Pregnancy with twins. Possible complications during pregnancy with twins. Possibility of miscarriage. Loss of one of the twins during multiple pregnancy Help: miscarriage in the 1st month of pregnancy with twins

12.03.2024 -

Hello, dear mothers! What should you pay special attention to when pregnant with twins? The questions about multiple pregnancies will never end. Still, it is not easy and is fraught with various pathologies both for the expectant mother and for the children. But don't panic or get depressed! The main thing to remember is that peace is above all.

Multiple pregnancy can be detected by ultrasound (my pregnancy was detected at 5 weeks). However, in the early stages it may not be visible. Suspicion of multiple pregnancy may arise when donating blood when the level of the hCG hormone is too high.

What are the features of managing a multiple pregnancy?

Pregnant women with multiple pregnancies are at risk for the development of perinatal pathology. If there is a deviation from the normal course of pregnancy, mandatory hospitalization is indicated. For prevention in the Russian Federation, planned hospitalization is recommended at week 28 in a hospital setting, and from weeks 32 to 34 at home.

For weeks 34 to 36, it is recommended to limit physical activity. Readmission to the antenatal department is carried out 2 weeks before the due date. During this time, the pregnant woman is examined and the timing and method of delivery are determined.

How does multiple pregnancy affect the appearance of the expectant mother?

The incidence of twins ranges from 0.5 to 2% of all births. According to Hellin's formula, the incidence of births of twins is 1:80, triplets - 1:802, quadruplets - 1:803, quintuplets - 1:805. Identical twins occur with a frequency of 1:250 births. Unfortunately, half of the fertilized eggs undergo resorption (absorption) in the early stages of pregnancy.

How much will your figure change during a multiple pregnancy?

With proper diet and sleep, and the selection of comfortable clothes and shoes, the negative effects on your figure can be reduced to zero. Weekly weight gain will be greater, but should not exceed 250-300 g per fetus.

Excess weight is a signal to visit a doctor, who will tell you the cause of the imbalance and prescribe a diet and medications (during pregnancy, I personally gained only 12 kg, and this, according to Spanish doctors, is excellent).

What types of twins are there?

In medicine, there are two types of twins: identical and fraternal. The first ones are always born of the same sex, look alike like two peas in a pod, and have an identical blood type. Identical twins are fertilized by one sperm, unlike fraternal twins, which are formed by the fertilization of two eggs by two sperm. Hence the different genotypes. Identical twins meet at a rate of 1:10.

How to conceive twins?

In 50% of cases, twins are born after IVF or immediately after stopping contraceptive pills.

What are the dangers of multiple pregnancy?

For the mother’s body, multiple pregnancy is a great stress, resulting in iron deficiency anemia, severe toxicosis and third trimester diabetes. One of the main risk factors is physical activity in the last trimester, which can cause uterine bleeding and premature birth.

What is the dosage of folic acid during multiple pregnancy?

The optimal dose per day is 1 mg.

Does uterine memory exist? For example, the previous pregnancy ended in a miscarriage at the 10th week, and a new multiple pregnancy occurred two months later?

The probability of fruit loss is very high. At the time of the previous miscarriage, it is necessary to go to the hospital for preservation, since complications from the placenta are possible.

How much fluid to drink during pregnancy?

A pregnant woman should drink an average of two to three liters of fluid per day. This volume includes all liquid, including water, coffee, tea, milk and other dairy products, compote, fruit juice, jelly. Water should make up at least half of the total volume - from 1 to 1.5 liters.

To make it easier to control your fluid intake, you should drink a glass of water before/half an hour after meals. In the first half of pregnancy, there are usually no restrictions on water, but from the second trimester onwards, in order to reduce the consumption of large amounts of liquid, it is worth excluding hot, salty and spicy foods from the diet. But you should not limit fluid to more than 1/1.2 liters, especially in summer.

Is sex contraindicated during multiple pregnancy?

Sex during multiple pregnancies is prohibited, as the risk of miscarriage and fetal loss increases (From my own experience, I can say that European doctors do not prohibit sex. However, it is still worth focusing on the medical indicators of the expectant mother and babies. Is it worth taking risks for the sake of pleasure?) .

If a woman does not want to give birth to twins, is it possible to remove one fetus?

