral infections. It spreads through respiratory droplets released when an infected person coughs or sneezes and can also spread by touching contaminated surfaces before touching the eyes, nose, or mouth.

Symptoms usually develop 7 to 14 days after exposure and include:

• High fever
• Cough
• Runny nose
• Red, watery eyes
• Small white spots inside the mouth (Koplik spots)
• A red rash that typically starts on the face before spreading across the body

While many people recover fully, measles can cause serious complications, including pneumonia, encephalitis (brain inflammation), hearing loss, and, in rare cases, death.

All About the MMRV Vaccine

The MMRV is a safe, live-attenuated immunizations that protect against severe viral infections. The shot combines Measles, Mumps, and Rubella, and also adds protection against Varicella (chickenpox).

According to the UKHSA, children receive:

• First dose: At 12 months, alongside MenB and pneumococcal (PCV) vaccines.
• Second dose: At 18 months, alongside the fourth 6-in-1 vaccine.

Children who miss these doses can receive a catch-up vaccination at their 3-year and 4-month appointment. The MMRV vaccine contains weakened forms of the measles, mumps, rubella, and chickenpox viruses, which stimulate immunity without causing disease.

Two MMRV vaccines are available:

• ProQuad (contains porcine gelatine)
• Priorix Tetra (does not contain porcine gelatine).