Miscarriage: Twins & Vaginal Bleeding

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The discussion centers on the definition of miscarriage, particularly regarding the expulsion of an embryo and the implications of heavy bleeding following a miscarriage. If an embryo is expelled before viability, it is classified as a miscarriage, also known as a spontaneous abortion. In cases of twins, if one embryo is lost, there may still be a chance to save the other, but this is a matter for a physician's assessment. Heavy bleeding, significantly more than a normal menstrual cycle, is common after a miscarriage due to the expulsion of blood and fetal membranes, known as lochia. This bleeding indicates the end of the pregnancy rather than the presence of another fetus. However, excessive bleeding can signal serious complications, and individuals experiencing symptoms like dizziness should seek immediate medical attention. It is emphasized that medical advice should come from a healthcare provider familiar with the patient's situation, rather than online sources.
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Is it a miscarriage...

if the embryo comes out of the vagina? And is it possible that a woman may have twins if the vaginal bleeding is still heavy even a couple of days after the miscarriage?
 
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If the embryo is expelled prior to viability, yes, it's a miscarriage (also called a spontaneous abortion). If only one of a set of twins was lost, it may or may not be possible to save the other twin. Only the woman's doctor can advise on that.
 
Moonbear said:
If the embryo is expelled prior to viability, yes, it's a miscarriage (also called a spontaneous abortion). If only one of a set of twins was lost, it may or may not be possible to save the other twin. Only the woman's doctor can advise on that.


But would heavy bleeding, like 10x a normal period be a sign that a woman has another baby inside?
 
LightbulbSun said:
But would heavy bleeding, like 10x a normal period be a sign that a woman has another baby inside?

Heavy bleeding after a miscarriage or birth is normal (it is termed lochia) since all of the accumulated blood and fetal membranes during pregnancy need to be expelled, and this is much more than is built up during just a normal menstrual cycle. This is a sign that the pregnancy has ended, not a sign that there is another fetus present.

But, if she has any doubts at all that there is something abnormal about it, it is best to consult a physician, as excessive bleeding can be a sign of a life-threatening complication.

Here is a site that explains in simple terms what lochia is and what the warning signs are of complications that require contacting a physician immediately (if she at all feels light-headed/dizzy, call 911 in the US, or otherwise get her directly to the Emergency department of your nearest hospital, as this along with heavy bleeding can be a sign of dangerous amounts of blood loss).

http://www.babycenter.com/refcap/baby/physrecovery/11722.html

Again, all medical advice is best given by a physician who knows the patient, not online. We can't give medical advice here. She should call her physician to get the best answers.
 
What makes you think there's a second fetus?
 
I would assume that there were 2 fetal heartbeats (if the pregnancy was far enough along), but ultrasound would definitely show what's what.
 
Danger said:
I would assume that there were 2 fetal heartbeats (if the pregnancy was far enough along), but ultrasound would definitely show what's what.
Given the nature of the questions being asked, I'm not gonig to assume anything.
 
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