In early pregnancy, you can perform (removal) or aspiration (vacuum suction) of one of the fetuses.

How long does it take to go on maternity leave if you have twins?

28 week of pregnancy.

Why do premature births occur in multiple pregnancies?

The uterus during a multiple pregnancy reaches its maximum volume earlier than during a single pregnancy. As a result, it begins to actively contract and prepares for childbirth, already by 36-37 obstetric weeks.

There is no need to worry about this, because the adaptive capabilities of twins are significantly higher than premature babies of the same period during a singleton pregnancy.

Is it true that one of two twins is born weak?

It is difficult for a woman’s body to bear two full-fledged children, hence the risk of intrauterine pathologies, fetal malnutrition and miscarriages. However, in 90% of cases, multiple pregnancies proceed and resolve completely normally. The main thing is to follow all the doctor’s instructions.

There is an opinion that during natural childbirth, a strong fetus is born first, and then a weak one. Is it so?

First, the fetus located closer to the pelvic outlet is born, and this does not mean that it is stronger than the second.

In what cases is a caesarean section prescribed?

As in the case of a singleton pregnancy, cesarean section is prescribed for breech presentation, severe gestosis (late toxicosis, dropsy, skin disease, liver disease, etc.), hypoxia of the fetus or fetuses. If the uterus is overstretched or in the case of large fetuses with a total weight of more than 6 kg, cesarean section is also prescribed. In other cases, if there are no contraindications, natural childbirth is considered optimal.

However, if a woman is expecting triplets or more children, regardless of her condition, a cesarean section is performed at 34-35 weeks.

How can an expectant mother prepare for raising two babies at once?

Even before giving birth, it is necessary to organize your daily routine and learn to follow a clear schedule. There are also small tricks: purchase a device for sterilizing bottles; Prepare food for the whole day at once; a washing machine with drying function will help save time and effort; Over time, give your children the same routine, but if your children go to bed at different times, put them to bed separately.

Is it possible to plan for twins?

It is possible to plan a multiple pregnancy using assisted reproductive technologies, for example, in vitro fertilization (IVF).

Can an embryo remain in the uterus if the second one has a miscarriage?

This can only happen if each fetus had its own placenta (placenta and amniotic sac).

How harmful is 3D ultrasound for a baby?

Ultrasound is a harmless method for the health of the mother and fetus. In the case of twins, it is better not to wait long for a 3D ultrasound. It will be difficult to get a clear picture of both babies.

Is it true that all children born from multiple pregnancies are twins, even if they are different?

Indeed, they are all twins. Children are fraternal twins if they are the result of the fertilization of two different eggs by two different sperm. They can be of different genders and differ in appearance. There are also identical twins, coming from the same egg and the same sperm. They have the same genetic makeup, always the same sex, sharing a placenta.

Is it possible during a multiple pregnancy to have ectopic development of one fetus and uterine development of another at the same time?

It is possible for both an intrauterine and an ectopic pregnancy to exist simultaneously. An ectopic pregnancy will develop until the sac is ruptured. It is important to prevent this, but to carry out surgical treatment preventively with minimal consequences for health.

How does expert ultrasound differ from standard ultrasound?

standard level is recommended for all pregnant women at the required period (12-14, 20-24, 34-36 weeks) or at any period.

women with complicated pregnancy;
women at risk (age over 35 years, multiple pregnancy, pregnancy as a result of IVF, unsuccessful previous pregnancies, genetic diseases in the family, previous child with developmental defects, etc.),
to clarify the already identified fetal pathology.

Expert ultrasound is performed only by highly qualified specialists who have an academic degree and their own scientific developments. Expert ultrasound is accompanied by a video recording with detailed audio commentary by the doctor. It is adapted for understanding by any person even without medical education.

If you have questions, write to the email in the “Contacts” section. I will be happy to answer everyone.

Until new questions!

Always yours, Anna Tikhomirova

Most multiple pregnancies result in the birth of healthy children. However, if you are pregnant with twins, the likelihood of complications is slightly higher than with a singleton pregnancy.

