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.

While long periods of sitting have become normal in today's workplace culture, their effects may go beyond back pain and weight gain.

According to health experts, prolonged sitting may also be quietly affecting reproductive and hormonal health in both men and women.

Previously, sedentary habits were only associated with non-communicable diseases such as obesity, diabetes, and cardiovascular disease, but doctors are now observing a growing connection between inactivity and reproductive dysfunction.

A recent study led by researchers from Fudan University showed that extended daily sitting time is linked to a heightened risk of infertility in women of reproductive age.

Studies also suggest men with high daily sedentary time (over 6–8 hours) may experience higher testicular temperatures and decreased blood flow to the pelvic region.

In addition, desk jobs raise the risk of obesity and insulin resistance, two conditions that are intimately linked to issues connected to reproduction.

How Sedentary Habits Impact Reproductive Health

Dr. Lepakshi Dasari, Consultant Gynaecologist & Laparoscopic Surgeon, Yashoda Hospitals, Hyderabad, told HealthandMe that sitting for extended periods of time can lower blood flow, impede metabolism, cause weight gain, and upset hormonal balance.

“Women may experience irregular periods, increasing PCOS symptoms, issues with ovulation, and decreased reproductive potential as a result. Long-term inactivity has been associated with worse reproductive function, lower sperm quality, and worse metabolic health in men,” she added.

Also read: PCOS Is Now PMOS: What The Name Change Means For Millions Of Women

Reproductive hormones in both males and females can be further disrupted by long-term stress, insufficient sleep, and inactivity.

“Although sitting by itself does not immediately cause infertility, a prolonged sedentary lifestyle can eventually lead to circumstances that are detrimental to reproductive health,” Dr. Lepakshi said.

“Looking at it from a gynecology standpoint, sitting for long hours is one of the things researchers nowadays associate with hormone imbalance, even besides the problem of weight gain.

Infertility: A Global Burden

As per the World Health Organization, about one in six people (17.5 per cent of adults) worldwide experience infertility, marking a significant health challenge.

Between 1990 and 2021, infertility prevalence increased annually by 0.49 per cent for men and 0.68 per cent for women, driven by delayed parenthood, environmental toxins, and lifestyle factors.

By 2050, over 75 per cent of countries may face population declines due to these trends.

Read More: World Thalassemia Day 2026: Why Screening Before Marriage Or Pregnancy Is Important

Dr Tripti Dadhich, Additional Director - Obstetrics and Gynecology, CK Birla Hospitals, Jaipur, explained that when an individual is inactive, the chances of experiencing insulin resistance increase, leading to irregular menstrual cycles and fertility issues.

“If the body is less active, not only is the blood flow to the pelvis less efficient, but this can lead to discomfort and irregularities in menstrual cycles over a period of time. The majority of women are not aware that long sitting hours combined with poor sleeping and stress can cause hormonal imbalance,” she told HealthandMe.

How To Improve Reproductive Health?

Experts shared that simple routines can have a big impact on reproductive and hormonal health, including:

• Walking or standing every hour
• Exercising frequently
• Maintaining a healthy weight
• Drinking plenty of water
• Managing stress
• Maintaining a proper sleep cycle.

Motherhood is often described as joyful, fulfilling, and transformative, but for many women, it is also a quietly exhausting experience. While sleepless nights and endless responsibilities are expected parts of pregnancy and parenting, constant fatigue should not always be dismissed as “normal.” One of the most overlooked causes is iron deficiency anemia.

Why Iron Matters

Iron is essential for producing hemoglobin, the component of blood that carries oxygen throughout the body. During pregnancy, a woman’s iron requirements increase significantly because she is supporting both her own growing blood volume and the baby’s development. After childbirth, blood loss during delivery, breastfeeding demands, poor nutrition, and inadequate recovery can further deplete iron stores.

The result? Persistent tiredness, weakness, dizziness, headaches, breathlessness, poor concentration, hair fall, and even mood changes. Many mothers continue to function despite these symptoms, assuming that exhaustion is simply part of motherhood. Unfortunately, untreated anemia can affect not only a woman’s health and immunity, but also her emotional well-being, recovery after delivery, and ability to care for her child.

Anemia Common Among Indian Women

In India, iron deficiency anemia remains extremely common among women of reproductive age. Vegetarian diets low in iron absorption, irregular meals, heavy menstrual bleeding before pregnancy, closely spaced pregnancies, and lack of routine screening all contribute to the problem.

The good news is that anemia is both preventable and treatable. Regular antenatal check-ups, timely blood tests, iron-rich foods such as green leafy vegetables, legumes, jaggery, dates, nuts, lean meats, and iron supplementation when advised can make a significant difference. Vitamin C-rich foods also help improve iron absorption.

While we celebrate Mother’s Day, the strength and resilience of mothers, we must also encourage them to prioritize their own health. Fatigue should not be worn as a badge of honor. Sometimes, the body is simply asking for help, and listening to it is one of the most important acts of self-care a mother can offer herself and her family.

Many women notice that even months after delivery, their stomach continues to protrude despite weight loss efforts, exercise, or dieting. Often dismissed as normal postpartum body changes or “stubborn belly fat,” this condition may actually be Diastasis Recti, a separation of the abdominal muscles commonly seen during and after pregnancy.

What Exactly Is Diastasis Recti?

During pregnancy, the growing uterus stretches the abdominal muscles and connective tissues to make space for the baby. In some women, the two large abdominal muscles separate more than normal, creating a visible gap in the midline of the abdomen. This condition is known as Diastasis Recti.

While it is common after childbirth, it often goes undiagnosed because many women are unaware that persistent abdominal bulging may not simply be weight gain.

Symptoms Women Commonly Ignore

The condition can cause more than cosmetic concerns. Women may experience lower back pain, poor posture, abdominal weakness, pelvic floor issues, bloating, constipation, or difficulty lifting objects. Some also notice a “doming” or bulge in the centre of the abdomen while sitting up or exercising. The risk may be higher in women with multiple pregnancies, twin pregnancies, excessive abdominal strain, or inadequate postnatal recovery.

Why Can Incorrect Exercise Make It Worse?

Many women immediately begin intense abdominal workouts or crunches after delivery to “reduce tummy fat.” However, certain exercises performed incorrectly can worsen the muscle separation and increase strain on the abdominal wall. This is why proper postnatal rehabilitation becomes important. Strengthening the deep core muscles gradually and safely under professional guidance can help improve recovery.

Early Recognition Matters

Diastasis Recti is treatable in many cases with physiotherapy, guided exercises, posture correction, and core rehabilitation. In severe cases, surgical intervention may sometimes be considered.

Most importantly, women should understand that persistent postpartum abdominal changes are not always due to laziness, poor fitness, or inability to lose weight. Sometimes, the body is recovering from a real physical condition that requires attention, patience, and proper care.