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Diagnosing TAPS

Diagnosing TAPS is done one of 2 ways – before, or after birth. At the moment, a lot of cases are diagnosed after birth, because MCA Dopplers are still not mandatory, and a lot of professionals refuse to do them yet. The evidence is there that they save lives, we have treatment protocols, and yet we’re still fighting to have them as part of our routine care.  Frustrating, right?

If you haven’t read our breakdown on diagnosis yet – pop over here to get a good idea of what the criteria are, and check out the staging systems.  In this blog, we’re going to talk about ways to overcome objections from your care team, and also ways to advocate for care, but also some jargon that you might encounter broken down.

Diagnosing before birth

If your MFM is already doing MCA Dopplers and recording these from 16 weeks, you’re halfway in the struggle already.  What we can suggest is getting a copy of your records at each appointment, and putting them into a binder. You have it always to refer to, and can also check your own readings here. As long as everyone is sitting around the 1 mark for MoM, everything is going ok.  Remember though, if the readings start to move apart this can be a sign of TAPS, or they move above 1.5 or below 1 together, this can be indications of something else going on. 

But we already know that it’s a struggle to get MCA Dopplers.  So, what can you do? We encourage you to have an open, honest discussion with your doctor about why they object.  If their reasoning is that there is an unclear treatment protocol, we suggest referring them to this paper – Twin Anemia Polycythemia Sequence: Current Views on Pathogenesis, Diagnostic Criteria, Perinatal Management, and Outcome., by Tollenaar et al.  You can also direct them to the website of The TAPS Trial, which is an international clinical trial currently underway. 

Discover Love Across Borders: Top European Dating Sites

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Join us as we dive into the world of international dating and uncover the benefits and challenges of finding love across borders. We’ll discuss the cultural exchange that comes with dating someone from another country, the potential for long-lasting relationships, and the excitement of exploring new cultures. So, if you’re ready to embark on a dating adventure that knows no boundaries, keep reading and discover the top European dating sites that could change your love life forever.

Exploring the Best European Dating Sites: A Gateway to Cross-Cultural Connections

When it comes to finding love, borders should never be a barrier. With the rise of online dating, it has become easier than ever to connect with people from all over the world. If you’re looking to meet someone from Europe, there are several top dating sites that can help you discover love across borders.

1. eHarmony: With a strong presence in Europe, eHarmony is known for its compatibility matching system. This site takes a scientific approach to finding love, using a detailed questionnaire to match you with compatible partners. Whether you’re looking for a serious relationship or just casual dating, eHarmony can help you find someone special.

2. EliteSingles: As the name suggests, EliteSingles is geared towards educated and professional singles. This dating site boasts a large user base across Europe, making it a great platform to meet like-minded individuals. With its advanced matchmaking algorithm, EliteSingles ensures that you are connected with people who share your values and goals.

3. Badoo: With over 400 million users worldwide, Badoo is a popular choice for those looking to meet new people. This social networking site turned dating app allows you to discover potential matches nearby or in other European countries. Badoo offers a range of features to help you connect, including video chat and photo sharing.

4. Match.com: With its extensive user base and long-standing reputation, Match.com is a trusted name in the online dating world. This site has a strong presence in Europe, making it easy to find singles from various European countries. Whether you’re looking for a casual fling or a long-term relationship, Match.com offers a wide range of features to help you find your perfect match.

Breaking Down Barriers: How European Dating Sites Facilitate International Romances

Looking for love beyond borders? Look no further than european dating sites. With their diverse user base and wide range of features, these sites offer a unique opportunity to connect with singles from all over Europe. Whether you’re seeking a romantic partner, a casual date, or simply want to expand your social circle, European dating sites provide a platform to meet like-minded individuals.

One of the top European dating sites is eHarmony. Known for its advanced compatibility matching system, eHarmony uses a scientific approach to help you find your perfect match. With a large pool of European singles, you can browse through profiles and connect with potential partners based on shared interests and values. Whether you’re based in the UK, Germany, France, or any other European country, eHarmony offers a tailored experience to help you find lasting love.

If you’re looking for a more casual dating experience, Badoo is a popular choice among European singles. With over 400 million users worldwide, Badoo provides a fun and interactive platform to meet new people. Whether you’re traveling to a different European city or simply want to chat with someone from another country, Badoo’s extensive user base ensures that you’ll find someone who shares your interests. With its user-friendly interface and innovative features, Badoo makes it easy to discover love across borders.

Unveiling the Charms of European Dating: Diverse Cultures, Languages, and Traditions

Are you tired of searching for love in your own country? If you’re open to exploring new possibilities and meeting people from different cultures, then European dating sites may be the solution you’re looking for. These platforms offer a unique opportunity to connect with singles from across the continent, allowing you to discover love across borders. Here, we highlight some of the top European dating sites that can help you find your perfect match.