The likelihood of miscarriage during pregnancy with twins.
If you're carrying more than one baby, you're more likely to have a miscarriage than with a normal pregnancy, especially if you're having identical twins. It is impossible to say exactly how great the risk is, since in many cases with an early miscarriage, the woman does not yet know that she will have twins. There is no exact data on this issue.
As with any pregnancy, miscarriage in multiple pregnancies usually occurs in the first 12 weeks. Sometimes a woman may only lose one child. If this happens, it does not affect the development of the surviving baby. A dead embryo is usually completely absorbed by the mother's body (the so-called vanishing twin syndrome). It is usually accompanied by minor symptoms or is asymptomatic.

Possible complications during pregnancy with twins.
The most common problems:
1. Premature birth - about half of women expecting twins give birth before the 37th week.

2. High blood pressure during pregnancy (pregnant hypertension), which occurs in 25% of multiple pregnancies. In a normal pregnancy, this figure is 5-6%.

3. Preeclampsia, which occurs in 7% of normal pregnancies and almost three times more often in twin pregnancies. In multiple pregnancies, preeclampsia develops earlier and is more severe.

4. Placental abruption is a potentially dangerous condition that involves the separation of the placenta from the wall of the uterus before the baby is born. Poor diet, smoking and drug use may be the cause. It is less common in women who eat well and take care of their health.

5. Intrauterine growth retardation, when one or both babies grow slower than expected. This deviation can cause complications during labor and after birth, although many twins are born small but completely healthy. A fetal ultrasound to assess twin development will help identify any problems. Determining placental blood flow using ultrasound allows you to find out how well the placenta is working and identify the first signs of disorders.

6. Light weight. About half of twins are born weighing less than 2,500 grams. However, very low-weight twins have a better chance of survival than a single baby of the same weight.

7. Feto-fetal transfusion syndrome, where one fetus receives more blood than the other, is rare and is a serious complication of identical twin pregnancies. One child (recipient) receives too much blood and the other (donor) receives too little. Until recently, severe cases of this disease led to the death of both babies. Today the percentage of surviving twins is much higher. This became possible thanks to the early detection of pathology and laser therapy, which is carried out in a number of clinics specializing in this type of treatment.

How to treat complications during twin pregnancy?
It all depends on the stage of pregnancy. It is believed that after 36 weeks you are out of the risk group and the likelihood of premature birth or low birth weight babies is significantly reduced.
If any complications arise before 36 weeks, doctors can prescribe various medications, as well as observation and treatment in a hospital. Your OB/GYN will weigh the risk of complications against the risk of preterm birth and work with you to decide how to improve your baby's chances of survival.
Measures to prevent problems.
Although many of the complications of multiple pregnancies have little to do with your lifestyle and behavior, finding out early that you're expecting twins can give doctors the time they need to identify and treat possible complications.
You may also want to learn more about what to expect when pregnant with twins.
Know the signs of preeclampsia and preterm labor.
Another important factor - especially before 20 weeks - is weight gain. If you have gained enough weight (in relation to your pre-pregnancy body mass index), your risk of preterm labor and low birth weight babies is reduced. Talk to your doctor about the best weight gain for you.
Eat well and drink enough fluids. If you are healthy and in good physical condition, you will be better able to cope with multiple pregnancies and the complications that may arise during childbirth. (Read more about how to stay fit while pregnant with twins.)
Due to the increase in blood volume during twin pregnancy, your hemoglobin level may decrease and anemia may begin, so your doctor may recommend that you take iron supplements.
Finally, while this advice may seem obvious, don't skip routine doctor visits. The doctor should regularly examine you and your babies to identify possible abnormalities as early as possible.

anonymous, Female, 23 years old

Hello! I am 6 weeks pregnant, at 4 weeks I was admitted to the hospital with bleeding, periodically with brown discharge, on the fifth day, an ultrasound showed twins, a few more days later on an ultrasound they said that one fetus was missing an embryo and yellow water came out, only an egg was left, in the second fetus there is a heartbeat. I was discharged with a prescription for duphaston and dicynon until the discharge stopped. At home I have been on bed rest for a week now, the discharge continues to be brown, but one day there was also a scarlet discharge, the doctor told me to lie down and not get up. It is getting easier, but once a day the dark brown discharge still comes out when I go to the toilet. She started urinating very often and a little at a time. My stomach sometimes pulls, my mammary glands stopped hurting when I got to the hospital, there is nausea, no vomiting, the rate is 36.6, the test shows 2 clear lines. I do not know what's going on? Is it either the second fetus that has died? Or are these the consequences of the loss of one fetus? I understand that my doctor has not encountered anything like this. I'm afraid to go for an ultrasound; I've already had 4 ultrasounds. Pregnancy is desired. Thank you in advance

