Miscarriage: Twins & Vaginal Bleeding

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Discussion Overview

The discussion revolves around the topic of miscarriage, specifically in the context of twin pregnancies and the implications of vaginal bleeding following a miscarriage. Participants explore the definitions of miscarriage, the potential for retaining one twin after the loss of another, and the significance of heavy bleeding post-miscarriage.

Discussion Character

  • Debate/contested
  • Technical explanation
  • Conceptual clarification

Main Points Raised

  • Some participants propose that if an embryo is expelled prior to viability, it is classified as a miscarriage, which may involve one or both twins.
  • There is a suggestion that heavy bleeding after a miscarriage, termed lochia, is normal and indicates the end of the pregnancy rather than the presence of another fetus.
  • Concerns are raised about the potential for life-threatening complications due to excessive bleeding, emphasizing the importance of consulting a physician.
  • Some participants question the assumption of a second fetus, suggesting that ultrasound would be necessary to confirm the presence of multiple heartbeats.
  • There is a reiteration that medical advice should come from a physician familiar with the patient's situation, rather than online discussions.

Areas of Agreement / Disagreement

Participants express differing views on the implications of heavy bleeding and the possibility of retaining a twin after a miscarriage. There is no consensus on the interpretation of symptoms or the necessity of medical intervention.

Contextual Notes

Participants acknowledge the complexity of the situation, including the need for medical evaluation and the variability of individual cases. The discussion reflects uncertainty regarding the implications of symptoms and the definitions of miscarriage.

Who May Find This Useful

Individuals seeking information on miscarriage, particularly in the context of twin pregnancies, and those interested in understanding the implications of post-miscarriage symptoms.

LightbulbSun
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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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