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2. EliteSingles – If you’re looking for a partner who shares your ambition and drive, EliteSingles is the site for you. Catering to professionals, this dating platform uses a sophisticated matchmaking algorithm to connect like-minded individuals. With a focus on quality over quantity, EliteSingles ensures that each match has the potential for a meaningful connection.

3. Badoo – With over 400 million users worldwide, Badoo is one of the largest dating networks in Europe. This site offers a fun and casual approach to online dating, allowing users to browse through profiles and connect with others in their area. Whether you’re looking for a serious relationship or a casual fling, Badoo provides a platform for all types of connections.

4. Meetic – As one of the leading dating sites in Europe, Meetic has a strong presence in multiple countries, including France, Spain, and Italy. With a user-friendly interface and a variety of features, Meetic makes it easy to navigate the world of online dating. Whether you’re searching for love locally or willing to explore international connections, Meetic offers a diverse community of singles ready to meet.

Navigating the European Dating Scene: Tips for Finding Love Online

Are you tired of searching for love in your own country? Why not expand your horizons and discover love across borders? Europe is a continent rich in culture, diversity, and romance, making it an ideal destination for finding your perfect match. Luckily, there are numerous European dating sites that cater to individuals seeking love and companionship beyond their own borders. In this article, we will explore the top European dating sites that can help you in your quest for love.

1. eHarmony: With a strong presence in Europe, eHarmony is known for its comprehensive compatibility matching system. This site uses a scientific approach to match individuals based on their personality traits, values, and interests. Whether you’re looking for a long-term relationship or just a casual fling, eHarmony offers a wide range of options to suit your needs.

2. EliteSingles: As the name suggests, EliteSingles is designed for individuals who are seeking a high-quality dating experience. This site focuses on connecting educated and professional singles across Europe. With a rigorous verification process and a sophisticated matching algorithm, EliteSingles ensures that you are matched with like-minded individuals who share your ambitions and values.

3. Badoo: If you’re looking for a more casual dating experience, Badoo is the perfect site for you. With over 400 million users worldwide, Badoo offers a fun and interactive platform to meet new people. Whether you’re interested in making new friends, finding a date, or even starting a serious relationship, Badoo provides a diverse community of singles from all over Europe.

4. Meetic: With over 6 million active members, Meetic is one of the largest and most popular dating sites in Europe. This site offers a user-friendly interface and a variety of features to help you connect with potential matches. From advanced search filters to personalized matchmaking algorithms, Meetic ensures that you have the tools to find love across borders.

Don’t limit yourself to local dating options. Expand your horizons and explore the world of European dating sites. Whether you’re looking for a serious relationship or just a casual fling, these top European dating sites can help you find the love you’ve been searching for. So, take a leap of faith and discover love across borders today!

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If they object simply because the recommendations aren’t there to do MCA Dopplers, then this paper might help you as well – Dispelling Myths about Antenatal TAPS: A Call for Action for Routine MCA-PSV Doppler Screening in the United States by Nicholas et al. 

We can also suggest talking about the recent findings with long term effects here – High risk of long‐term impairment in donor twins with spontaneous twin anemia polycythemia sequence by Tollenaar et al.

It’s not about being aggressive and demanding they do MCA Dopplers.  That’s not going to get you anywhere.  Instead, it’s about you being calm, collected and informed. And if it all doesn’t work, maybe it’s time to find a new care team. 

So to summarize:

  • There are treatments for TAPS.
  • TAPS is a serious disease with very real long term effects.
  • You are entitled to MCA Dopplers as part of your treatment plan, and you need to advocate for them.

And let’s move to the next section –

Diagnosing after birth.

Hopefully, you’ve got an awesome team in place who are actually doing MCA dopplers and are TAPS aware. 

This isn’t always the case, so it’s important also to know what tests to advocate for after birth. 

If your babies are born with a significant color difference, you need to insist that your placenta is sent for pathology to check for tiny connections (less than 1 millimeter thick), as well as ask for a complete blood count to check the hemoglobin and reticulocytes for each baby. 

After birth, the recipient twin may need some of their blood taken out, and exchanged for saline to “thin it out”.   Your donor twin may also need a blood transfusion or 2, depending on the level of anemia. 

It’s important here to remember that you need to get the right diagnosis after birth.  There are a couple of different things that cause a color difference, and they all have different treatment priorities.

So, to summarise here –  get it written into your notes, put it in your birth plan.  If your monochorionic twins are born with a significant color difference – you want both babies reticulocytes and hemoglobin recorded.  You also need to insist on your placenta being sent for pathology, and dye injected to check for tiny connections less than 1 millimeter thick.

It’s time we as parents got proactive and insisted on getting the minimum standard of care we deserve. 

  • TAPS is treatable.
  • TAPS can be detected via MCA dopplers
  • If we know TAPS is there before birth, we can treat it, or be prepared to treat it.
  • We need to speak up and ask for the testing.

TAPS is Real.

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