Hematoma Vs. Vanishing Twin?

Updated on April 13, 2013
L.H. asks from West Paducah, KY
9 answers

I have a healthy 2 month old daughter but my question to all the other mommas is, is that can it be possible to miscarry a twin and your doctor and medical team just think it was a hematoma? Last April I had been 7 weeks pregnant when that pregnancy abruptly ended, (baby just went away, no cramping or spotting) and then a month after that I became pregnant again. Then 12 weeks into the pregnancy with my daughter I woke up one nite with massive bleeding, (I soaked through our bedsheet and mattress had to get new ones) sorry if that's a bit graphic, but I thought I was miscarrying again and when we went to the ER they did an u/s and we found the baby was fine but that there was a tiny black hole next to her amniotic sac. the doctors just told me it was a hematoma and that it would go away but the hole stayed there for a couple of months. ( i was a high-risk pregnancy because of my last mc. so I'm just wondering if it could have been a twin because my daughter sometimes acts like there should be someone there with her, it's really kinda cute and creepy at the same time. Thanks!

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R.M.

answers from New York on

I had twins & i had a morning where i bled, but not as much as you did, & ob said it was very possible that i lost one of the babies (not both). Like others said if you had a blood test i would think they would notice high levels. I think its pretty normal for kids to act like they are playing with another child thats not there.

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T.S.

answers from Washington DC on

If the bleeding was about a miscarriage, you would have miscarried both babies... the blood doesn't come from the embryo/fetus itself, but from your uterine lining shedding as your body becomes un-pregnant. If the bleeding was your body shedding your uterine lining, your daughter could not have remained implanted.

If you believe your daughter is somehow spiritually connected to a missing sibling, perhaps it's a connection to the previous miscarriage? Your initial hormonal tests would have indicated possible multiple pregnancy as well (hormone levels are different for multiples). Since that was never identified, and since your OB probably has enough experience to seen and recognize a non-living embryo in your uterus, I'd say it was a hematoma (blood clot) as you were diagnosed.

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M.P.

answers from Portland on

I looked this up on the Internet. Here's the address. http://www.justmommies.com/articles/subchorionic-hematoma...

sounds like the doctor makes the diagnosis based on what he sees on the ultra sound. He saw a tiny black hole. If it were a baby, he'd see bones.

I suggest that how your baby is acting would not indicate that there was a twin. Even if there was a twin, your baby was not advanced enough in development to be aware of another baby.

What is your baby doing that is causing you concern? Perhaps if you could describe her behavior we could tell you whether or not we've experienced such behavior in our babies.

2 moms found this helpful

J.S.

answers from Hartford on

It's far more likely that it was a hematoma. Your daughter would not now be behaving as if she were missing a twin because, well, she's not missing a twin.

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B.B.

answers from San Antonio on

The early testing that they do in the first stages of pregnancy include blood tests that would have detected the levels of hCG in your blood. Levels would have appeared in the "normal" range, or the "higher" range, which would have determined if you were pregnant with multiples or solo. This is typically done during the first prenatal visit, as ultrasounds are done later. Had there been abnormally high levels of hCG, they would have contacted you then for additional testing and/or an ultrasound to see if you were pregnant with twins.

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B.W.

answers from Seattle on

I miscarried one baby of a set of triplets, 10 weeks along. It started with a little bleeding, so I was freaked and went to the doc who said there were 3 fetuses with heartbeats and we wouldn't know what would happen next. H then pointed to Baby C on the ultrasound and said he thought the sac might be detaching from the wall. I asked if I would lose all of them if I lost one, and he said not necessarily. That night I was hit with the worst bleeding of my life. Huge chunks of blood all night long. I knew I had miscarried although I didn't see a fetus. I also still felt pregnant. They checked again soon after and Baby C had died. The perinatigist I ended up seeing said I would have a lot of bleeding from the huge mass of blood left in my uterus. Strict bed rest. Then as soon as the bleeding petered out, a got a suchorionic hematoma on Baby A.s placenta and I started bleeding again at 15 weeks. At 16 weeks- low fluid. PPROM at 25 weeks, a month hospital bed rest and the babes came early. I tell you this long story because I want you to know it is very possible to have a vanishing twin, that doesn't really "vanish." It is also important that people know you very much CAN keep a pregnancy viable after losing a multiple.

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❤.I.

answers from Albuquerque on

One of my angel babies was a vanishing twin. When I went into my first U/S at around 9 weeks my OB told me there was another sac and it looked like it passed around 6 weeks. She told me my body would absorb most of it but that I would have a little bit of brown spotting. That's pretty much what happened after that. I've read it's pretty common. It's weird though because my daughter does sometimes act like we're missing somebody, I think those words came right out of her mouth at one point.

J.W.

answers from St. Louis on

You don't miscarry a lost twin. A hematoma is another name for a blood clot. Marda's link is a very good explanation.

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G.B.

answers from Oklahoma City on

My daughter was pregnant and had a miscarriage, saw what looked like a tiny baby too in the pools of blood in the floor of the ER. Her hormone levels started falling and everything. A few weeks later she was still having pregnancy issues.

We went to the ER and she kept telling the nurse she just knew that baby was still in there messing her body up, that they had to do a D&C, the nurse just smiled and said she was fine, her body was just going back to normal after the miscarriage.

She kept on and on with the nurse and finally said she wanted her to do an ultrasound on her stomach to see what was in there.

The nurse just smiled and went and got the tool. When she came back and started it up my daughter's heart rate was about 80 and her tummies heart rate was 125 or something like that. She had only miscarried one of a set of twins.

She was about 16 weeks along because the tool would not have picked up the heart beat so easily if she had not been so far along.

The whole staff started coming in and looking at the ultrasound. The doc asked her permission to write her case up in the AMA journal. Since her hormone levels had dropped it was unusual.

So, there are many things the female body is able to do and to overcome.

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