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.

Thyroid problems are giving a tough time to many women. Are you aware? More women planning pregnancy are now being diagnosed with borderline thyroid levels. Here, the expert sheds light on the importance of early screening and timely care for better fertility outcomes. It is imperative for women to manage their thyroid health by following the vital tips.

Thyroid issues are commonly seen in a large number of women. Currently, a large number of women who are planning pregnancy are being diagnosed with subclinical hypothyroidism.

This condition is identified when thyroid-stimulating hormone (TSH) levels are slightly high, while other thyroid hormones remain within the normal range. Although it may not cause obvious symptoms, it can still impact fertility and pregnancy outcomes if left unmanaged.

Understanding The Link Between Thyroid And Fertility

Thyroid hormones play an important role in regulating metabolism, menstrual cycles, and ovulation. Even a small amount of imbalance can interfere with the release of eggs, making it harder for women to conceive. Subclinical hypothyroidism can be detected by the expert during routine blood tests, that is, when women undergo pre-pregnancy check-ups or even fertility evaluations. The diagnosis can be surprising for women.

That is the time some women may come to know about their compromised thyroid levels. So, the causes behind the rise in borderline TSH levels are lifestyle-related factors. You will be shocked to know that stress, poor diet, lack of sleep, and sedentary habits can affect hormonal balance.

Even conditions such as Autoimmune Thyroiditis and iodine imbalance may also contribute to thyroid dysfunction. Since symptoms are usually mild or absent, many women will end up ignoring the symptoms and suffer in silence.

While subclinical hypothyroidism may not always require aggressive treatment, it becomes important when a woman is trying to conceive. As even mildly elevated TSH levels can increase the risk of irregular ovulation, early pregnancy loss, and complications during pregnancy, prompt monitoring and, in some cases, low-dose thyroid medication can be recommended by the doctor to maintain optimal hormone levels.

Women Must Follow These Tips:

• Women should opt for regular thyroid function tests before planning pregnancy to know the status of their thyroid health.
• It is necessary to consult an expert and follow a balanced diet with an adequate amount of iodine and nutrients.
• Strictly avoid junk, processed, and sugary foods, stay hydrated, quit smoking, and limit alcohol.
• It is also necessary to sleep well, exercise daily, and follow the doctor’s instructions regarding medication and follow-ups.

So, women, stay vigilant and prevent thyroid problems.

(By Dr Swati Rai, Consultant-Gynecologist and Laparoscopic Surgeon at Motherhood Hospitals, Noida.)

Eggs are a great source of protein. At the same time, they are one of the most common foods that cause allergies in children.

A new study conducted in Australia showed that introducing eggs to children before the age of one may reduce the risk of allergy by 17 per cent. The findings were published in the journal JAMA Pediatrics.

Jennifer Koplin, Associate Professor at the Child Health Research Centre at The University of Queensland, said: “Australia has one of the highest rates of food allergy in the world, with one in 10 infants allergic to one or more foods".

To curb the allergy rates, the Australian infant feeding guidelines, issued by the Australasian Society of Clinical Immunology and Allergy in 2016, revolutionized allergy prevention by advising parents to introduce well-cooked egg and smooth peanut butter soon after starting solid foods, generally around six months of age.

The research, led by a team from UQ and the Murdoch Children's Research Institute, examined 7,200 children in two Australian population-based studies to assess whether egg allergy rates had declined since the introduction of the guidelines. The risk of allergy decreased by 17 per cent among babies who started eating eggs early.

“Most parents followed the guidelines, and these results provide reassurance that this advice will help reduce the chance of their child developing an egg allergy,” Dr Koplin said.

Also read: I Ate Eggs And Toast For Breakfast Every Day—Here’s How My Body Reacted

Lesser Allergy In Infants With Eczema

According to Associate Professor Rachel Peters of the Murdoch Children's Research Institute, the reduction in egg allergy was more pronounced in babies with eczema, a known risk factor for food allergies. Among these children, egg allergy rates were reduced from 35 per cent to 22 per cent.

“The introduction of the 2016 guidelines was a major change from most advice given in the 1990s and early 2000s, which recommended parents delay giving eggs and other allergenic foods until 1–3 years of age if there was a strong family history of allergy,” Dr Peters said.

Allergenic Foods Before Age One

Other common allergy-causing foods, such as cow's milk, fish, sesame, wheat, and tree nuts, are also recommended to be included in a child's diet before one year of age. Dr Koplin, however, urged for more research into food allergies.

Read More: Eating Almonds Daily Can Prevent Cognitive Decline In Prediabetic Adults

Common Symptoms of Egg Allergy

According to the Mayo Clinic, egg allergy symptoms usually start a few minutes to a few hours after eating eggs or foods containing eggs. While egg allergies can occur as early as infancy, most children outgrow their egg allergy by age 16.

Egg allergy symptoms can include:

• Skin swelling or itchy bumps called hives — the most common egg allergy reaction.
• Stuffy or runny nose and sneezing, also known as allergic rhinitis.
• Digestive symptoms such as cramps, upset stomach and vomiting.
• Asthma symptoms such as coughing, wheezing, chest tightness or shortness of breath.

Repeated miscarriages can cause stress and anxiety in couples who are searching for answers. Hence, understanding the possible causes, getting timely investigations, and following the right treatment roadmap can help improve the chances of a healthy pregnancy in the future.

Experiencing a miscarriage can be heartbreaking, but repeated miscarriages can feel even more overwhelming for couples trying to build a family. Many people believe pregnancy loss is simply due to bad luck or stress, but recurrent miscarriages often need proper medical evaluation to identify the underlying cause.

Couples tend to avoid seeking help for repeated miscarriages and keep blaming each other. However, with the help of awareness, timely testing, and the right support, many couples can go on to have successful pregnancies.

What Is Recurrent Pregnancy Loss?

Repeated miscarriage, also called recurrent pregnancy loss, refers to two or more consecutive pregnancy losses. While not every case has a clear explanation, several medical, genetic, hormonal, and lifestyle-related factors may contribute to repeated pregnancy failure.

Hence, couples will have to consult a fertility expert who will help them understand the causes behind the repeated miscarriages.

Why Medical Evaluation Is Important

The roadmap to finding answers: So, the repeated miscarriage will need a detailed medical evaluation of both partners. The expert will review previous pregnancy history, medical conditions, family history, lifestyle habits, and past test results. This helps identify possible patterns or hidden health concerns.

• Genetic testing may be advised because chromosome-related problems in either partner can increase the risk of miscarriage.

• Hormonal issues such as thyroid disorders, uncontrolled diabetes, or hormonal imbalance can also affect pregnancy health.

• In some women, structural problems in the uterus, such as fibroids, polyps, scar tissue, or an abnormal uterine shape, may interfere with implantation or fetal growth.

• Blood clotting disorders and immune-related conditions can also increase the risk of pregnancy loss.

Lifestyle Factors Matter Too

Smoking, alcohol, obesity, poor sleep, stress, and unhealthy eating habits may negatively affect fertility and pregnancy outcomes. Age can also influence egg quality and increase the chances of miscarriage.

Couples must seek timely help for repeated miscarriages, maintain an optimum weight, quit smoking and alcohol, and eat a balanced diet. Stay stress-free by doing yoga and meditation.

Exercise on a daily basis as advised by the expert, go for regular health check-ups and follow-ups with the doctor. Take prescribed supplements such as folic acid regularly. Follow these crucial tips, and it is possible to conceive even after facing repeated miscarriage.