Hello! Widespread use of sonography has shown that there is a discrepancy between the number of cases of early multiple births diagnosed and the number of twin births. Of the patients in whom several fertilized eggs were detected in the uterine cavity before 10 weeks of pregnancy, only about half of the pregnancy ended in the birth of twins. This discrepancy is due to several reasons. First of all, this is due to the anembryony of one of the fertilized eggs. Echographically, this pathology is characterized by the fact that if there are several fertilized eggs in the uterus, the embryo is absent in one of them. An empty fertilized egg differs from a full fertilized egg in that it is somewhat smaller in size and, as pregnancy progresses, undergoes reverse resorption. Another common reason for the discrepancy between the number of multiple births and the number of fertilized eggs is the death of one of the embryos. In this case, the structures of the dead embryo are revealed by ultrasound examination only as long as there is amniotic fluid in the cavity of the fetal egg. Other reasons leading to a false-positive diagnosis of multiple pregnancies include incorrect interpretation of the yolk sac, retrochorial in a single pregnancy, inflammatory changes in the chorion, decidual changes in the endometrium in the accessory horn and intrauterine septum. Therefore, it is more correct to inform patients about the presence of multiple pregnancies after 10 weeks of pregnancy, carrying out dynamic testing if several fertilized eggs are detected before this period. Your existing complaints undoubtedly indicate that there is a threat of miscarriage, despite the treatment you are receiving. Perhaps the prescribed treatment is not enough. You should be under constant supervision of your doctor. We need to adjust our joint actions. And ultrasound control is necessary, since the presence of brownish discharge may indicate a frozen pregnancy. You need to make sure that your fetus is developing normally. Visit your doctor as soon as possible and get an ultrasound! All the best! Good luck!

Each woman has her own reasons for wanting to terminate a pregnancy. But the frequency of decision making is in favor abortion during multiple pregnancy significantly higher than usual.

Multiple pregnancy develops due to the fertilization of two or more eggs. And if having children is not currently part of your plans, you need to minimize all possible consequences of terminating the pregnancy. Do not delay making a decision - remember, the shorter the period, the lower the risk of consequences.

Why is it better to entrust such a procedure to doctors?

Termination of pregnancy, regular or multiple, is always a risk to a woman’s reproductive health. The medical center is equipped with the most advanced equipment, and having our own laboratory allows us to quickly carry out the entire range of necessary tests and obtain the results of most of them on the day a woman visits the clinic.

Termination of multiple pregnancy performed using the following methods:

medical abortion - performed if the pregnancy does not exceed 42 days from the moment of conception;
manual vacuum aspiration (mini-abortion) - performed up to 5-6 weeks of pregnancy;
surgical abortion - performed up to 12 weeks.

Termination of a multiple pregnancy has its own nuances and is carried out only under ultrasound control. This allows doctors to pinpoint the location of the embryos and remove fertilized eggs without fear of leaving some tissue in the uterus.

To further ensure that the termination of pregnancy is completely completed, the doctor orders several sequential beta-hCG tests.

A progressive decrease in the level of human gonadotropin hormone in the blood until it completely disappears is the most accurate sign of absence of pregnancy.

What tests should be taken before terminating a multiple pregnancy?

Before the procedure, you will need to do a number of standard tests, including a smear for flora and a blood test for beta-hCG, as well as undergo a pelvic ultrasound.

A contraindication to abortion is the presence of infectious and inflammatory processes in the reproductive system. In this case, an abortion will be performed after the course of treatment.

Termination of pregnancy in our center is performed by doctors of the highest category, experienced, competent specialists who will tell you in detail about all the risks, advise you, conduct thorough preoperative preparation and make the necessary postoperative appointments.

Recovery period

After the abortion procedure, you will be taken to a room where you will stay for several hours under medical supervision. Then the doctor will make a number of necessary appointments and give recommendations. Our main task is to minimize the negative consequences of abortion for your health!

