Based on the stage, the treatment options can vary:
Stage I: Often managed conservatively with close monitoring, including frequent ultrasounds to assess the progression. Stage II: May require intervention such as amnioreduction, where excess amniotic fluid is removed from the recipient twin's sac. Stage III: Typically treated with fetoscopic laser ablation of the placental anastomoses, which aims to correct the blood flow imbalance. Stage IV: Requires immediate intervention, often with fetoscopic laser ablation and possibly other supportive treatments to address hydrops fetalis. Stage V: Management focuses on the surviving twin, if one has passed away, with close monitoring or further interventions as needed.
