Monday, June 24, 2019

Everything You Need To Know About The Vanishing Twin Syndrome

By Harold Rogers


When a woman is expectant with twins and a miscarriage of one multiple happens, the fetal tissue disappears into the uterus. It is absorbed by the remaining twin, the mother and the placenta. In short, it appears as though the multiple just vanished. There are important facts you should know about the vanishing twin syndrome.

In the past, it was only possible to find out about the concern after delivery. Practitioners would discover that a twin vanished after examining the state of the placenta. A lot of advancements have taken place within the world of medicines and ultrasounds make it possible to detect multiple fetuses during the first trimester. In case an ultrasound scheduled later during the pregnancy only shows one fetus, then the other one disappeared.

For instance, you may schedule for an ultrasound at 6-7 weeks of pregnancy. At this point, the images generated and even the doctor will confirm that you are carrying two fetuses. After returning for another clinical checkup, the doctor may again confirm that there is only one heartbeat. This would indicate a miscarriage of one of your twins, meaning that you only have one baby in the uterus.

Studies show that this problem affects around over 30% of pregnancies with multiples. What causes the concern is yet to be established, although studies show that the multiple does not die of sudden concerns and the death is often allied with improper early development. For instance, it could be that the cord implantation did not take place correctly or the fetus had chromosomal abnormalities. These issues are not seen to affect the surviving child.

If the miscarriage takes place before 12 weeks of pregnancy, neither the mother nor the surviving child will suffer from any signs or symptoms. In fact, the health of the surviving twin is seen to be excellent, depending on the problems that caused the death its multiple. If a miscarriage takes place after 13 or 29 weeks of pregnancy, the surviving twin may be at risk of cerebral palsy.

If the miscarriage takes place following the embryonic period of gestation, water from the tissue of the deceased fetus, its amniotic fluid and placenta tissue could be reabsorbed. The live fetus will, however, exert pressure onto the body of the deceased one and flatten it. When delivering the child, the fetus that did not survive may come out as either fetus papyraceous or fetus compressus.

Research has revealed that this syndrome is more prevalent among women who are over 30 years of age. Among the symptoms they may experience during the first trimester include uterine cramps, pelvic pain and bleeding. There is no special care that is necessary if no complications arise following a miscarriage during the first trimester.

Visiting an OBGYN right after discovering that you are pregnant should not be underestimated. This will allow the practitioner to review your health and that of your growing baby until you deliver. If you are expectant with multiples and one of them dies during the third or second trimester, special care will be needed and this will be considered a high-risk pregnancy.




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