At 12 weeks, an ultrasound showed that it was twins, monochorionic, the 1st had a ktr of 64, the 2nd had a ktr of 69. At 20 weeks, the difference in the weight of the fetuses was 100 g 361/262. Doctors are worried about the possible development of FTTS (feto-fetal transfusion syndrome). What is the percentage difference between them and will this really lead to the death of both fetuses?

With monochorionic twins, the risk of developing feto-fetal transfusion syndrome is very high. Therefore, as a rule, there is a difference in fetal fetometry indicators, their condition and adaptive capabilities. Observation during pregnancy allows for timely assessment of the condition of the fetus, without waiting for a critical condition.

An ultrasound revealed one fertilized egg at 3 weeks. HCG showed 5-6 weeks. An ultrasound at 13 weeks said 100% girl on the back wall, and at 17 weeks they said one fetus was a boy on the front wall. I have identical monochoreal twin brothers. Could it be that two ultrasound specialists in a hurry found different babies, but didn’t look for the second one or didn’t notice?!

At 13 and 17 weeks, diagnosing a singleton/multiple pregnancy is not difficult. Highly specialized ultrasound specialists at our center will be able to answer your questions.

Dee Dee twins 24 weeks pregnant. On ultrasound, one fetus is developed in term and size at 24 weeks and 1 day, and the second is 22 weeks and 3 days. Is this lag normal?

Unfortunately, it is impossible to answer your question without information about the size of both fetuses at 11 - 14 weeks, screening data from the first trimester and information about the condition of the placenta, umbilical cord, the amount of amniotic fluid and the results of Doppler measurements of your babies. Or send the question again, providing all the necessary information. Or make an appointment by calling the Unified Call Center: 8-495-636-29-46

18-19 weeks of pregnancy, I did an ultrasound: monoamnitic monochorionic undissociated twins. Do my children have different sexes or same sexes? How to understand this? What is this anyway and can it threaten me with anything?

Monoamniatic monochorionic twins mean that the babies not only have one placenta for two, but also one amniotic cavity for two. In this case, the gender of the babies should be the same. Non-dissociated twins mean that the babies have not separated, but have “fused” with each other (the so-called “Siamese twins”). In this case, the prognosis for the life and health of babies may be unfavorable. To clarify this serious diagnosis, it is advisable to conduct an expert ultrasound, and then consult a geneticist.

At the first ultrasound at 7 weeks, the pregnancy was monochorionic biamniotic, and in the maternity hospital at 11 weeks it was bichorionic biamniotic. Due to the doctor's concern about the reduction of the cervix, she did an ultrasound at 15 weeks and was again diagnosed with a monochorionic pregnancy. At the same time, the doctor was completely convinced that they were twins. At 19 weeks they said that they couldn’t see how many placentas there were. How to find out if you are twins or fraternal twins? And is this possible during subsequent ultrasounds? The babies are same-sex; neither my husband nor I had twins in our family.

Chorionicity (how many placentas) is most accurately determined in the first trimester, when the thickness of the amniotic septum and the presence of chorionic tissue between the membranes of the amniotic cavities can be assessed. With increasing gestational age, these signs lose their significance and determining chorionicity when both placentas are located on the same wall becomes difficult. An indirect indicator of monochorionic twins is the same sex in both babies, however, this option is also possible if there are two placentas. The issue of twins can be finally resolved after the birth.

We are planning a pregnancy. In October, an ovarian cyst was removed. After laparoscopy, the doctor prescribed treatment: 3 injections of Zoladex, 3 months of taking Visanne and Qlaira. On my husband’s side, his grandmother was one of twins, my husband’s cousins are twins, but on my side there are no twins. After taking the medications listed above and taking into account my husband’s heredity, do our chances of having multiple pregnancies increase?

If more than three months pass from the moment you stop taking the drugs until you conceive, the effect of the increased risk of multiple pregnancies will disappear. As for heredity, the probability of multiple pregnancy is increased, but only slightly compared to the population.

