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.

India’s food safety regulator has issued notices to two five-star hotels in Delhi’s Aerocity after inspections uncovered a string of food safety, hygiene, storage and licensing violations, including expired food, pest activity and improper handling practices.

The Food Safety and Standards Authority of India (FSSAI) inspected Andaz Delhi and JW Marriott and found serious violations of food safety and hygiene laws. Samples were collected from both properties, upon which further action will be taken.

87 Kg Expired Sweets Found At Andaz Delhi

At Andaz Delhi, inspectors found around 87 kg of expired sweets in the confectionery area, which were destroyed on the spot. Expired cake bases and bread packets were also among them.

The inspectors also saw pest infestation including cockroaches, flies, mosquitoes and spider webs, along with poor waste management, inadequate temperature monitoring and improper food storage.

Officials also reported concerns over the segregation of vegetarian and non-vegetarian food, including cutting boards for both food categories being kept together in the same water container.

Samples of items including ghee, mayonnaise, coconut milk powder, dal, tomato sauce, marmalade and cookies were collected for testing.

Also read: FSSAI Flags Food Firms For Misleading ‘100%’, ‘Energy Drink’, Immunity Claims

59 Deficiencies At JW Marriott

The inspection at JW Marriott, which continued for about two days, recorded 59 deficiencies. These included licensing and labelling problems, unclean utensils and food-contact surfaces, pest activity and improper storage.

Inspectors also spotted fungus-affected apples, rotten tomatoes, uncovered food, damaged storage containers and cut vegetables that were not stored properly.

Also read: Ahead Of Raksha Bandhan & Janmashtami, FSSAI Destroys 490 Kg Sweets, 275 Kg Paneer In UP Due To Poor Hygiene

Hotels Respond To FSSAI Notices

Andaz Delhi's spokesperson said that it had reviewed the deficiencies from an FSSAI inspection conducted in June, reinforced its food safety and hygiene practices and submitted its compliance response.

Its spokesperson said, "Health, safety and well-being of our guests and colleagues remain our highest priority."

JW Marriott also said it is committed to guest wellbeing and maintains “rigorous food safety, hygiene and quality standards.”

Also read: FSSAI Orders Halt Of Ghee Sales Amid Adulteration Crackdown: How To Spot Fake Ghee & Its Effects On Your Health

FSSAI’s Recent Crackdowns

The action against the five-star properties comes amid a much wider food-safety enforcement drive across India. Earlier this month, inspections in Bengaluru targeted multiple five-star hotels, where officials found expired meat, milk and sauces, as well as vegetables with fungal growth.

More than 30 notices went to food-service establishments including KFC, McDonald’s, Pizza Hut, Domino’s and Costa Coffee, while five Domino’s licences were suspended.

Meanwhile, Maharashtra has witnessed one of the most aggressive state-level food safety drives under FDA Commissioner Tukaram Mundhe, with more than 3,000 raids and inspections reported since he took charge in May.

The action has targeted restaurants, hotels, warehouses and major food chains, with licences suspended where serious violations were found. Mundhe told Reuters, "Those who try to not comply, they will face what is expected from the regulator. You are dealing with the lives of people."

Pennsylvania has reported the first two measles-related deaths of 2026 in the US, both involving unvaccinated individuals. One was reportedly an infant, while details about the second person have not been released.

While the cause of the infant’s death is disputed, Lancaster County Coroner confirmed that measles antibodies were found in postmortem testing, raising significant concerns

According to the Pennsylvania Department of Health (DOH), the deaths mark the first measles-related deaths in the state in 35 years.

Pennsylvania Reports 424 Measles Cases

Pennsylvania is among the hardest-hit states in the US outbreak, with 424 cases reported across 28 counties, including 94 in the past week. At least 73 people have been hospitalized with measles complications.

Lancaster County has reported 197 confirmed cases. The county also has a low MMR vaccination rate, with coverage falling from 95.5% in 2017 to 87.6% last year. Local physicians and health officials say the actual case count is likely higher.

Infants Face Higher Risk

The first MMR dose is recommended at 12 to 15 months, followed by a second dose at 4 to 6 years.

“The real vulnerability is in infants between 6 and 11 months of age, as maternal antibody is waning and they haven’t gotten their first dose of the MMR vaccine,” said Dr. Peter Hotez, dean of the National School of Tropical Medicine at Baylor College of Medicine in Dallas.

In areas with high measles exposure, health authorities may recommend an early MMR dose from 6 months of age. This was done during last year’s Texas outbreak, when two unvaccinated girls died of measles.

Questions Over the Reported Deaths

Gov. Josh Shapiro and Health Secretary Debra Bogen announced the two deaths at a Tuesday press conference in Lancaster County and urged people to get vaccinated.

