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If you are pregnant with twins ( Identical), Mono-Mono or Mono-Di, you are potentially a candidate for TTTS. I would highly recommend at least one visit to an M.F.M ( maternal fetal medicine ) Specialist. They are generally highly trained in high-risk pregnancies and can make a diagnosis early. Don't wait for the 20-week ultrasound. This needs to be done early in gestation. (14-19 weeks )