The first day of my last menstruation was April 27, my periods were always irregular, I was diagnosed with polycystic disease. Conception could occur on May 10, 11, 17, June 2 and 13. Considering the first day of the last menstruation, there should have been 9 weeks of pregnancy on June 29, but the embryo was not visible. HCG - 22000 (corresponding to the 9th week of pregnancy), they said anembryonic pregnancy, they suggested cleaning or pills. Is there a possibility of multiple pregnancy? My father is a twin and I have twins from my grandmother. Could there simply be a short period during which the embryo is not visible? Is hCG high because a multiple pregnancy is developing?

To clarify the situation, it is necessary to undergo a study in dynamics.

At 12 weeks of pregnancy according to ultrasound: dichorionic diamniotic twins, at 21 weeks: monochorionic diamniotic, at 24 weeks: monochorionic, same sex. At the consultation, we decided that we should trust the first ultrasound. What should I do?

To determine chorionicity in twins, early ultrasounds are the most informative, so it is better to focus on ultrasound at 12 weeks.

6-7 weeks of pregnancy according to ultrasound, according to the last menstruation - 9-10 weeks. Cycle 34-36 days, ovulation was late, May 10 according to ultrasound: gestational sac 18 mm, 1 embryo: CTR 4.7, heart rate 93 beats/min, yolk sac 3.1 mm, 2 embryo: CTR 3.4, heartbeat not registered, yolk sac 2.8 mm, corpus luteum in the right ovary 15 mm. Can the second embryo be delayed in development or does this mean that the second embryo is frozen? And isn’t the heart rate of the first embryo low?

The heart rate of the first fetus is within normal limits. The CTE of the second fetus (3.4 mm) corresponds to a period of less than 5 weeks. At this stage, the fetal heartbeat may not yet be detected. The size of embryos can vary significantly already in the early stages of pregnancy, so it is quite possible that the second embryo still needs to grow. To assess the growth rate of the embryos and the presence of a heartbeat in both babies, it is advisable to repeat the ultrasound after 2-3 weeks.

7 weeks of pregnancy, multiple births are in question. On November 22, there was a spontaneous abortion, the menstrual period was 8-9 weeks, according to an ultrasound a few hours before the miscarriage, the fertilized egg was 4-5 weeks in size. After cleaning, they gave recommendations not to get pregnant for 6 months, but in February I found out about pregnancy, they wanted to do medication termination, but the doctor dissuaded me, I want to continue the pregnancy. What is the probability that a frozen and spontaneous abortion will not happen again?

The causes of missed abortion are various - genetic, antiphospholipid syndrome, luteal phase deficiency, viral infections. It is necessary to be examined and adjust the use of medications depending on the results obtained.

7 (obstetric) weeks of pregnancy, according to ultrasound: two fertilized eggs, but one contains an embryo and a heartbeat can be heard, and the other is empty. Could the second egg be delayed in the development of the embryo or is it already certain that it will resolve?

Sometimes two fertilized eggs are laid, in one of which the embryo develops, and in the second fertilized egg the embryo is not laid. At the first screening period of 11-14 weeks it will be possible to accurately determine the number of embryos and how they develop.

One fetus and two bladders, are they twins or twins? What is this?

Sometimes two fertilized eggs are laid, in one of which the embryo develops, and in the second fertilized egg the embryo is not laid. Judging by your data, you have a singleton pregnancy. The second “empty” fertilized egg does not affect the development of the fetus.

Second pregnancy, 22 weeks, monochorionic diamniotic twins, the first was 5 years ago, I gave birth on my own at term, my son is fine. At 21 weeks, one fetus froze. The gynecologist ordered an abortion, I refused, because I hope to carry the second one to a viable term, at the moment the child is healthy, all indicators correspond to the term. What are our chances? What are the risks to the living baby and to me? I am 27 years old.

With diamniotic twins, there is a chance to carry a second child to term. But careful monitoring over time is necessary, including ultrasound and Doppler. The risks for you are similar to normal twins.

13 weeks of pregnancy, monochorionic diamniotic twins, one with pathology MVPR with congenital omphalocele. What happens in such cases? Is it possible to save a second healthy baby?

Theoretically, yes. But if a fetus with congenital malformation dies in utero, this may negatively affect the formation of the second fetus and there may be secondary changes in it, including quite serious ones.

5-6 weeks of pregnancy, an ultrasound revealed one fertilized egg measuring GS-21.3 mm, and in it two yolk sacs of 4.2 mm and 4.4 mm. Does this indicate twins?

