Thursday, 20 June 2019

Crucial Facts You Ought To Understand About Vanishing Twin Syndrome

By Harold Rogers


A mother expecting twins can have a miscarriage of one fetus. When this happens, the fetal tissue is absorbed into the uterus. Usually, it disappears into the healthy twin, the placenta and the mother and it literally seems as if the dead multiple vanished. There are crucial facts you need to understand regarding the vanishing twin syndrome.

Traditionally, a concern could only be identified after delivery. In this case, the practitioners would be able to tell that one twin vanished by merely examining the placenta. Currently, early ultrasounds are available and they can help in detecting multiple fetuses or twins during the first trimester. Another ultrasound later in the pregnancy may reveal that one multiple 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.

In case a miscarriage happens in the amid the first trimester, both the surviving child and the mother will not experience any signs and symptoms and they will remain in perfect health. A prognosis of the surviving multiple, often shows and excellent health record, depending on the issues that led to the death of the other fetus. The surviving multiple will even so be at risk if the miscarriage happens during the third of even the second trimester. He or she risks being born with cerebral palsy.

If the embryonic period of gestation has elapsed by the time a multiple dies, the water within the tissue of the child, the placenta tissue and the amniotic fluid may be reabsorbed. The pressure created by the surviving child makes the body of the dead one to get flattened. During delivery, the dead fetus could be seen to be fetus compressus or as fetus papyraceous.

Research further indicates that expectant women above the age of 30 are at greater risk of this syndrome. A miscarriage of one multiple during the first trimester may sometimes cause pelvic pain, uterine cramps and bleeding. In case there are no complications, no special care will be required.

It remains crucial to work with a skilled OBGYN from the instance you discover you are expectant. This way, your health and that of your unborn baby can be closely monitored until delivery. In case the fetal death happens during the second or third trimester, your practitioner would consider this as a high-risk pregnancy meaning that special medical care will be necessary.




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