“We hope and we pray that those deaths will be the last,” Shapiro said. “This illness and death from measles is completely preventable.”

The state initially withheld details, citing privacy concerns. The lack of information prompted questions from local officials and lawmakers.

Republican Sen. Scott Martin said the announcement had not been independently verified. Republican Rep. Dave Zimmerman called for more information, while county commissioner Josh Parsons said the local coroner could not confirm any measles deaths.

Coroner Says Infant Did Not Die From Measles

The state confirmed information about the infant’s death on Wednesday after Lancaster County Coroner Stephen Diamantoni said his office was investigating a newborn who tested positive for measles and died from a ruptured spleen.

Diamantoni said the newborn died shortly after birth from a laceration of the spleen, not measles, although measles antibodies were found in postmortem testing.

“The newborn had measles” but did not “die of measles,” Parsons said, citing the coroner.

No details have been released about the second person whose death was announced by the state.

Shapiro, Kennedy Clash Over Vaccination Rates

Shapiro blamed Health Secretary Robert F. Kennedy Jr.’s policies and rhetoric for contributing to outbreaks.

Kennedy rejected the claim, saying Pennsylvania’s vaccination decline began before his tenure and arguing that distrust created during the Covid-19 pandemic had weakened confidence in vaccines.

US Reports 2,777 Measles Cases

The US has confirmed 2,777 measles cases this year, the highest number in 35 years.

Measles has been considered eliminated in the US since 2000 because it has not continuously spread for a year. The Pan American Health Organization is expected to decide in November whether the US has lost its elimination status.

For elite athletes, stepping away from competition can look like giving up. For American tennis star Amanda Anisimova, it turned out to be an important part of finding her way back.

Anisimova stepped away from professional tennis in 2023, citing burnout and struggles with her mental health. Three years later, she says the experience has changed how she recognises stress and protects her wellbeing.

Her story depicts what burnout can do to athletes and why taking a break can sometimes be part of recovery rather than a setback.

Amanda Anisimova Stepped Away From Tennis At 21

In May 2023, Anisimova announced an indefinite break from tennis, saying she had been struggling with mental health and burnout since the previous summer.

At the time, she was just 21 and already an established professional. She later described the decision as one of the hardest she had made because she feared losing the ranking she had worked so hard to build.

In a recent interview with The Guardian, Anisimova said she now recognises warning signs much earlier. She said there are days when feeling tired or unmotivated is normal, but it becomes concerning when those feelings keep happening and begin affecting how a person functions.

Also read: Student Mental Health Needs More Than A Counsellor

Burnout Can Affect More Than Performance

Athlete burnout is not simply being exhausted after a demanding tournament. It can involve emotional and physical exhaustion, reduced motivation, irritability, loss of enjoyment and a sense of detachment from the sport.

Constant training, competition, travel, injuries, pressure to perform and the expectation to remain competitive can contribute to burnout.

For professional athletes, the distinction between work and personal life can also become blurred. Tennis players in particular spend much of the year travelling from tournament to tournament. They get little opportunity to establish a normal routine.

Anisimova said that spending time at home, nurturing social connections and doing things that are not related to her sport have become important parts of maintaining that balance.

She said, "That’s something that I used to not prioritise so much: how to recharge myself and take time for myself, prioritise my wellbeing off the court. In the past, it was really just a lot of tennis and I didn’t really know how to incorporate those small breaks for myself. I think that’s a big reason why I reached such a breaking point and needed to take that time away from the sport.”

Also read: NBA Star Kevin Love Says Robin Williams Changed How He Sees Depression; Here's Why Symptoms Often Get Missed

Break Can Help Change The Relationship With Sport

During her time away, Anisimova returned to some ordinary activities that had little to do with tennis. She painted, spent time with friends and family, studied and took a step back from the tournament calendar.

She later described the experience as “very refreshing”, saying she regained energy and happiness after getting away from professional tennis.

The important point is that recovery does not mean not pursuing your passion indefinitely. A break can help identify what is causing exhaustion and rebuild routines that support physical and mental recovery.

Also read: Long Working Hours Alter Our Brain Structure

Know When To Step Back

Anisimova's experience also highlights why recognising early warning signs of burnout is important. Persistent exhaustion, losing interest in something once enjoyed, constantly feeling overwhelmed, irritability, sleep problems and declining performance can all signal that an athlete needs to reassess their workload and seek support.

In her recent interview, Anisimova said she now tries to “catch the signs a lot earlier” and give herself time to reset before reaching the point she did in 2023.

She has also said that prioritising her mental health made her a stronger athlete. “I don't think I would be where I'm at in my career if it wasn't for my break,” she said in a recent interview.

Anisimova returned to competition in 2024 and subsequently produced the strongest stretch of her career, including reaching the Wimbledon and US Open finals in 2025 and climbing as high as world No. 3 in 2026.