Early detection of complications
Conditions like TTTS, selective growth restriction, and preterm labour can be identified early through regular ultrasound and Doppler – allowing for timely interventions that can save lives.
A twin pregnancy is a special journey – but it also comes with higher risks and unique challenges. Twin pregnancy evaluation is a comprehensive, evidence‑based approach to monitoring your babies' growth, wellbeing, and development, while also keeping you healthy. It includes early determination of chorionicity (whether your twins share a placenta), serial growth scans, Doppler studies, and screening for twin‑specific complications such as Twin‑to‑Twin Transfusion Syndrome (TTTS) and selective growth restriction.
Carrying twins, triplets, or more requires more frequent and detailed ultrasound assessments than a singleton pregnancy. Your care plan is tailored to the type of multiples you are carrying – dichorionic (separate placentas) or monochorionic (shared placenta) – and the individual needs of each baby.
At Amytri, our twin pregnancy evaluation is led by a consultant radiologist with advanced training in fetal medicine and multiple pregnancy management. We use high‑resolution ultrasound, Doppler, and fetal monitoring to track each baby's growth, fluid levels, and blood flow. We work closely with your obstetrician and a multidisciplinary team to provide a seamless, supportive experience – helping you prepare for the arrival of your multiples with confidence.
Twin pregnancies are unique – they need a dedicated approach to identify and manage complications before they become emergencies.
Conditions like TTTS, selective growth restriction, and preterm labour can be identified early through regular ultrasound and Doppler – allowing for timely interventions that can save lives.
With close monitoring, we can determine the safest time to deliver – balancing the risks of prematurity against the risks of continuing the pregnancy. This is especially critical in monochorionic twins.
Knowing that both babies are being carefully monitored gives parents confidence and reduces the anxiety that often accompanies a multiple pregnancy.
Our twin pregnancy evaluation covers all the key parameters that matter for multiple pregnancies.
We determine whether your twins share a placenta (monochorionic) or have separate placentas (dichorionic) – this is the most important factor influencing risk and monitoring frequency.
We measure each baby's head, abdomen, and femur individually to track growth velocity and detect discordance (when one twin is significantly larger than the other).
We measure the deepest vertical pocket in each amniotic sac. Abnormal fluid (polyhydramnios in one twin, oligohydramnios in the other) may indicate TTTS.
We assess umbilical artery Doppler for each twin – abnormal flow can indicate placental insufficiency. We also evaluate middle cerebral artery and ductus venosus when indicated.
In monochorionic twins, we look for the classic signs: polyhydramnios in the recipient twin, oligohydramnios in the donor, and bladder abnormalities – allowing early referral for laser therapy.
We assess fetal movements, tone, breathing, and heart rate (using NST if needed) to confirm that both twins are coping well.
Your obstetrician refers you for a twin pregnancy evaluation. We review your medical history and confirm the type of multiples you are carrying.
We perform a detailed ultrasound to determine chorionicity, measure each baby, and assess fluid and Dopplers. This establishes a baseline for all future scans.
We schedule regular scans – typically every 2‑4 weeks, or more frequently for monochorionic twins – to track growth and detect any early signs of complications.
As you approach term, we work with your obstetrician and neonatal team to plan the safest delivery timing and mode, ensuring both babies receive the best possible start.
Every multiple pregnancy benefits from specialist monitoring, but it is absolutely critical in these situations.
These twins are at risk of TTTS, TAPS, and selective growth restriction – requiring intensive surveillance from the second trimester.
If one twin is measuring significantly smaller than the other, we need to assess placental function and growth trajectory closely.
These conditions are more common in twin pregnancies and can affect placental function – close monitoring is essential.
If you have a history of preterm labour or other obstetric issues, extra monitoring can help plan interventions.
These pregnancies are at even higher risk and require even more frequent and detailed evaluation.
Even without specific risk factors, all twin pregnancies benefit from specialist evaluation – it gives you and your babies the best chance of a healthy outcome.
Dr. Abhishek has extensive experience in the management of twin and multiple pregnancies, with advanced training in fetal medicine and obstetric ultrasound. He understands the nuances of twin physiology – from early determination of chorionicity to the detection of TTTS – and works closely with a multidisciplinary team to ensure the best outcomes for you and your babies.
Twin pregnancy can be an exciting but anxious time – having your partner with you during scans and consultations provides essential support.
We encourage partners to attend all appointments. We explain the differences between the babies, show you their growth on screen, and discuss any concerns together. You'll leave with a clear understanding of your babies' health and a plan for the journey ahead.
It is a specialised monitoring programme for multiple pregnancies, using ultrasound, Doppler, and other tools to track each baby's growth, wellbeing, and to detect complications like Twin‑to‑Twin Transfusion Syndrome (TTTS) early.
We recommend an early scan around 11‑14 weeks to determine chorionicity, followed by regular scans every 2‑4 weeks from 16 weeks onwards – more frequently if you have monochorionic twins.
Chorionicity tells us whether your twins share a placenta (monochorionic) or have separate placentas (dichorionic). Monochorionic twins are at higher risk of TTTS and other complications, so they need more intensive monitoring.
TTTS is a condition that can occur in monochorionic twins where blood flows unevenly between them through shared placental vessels. Early detection through ultrasound can lead to lifesaving interventions like laser therapy.
For dichorionic twins, scans every 3‑4 weeks are typical. For monochorionic twins, we often scan every 2 weeks from 16 to 24 weeks, and then weekly if needed – because TTTS can develop rapidly.
We will discuss the findings with you and your obstetrician. Options may include closer monitoring, referral to a specialist centre for fetal therapy, or planning for early delivery. We support you through every decision.
From your baby's very first heartbeat to your family's lifelong health — we're here with precision, expertise and care. Reserve your appointment in under a minute.