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.

With flu infections starting to climb across Canada, doctors and public health specialists are preparing for a challenging influenza season. The concern centres on the global spread of a changing H3N2 strain that may not line up well with this year’s flu vaccine. Fresh federal figures released on Friday show that about two per cent of flu tests nationwide returned positive results last week. While that remains below the five per cent threshold Canada uses to officially declare a seasonal flu outbreak, it marks a clear rise compared to recent weeks.

Outside Canada, the current flu season has already been severe, with record case numbers reported in the Southern Hemisphere and an earlier-than-usual surge seen in parts of Asia and the United Kingdom. As winter approaches, experts say these trends could offer clues about what Canada might face. “This is the second year in a row that the Southern Hemisphere has seen higher-than-average influenza activity,” said Dr. Jesse Papenburg, a pediatric infectious disease expert at Montreal Children’s Hospital and the McGill University Health Centre, as per CTV News.

“When you look at case numbers, last year was likely the worst flu season Canada experienced in about ten years. Based on what we’re seeing so far, there’s a real possibility we could see a similar level of severity again,” he added.

Influenza A: What Is Leading To The Surge?

Some specialists believe a changing version of H3N2 is driving the early rise in cases. This form of influenza A is already known for causing more serious illness, particularly in older adults. What is raising extra concern this year is that recent mutations appear to be creating more distance between the circulating virus and the protection offered by the current flu shot. Dr. Danuta Skowronski, who leads influenza and emerging respiratory pathogen epidemiology at the B.C. Centre for Disease Control, is one of several Canadian experts closely tracking these changes, according to CTV News.

Influenza A: Experts Warn Of Vaccine Mismatch

Although the H3N2 subtype had remained relatively stable for years, Skowronski says it has recently begun showing sharper structural shifts as it spread into northern regions. These changes suggest the strain now circulating could be poorly matched to this season’s vaccine. The current flu shot is designed to protect against two influenza A strains, including H1N1 and H3N2, along with one influenza B strain. “There’s actually a fairly large gap between the H3N2 virus we’re seeing circulate and the one included in the vaccine,” Skowronski explained. “That’s not due to any error. It reflects how unpredictable and fast-changing influenza viruses can be.”

In a statement shared with CBC News, the Public Health Agency of Canada said it keeps close watch on respiratory virus trends around the world to identify patterns that could affect Canadians.

The agency also noted that flu data from the Southern Hemisphere does not always directly forecast what will happen in Canada, since seasonal patterns and population dynamics can differ.

“At this point, it’s still too early to say how severe Canada’s flu season will be,” the agency said, adding that factors such as which influenza subtype becomes dominant, the presence of other respiratory viruses, vaccine performance, and vaccination rates will all play a role.

Even if this year’s vaccine turns out to be less closely matched to the evolving H3N2 strain, all three experts emphasized that getting the flu shot remains important, especially for older adults across Canada.

U.S. health authorities have widened the approval of a closely debated medication designed to increase female libido, allowing the once-daily pill to be used by women over the age of 65. The decision, announced on Monday by the Food and Drug Administration, extends the drug’s use to older women who have already gone through menopause. The pill, Addyi, was originally cleared a decade ago for premenopausal women experiencing emotional distress linked to a low sex drive. Anisha Mathur, Founding Partner at Shepherd Law Associates, explained the development and what it means.

What Is Addyi?

Addyi, also known by its generic name flibanserin, is an FDA-approved prescription drug used to treat hypoactive sexual desire disorder, or HSDD, in women. HSDD refers to a long-term or recurring lack of sexual desire that leads to emotional distress or strain in relationships and cannot be explained by another medical condition, relationship difficulties, or medication side effects, according to the Cleveland Clinic.

Marketed by Sprout Pharmaceuticals, Addyi was once expected to become a major breakthrough in women’s health. However, the drug faced setbacks due to side effects such as dizziness and nausea. It also carries a strong safety warning about alcohol use. The FDA’s boxed warning, its strictest caution, notes that consuming alcohol while taking Addyi can lead to dangerously low blood pressure and fainting.

What Is Hypoactive Sexual Desire Disorder?

Hypoactive Sexual Desire Disorder, or HSDD, involves an ongoing reduction or absence of sexual thoughts, fantasies, and interest in sexual activity that causes significant personal distress or relationship tension. It is a common form of sexual dysfunction seen in both women and men. People with HSDD may experience low libido, little response to sexual stimulation, or a tendency to avoid sex altogether. Possible contributing factors include stress, relationship challenges, mental health conditions, certain medications, hormonal shifts, or past trauma.

