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Twin-to-twin transfusion syndrome (TTTS) is a rare condition that occurs only in identical twins while they are in the womb. Causes TTTS occurs when blood moves from one twin to the other. The twin that receives the blood is called the recipient twin. Both infants may have problems depending on the severity of the transfusion.

Fetal laser surgery may be done to interrupt the flow of blood from one twin to the other. After birth, treatment depends on the infant's specific symptoms.
The donor twin may need a blood transfusion to treat anemia. The recipient twin may need to have the volume of body fluid reduced.

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