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Re: Vanishing Twin?

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 30 Aug 2000 15:07:39 -0500 (CDT)


At Wed, 30 Aug 2000, Melinda wrote: >
>I posted earlier about being 7.4 weeks pregnant. The baby has a
>heartbeat but my uterus has a pool of blood plus more blood and some
>clots throughout. I am not having any miscarriage symptoms. My doc
>said the pool was a placenta. I'm leary with that because I did Clomid
>and ultrasounds for timed HCG and had one 20mm follicle. One thing I
>failed to mention in my last post was that my doctor pointed out the
>good, solid implantation attachment. (One respondent questioned
>placenta detachment.)
>
>My questions:
>
>1. With seeing only one mature follicle, could I have possibly released
>two eggs?

With only one follicle on scan before ovulation, it is unlikely that you ovulated two eggs. The fertilized egg could have divided, creating two embryos. >
>2. Looking at other ultrasounds of vanishing twins on the internet,
>they do not have a uterus full of blood, just a placenta getting
>smaller. Why would mine be a pool of blood instead of a formed
>placenta? Is this normal?

It can be normal, depending on when the scan is done in relation to the loss of the twin. >
>3. I've run across brief suggestions that vanishing twin syndrome is a
>higher risk for cerebral palsey. Any thoughts?

Probably not this early in pregnancy. This suggestion is related to a twin lost later in the pregnancy. There are probably many pregnancies that begin as a twin gestation. I have heard one suggestion of as many as 40% of pregnancies begin as twins. I think this a bit high, but I think it is more common than we know. >
>4. What else could this blood be from?

Marginal seperation of the placenta, threatened abortion >
>5. I have a 16-month old. Could I have done damage by playing with her
>too rough--running, wrestling, picking her up?

Very doubtful. You really can't do much to a healthy first trimester pregnancy. They are very well protected... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)




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