The condition, which describes a distressing lack of sexual desire, has been recognised since the 1990s and is believed to affect a large number of women in the United States, based on survey data. After the commercial success of Viagra for men in the 1990s, pharmaceutical companies invested heavily in finding treatments for female sexual dysfunction. Diagnosis, however, remains complex because libido is influenced by many factors. After menopause, declining hormone levels bring biological changes and medical symptoms that further complicate assessment.

Addyi: FDA Approves Libido-Boosting Drug For Postmenopausal Women

U.S. health regulators have now expanded the approval of the controversial libido drug, allowing women over 65 to take the once-daily pill. The FDA’s announcement broadens its use to include older postmenopausal women.

According to CNN, diagnosing HSDD is challenging because sexual desire is affected by multiple physical, emotional, and psychological factors, particularly after menopause. Physicians are expected to rule out issues such as relationship stress, underlying medical conditions, depression, and other mental health disorders before prescribing the medication. The diagnosis itself remains debated, with some psychologists arguing that low sexual desire should not automatically be treated as a medical condition.

Before its approval in 2015, the FDA rejected Addyi twice, citing limited effectiveness and concerns over side effects. Its eventual approval followed a strong lobbying effort by the manufacturer and advocacy groups like Even the Score, which positioned the lack of treatment options for female libido as an issue of gender equality in healthcare.

Salad Dressing Recall: If you recently bought salad dressing or sauces, it may be time to double-check what’s sitting in your fridge following an important recall. On November 6, the U.S. Food and Drug Administration announced a recall covering thousands of gallons of dressings and condiments made by Ventura Foods LLC. The notice was later upgraded on December 4 to a Class II recall, highlighting the need to remove these products from stores and homes. Here is what consumers should know.

Also Read: The “Triangle of Death” on Your Face: Why You Should Never Pop a Pimple There

Salad Dressing Recall: What Products Are Being Recalled?

The expanded recall affects multiple Ventura Foods LLC products, including the following dressings and sauces:

• Caesar Dressing (Costco Food Court)—32 LB (14.51 kg); SKU: 0 26700 19376 7
• Caesar Dressing (Costco Service Deli)—23.62 LB (10.71 kg); SKU: 0 26700 19376 7
• Creamy Poblano Avocado Ranch Dressing and Dip—1 GAL (3.78L); SKU: 7 34730 53243 1
• Hidden Valley, Buttermilk Ranch—1 GAL (3.79L); SKU: 0 26700 19192 3
• Italian Salad Dressing—1 GAL (3.78L); SKU: 7 67367 00518 4
• Pepper Mill Creamy Caesar Dressing—1 GAL (128 FL OZ) 3.79 L; SKU: 0 93901 78134 5
• Pepper Mill Regal Caesar Dressing—1 GAL (128 FL OZ) 3.79 L; SKU: 0 93901 72607 0
• Publix Deli Carolina-Style Mustard BBQ Sauce—12 LB; SKU: 10 026700 16964 6
• Ventura Caesar Dressing—2000LB (907.1kg); SKU: 00 026700 17360 8

Costco also recalled two ready-to-eat items that used the affected dressing: the Caesar Salad (item number 19927) and the Chicken Sandwich with Caesar Salad (item number 11444). Both products are now past their sell-by dates, which ranged from October 17 to November 9, as per Health.

Salad Dressing Recall: Why Are Salad Dressings Being Recalled?

According to the FDA and Costco, the recalled dressings and sauces may contain pieces of plastic, described as “plastic foreign material,” leading to a voluntary recall. The FDA noted that because many of these products were manufactured in large quantities for food service use, they were likely supplied to delis, cafeterias, and similar facilities. Distribution covered 27 states, including Arkansas, Colorado, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Texas, Virginia, Washington, and Wisconsin.

Salad Dressing Recall: What Does A Class II Recall Mean?

On its website, the FDA explains that a Class II recall is its second most serious category. It refers to situations where using or being exposed to the product could cause temporary or medically reversible health effects, while the chance of severe health consequences is considered low.

Salad Dressing Recall: What Should I Do If I Purchased These Products?

The FDA has not issued detailed guidance for consumers who may have bought the recalled items. As with any recall, the safest step is to avoid consuming the products and contact the retailer for information about returns or refunds. Costco stated in its advisory that customers should stop using the affected items and bring them back to their local Costco location for a full refund.