Eight-month-old twins from Hayward Heath, West Sussex, recently met the surgeon who saved their lives even before they were born. The BBC reports how their mother, Katerina Ahouansou, at six months pregnant, during a routine scan, uncovered a serious issue with their development and blood supply.

Doctors diagnosed the twins with twin-to-twin transfusion syndrome or TTTS. It is a condition where one twin received more blood and nourishment than the other due to uneven blood vessel distribution in the placenta. In case there is no medical intervention, it could be fatal for both the twins.

A Specialist Steps In

This is when Ahouansou was referred to Professor Kypros Nicolaides at King’s College Hospital in London. Professor Nicolaides is a pioneer in fetal medicine and he specializes in a laser procedure that redistributes blood supply between twins in cases of TTTS.

When Ahouansou was scanned, Nicolaides observed that one of the twins were significantly smaller than the other. "There was a very high chance that if we did not intervene, both twins could die," he recalled.

An Operation No Less Than A Miracle

The life-saving laser surgery was performed and within a week the doctors saw an improvement with the twin who was smaller in size. When the twins were born, they weighed 1.5kg and 1.7kg. To recognize the efforts by the surgeon, Ahouansou named them Kai Kypros and Asher Nicolas after Professor Kypros Nicolaides.

Ahouansou also expressed deep gratitude for the professor's expertise and called him "proof that miracles can be performed by people who are devotees to their profession."

Professor Kypros Nicolaides has been at King’s College Hospital since 1980 and is widely regarded as a leader in fetal medicine. His groundbreaking research and development of screening and surgical techniques have saved countless lives.

Through his dedication, Professor Nicolaides has given many families hope, demonstrating how medical advancements continue to improve survival rates for complex fetal conditions like TTTS.

More about Twin-to-twin Transfusion Syndrome

As per the John Hopkins Medicine, TTTS is a rare pregnancy condition that affects identical twins or other multiples. It happens in pregnancies where twins share one placenta and a network of blood vessels that supply oxygen and nutrients essential for development in the womb. These pregnancies are known as monochorionic.

Sometimes, the blood vessels in the placenta are unevenly distributed, causing an imbalance in blood flow between the twins. The donor twin loses more blood than it receives, leading to malnutrition and potential organ failure. Meanwhile, the recipient twin gets an excess of blood, putting strain on the heart and increasing the risk of cardiac complications.

Impact on the Donor Twin

The donor twin loses blood volume (hypovolemia), reducing kidney function and urine production. This leads to low amniotic fluid levels (oligohydramnios) or, in severe cases, a complete absence (anhydramnios). Without proper blood circulation, the donor twin faces cardiovascular issues, increasing the risk of death.

Impact on the Recipient Twin

The recipient twin experiences excess blood volume (hypervolemia), causing increased urination and excessive amniotic fluid (polyhydramnios). The overworked heart struggles to handle the surplus blood, leading to cardiovascular dysfunction, heart failure, and, in extreme cases, death.

Vapes were marketed as a safer option than cigarettes, but research now shows they carry serious health risks -- from lung damage to meningitis to cancer.

Vaping has been a serious concern in the United States, with New York Attorney General Letitia James in 2025 filing a lawsuit against e-cigarette manufacturers and distributors.

The lawsuit accused the companies of fueling a youth vaping crisis, alleging that these companies that manufacture vapes, especially with flavors, have misled consumers about the safety of their products while deliberately targeting young people through deceptive marketing.

Now, a new study, published in JAMA Network Open, has for the first time assessed trends in young children's nicotine exposures across all types of products.

Shockingly, electronic cigarette-related incidents increased 243 percent over the past eight years in young children, especially among those under five years of age, said researchers from the Rutgers New Jersey Medical School.

In contrast, tobacco exposures from conventional products such as cigarettes decreased by 43 percent.

Unlike cigarettes, these devices are often ready to use, brightly colored, require little effort to activate, and appear more like toys than a harmful product.

"This significant spike in children breathing in these substances tells us the risk has changed: It's no longer just about a toddler swallowing something they found on the floor," said lead author Perry Rosen, who conducted the research at the New Jersey Poison Control Center.

"Many recent cases involve children actively using e-cigarette devices after gaining access to them," Rosen added.

Key Findings

The findings were based on an analysis of more than 92,000 reported nicotine exposures in children ages 5 and younger between 2016 and 2023.

The researchers noted that vaping risks often involved children who inhaled the vapors directly from the devices. They also found that children exposed to e-cigarettes were more likely to require a visit to a health care facility compared with those exposed to cigarettes.

According to researchers, young children naturally mimic the behaviors they see around them. So, parents and caregivers must keep vaping devices away from the reach of young children.

Previous research has shown that even moderate ongoing nicotine exposure can lead to lasting health effects on developing lungs, including increased risk of bronchitis and worsening asthma.

"When children see caregivers or older family members vaping, they may copy that behavior—bringing the device to their mouth and inhaling—without any understanding they are exposing themselves to a harmful substance," said Diane Calello, executive and medical director of the New Jersey Poison Control Center.

Vaping: A Concern

Vaping has become a more common form of tobacco use among American middle and high school students.

As per the US Centers for Disease Control and Prevention (CDC), nearly 1.6 million students used e-cigarettes in 2024, with 87.6 percent of them opting for a flavored product.

It is the flavor that makes it even more addictive, and people want to keep smoking it, resulting in it being emptied and refilled way more quickly.

This means those who smoke flavored cigarettes consume more tobacco than those who smoke unflavored ones.

Conceiving after 7 years of marriage—riddled with societal shame and self-doubt and a host of tests—was a moment of immense joy to Shalini, a 30-year-old IT professional.

Shalini was cared for, pampered, and showered with gifts. But the happiness was short-lived. At 10 weeks, her doctor delivered devastating news: there was no fetal heartbeat, and the pregnancy would have to be terminated.

Shalini couldn’t process; years of taunts of not being able to deliver a child came back to her ears—a voice so profound that she was unwilling to abort, let come what may.

However, in a week, the miscarriage occurred. She woke up at 2 am with intense abdominal pain and felt her womb rolling. She rushed to the toilet and found herself in a pool of blood. Her baby was gone.

For more than an hour, she continuously pushed out huge chunks of blood clots—the flesh of her unborn baby. Shalini cried. Then she went numb.

Doctors cleaned her up, but nobody bothered to heal her emotional burden—of not being able to deliver a baby successfully.

Years passed; Shalini delivered a healthy baby girl, but deep inside her, she still cries for her lost baby.

Shalini is not alone; more than one in five pregnancies worldwide end in miscarriage. While physical recovery is often addressed, emotional care is still met with silence.

The body may heal with treatment and nourishment, but internally, many women grapple with grief, anxiety, and a profound sense of loss that often goes unrecognized and untreated, said doctors, stressing the need for addressing the emotional toll.

What Is A Miscarriage?

A miscarriage is the loss of a pregnancy or the unexpected ending of a pregnancy in the first 20 weeks of gestation.

Most of them occur in 12 weeks and are classed as early miscarriages, while far fewer happen between 13 and 24 weeks.

Symptoms include

• vaginal bleeding,
• cramping like a period pain,
• decrease in pregnancy symptoms.

These occur when the fetus stops growing before 20 weeks.

As per the World Health Organization (WHO), miscarriage is the most common reason for losing a baby during pregnancy. WHO defines a miscarriage as a baby that dies before 28 weeks.

Miscarriage: Mental Health Implications

Also read:UK Women Who Suffer From Miscarriage May Get Two Weeks Paid Leave

Miscarriage often causes sadness, disinterest, sleeplessness, and depression. Many times, women experience low self-esteem and guilt.

There can also be marital issues, differences in psychological reaction of the spouse, and self-blame. There is also a sense of deep personal loss and trauma. It can lead to symptoms such as

• PTSD,
• feelings of yearning,
• emptiness,
• emotional numbing.

HealthandMe spoke to some mental health experts to understand what women who face the unexplained loss suffer.

“Miscarriage in women leads to many adverse consequences in psychological, social, marital, and physical domains. Most immediate effect is an acute feeling of loss, grief, and bereavement,” Dr. Savita Malhotra, President of the Indian Psychiatric Society, told HealthandMe.

She added that women who faced miscarriage can also feel anxiety over future pregnancies.

“About 20-30 percent of women after miscarriage show clear depression and anxiety. A similar number may show PTSD. Women who have an earlier history of miscarriage, trauma, or mental illness are more prone to mental ill health,” Dr Malhotra said.

Also read: Why Many Older Men Struggle to Conceive Despite ‘Good Health’

So why do women face these emotional turmoil?

"The lack of open conversation can intensify isolation, making women feel their pain is invisible or minimized. Social stigma and well-meaning but dismissive comments further deepen the wound," Dr. Chetna Jain Director Dept of Obstetrics & gynecology Cloudnine Group of hospitals, Gurugram, told HealthandMe.

Dr Deepak Raheja, a New Delhi-based psychiatrist, said that miscarriage is not just a medical event; for many women, it represents the loss of a deeply hoped-for future.

"Hormonal changes, lack of open conversations around pregnancy loss, and a tendency to internalize blame can make the emotional impact even heavier," the doctor told HealthandMe.

The experts urged the need for better familial support and good marital relationships that can prevent mental health issues in women.

Recognizing miscarriage as both a medical and emotional event is essential. Compassionate care, counselling, and supportive communities play a critical role in healing and long-term wellbeing.

Also read: Planning A Pregnancy In The 30s: Expert Answers FAQs On Women's Fertility in 30s

Dr Malhotra said, "There's a need for clear mental health intervention and psychiatric treatment."

"It is important to recognize miscarriage as a legitimate form of bereavement," added Dr Raheja.

Compassionate care from families and healthcare professionals, along with timely psychological support, can help women process the loss more healthily and gradually rebuild emotional resilience.