A dynamic ultrasound is required in 1-2 weeks, when it will be possible to determine the number of embryos and their heartbeat.

My first pregnancy occurred at the age of 19, with twins, two girls. At 17 weeks there was a spontaneous miscarriage. The second pregnancy occurred after 1.5-2 months, one fetus, gave birth at the age of 20, a boy. I didn’t have twins in my family, my husband’s grandmother had twins, his mother and her sisters and brothers didn’t have twins, and her children don’t have sisters and brothers either. What is the likelihood that I will have more twins?

The probability is increased, but it is impossible to say in numbers.

At 7 weeks of pregnancy, according to ultrasound: two embryos in one fertilized egg, fetal CTE 9 mm, monochorionic biamniotic twins. According to an ultrasound at 9 weeks, another doctor did not see the second fetus. The CTE of the fetus during the ultrasound varied from 26 to 28 mm. Can the second one hide behind the first? And that’s why the CTE changed?

When measuring CTE, an error of within 2 mm is permissible; we recommend a screening ultrasound at 11-12 weeks to clarify the situation.

6 weeks pregnant. According to ultrasound: there are two fertilized eggs in the uterine cavity, in one of which there is a developing embryo with a heartbeat, in the second - the embryo is not visualized. Is it possible for two eggs to be fertilized within a few days of each other? Why does the development of the second embryo lag behind the first? Does this mean a pause in the development of the second egg?

Most likely, we are talking about a non-developing fertilized egg. The death of the second fertilized egg will not affect the pregnancy of the remaining baby.

4th week of pregnancy, a week ago two fertilized eggs were discovered in a private clinic. I did an ultrasound in another place, one fetal egg is 7.7 mm, the other is not visible. What could it be? Has it disappeared? Is this a doctor's mistake or different quality of equipment? There were no allocations.

It is not uncommon for one of the fertilized eggs to die in the early stages of pregnancy and dissolve.

First pregnancy, 7 weeks. According to ultrasound at 4.4 weeks: signs of a two-egg intrauterine pregnancy in one fertilized egg and anembryonic pregnancy in the second. What to do now with the second frozen egg? Does it need to be removed or will it “come out” on its own? What will happen now to the normally developing fertilized egg? I am 27 years old.

There is no reason to worry. The dead fertilized egg will dissolve without harm to the remaining one. We recommend that you repeat the ultrasound to clarify the situation.

I'm pregnant with twins. Is biochemical screening informative?

The first day of the last menstruation is December 2, the average cycle length is 28 days. First ultrasound on January 4: a 3 mm fertilized egg was detected in the uterine cavity, but the corpus luteum was not detected. On January 5, the result of the hCG test was 4471.0 mIU/ml. At the 11th week of obstetrics, I found out that I was having twins. Is it possible not to see twins at 4 weeks of obstetrics? Is it possible to conceive two babies at such different times?

In a very short period of time (as in this case), it is quite possible not to see the second fertilized egg. And if we are talking about identical twins, then they can only be seen when the embryos are well visualized.

At the first ultrasound, the doctor did not see the fertilized egg, set the period to no more than two weeks, the hCG result on the same day was twice as high. Two weeks later, I came to register with another doctor, the doctor examined me without an ultrasound, and set the period to 8 weeks. At 12 weeks, at the screening they wrote that there was one fertilized egg and one fetus. Could they not have seen the second baby on the ultrasound or is this impossible?

12 weeks of pregnancy, an ultrasound said that one embryo froze at 9-10 weeks, and the second was developing well. What is the probability of bearing a child? Will there be any infections from the dead fetus?

The probability of bearing a child is quite good. If the fetus is frozen at this stage of pregnancy, it can dissolve without harming the second fetus.

I did IVF. Last menstruation on April 10, puncture on April 28, postponement on April 30. HCG result on May 14 - 403. At what stage can a multiple pregnancy be detected? When to do an ultrasound? The doctor recommended June 11, and the doctor who performed IVF recommended May 25.

Is it possible for a multiple pregnancy to simultaneously have the ectopic development of one fetus and the death of the second? How will the ectopic fetus develop if the frozen one was removed? Is it possible that the ultrasound detected the heartbeat of the ectopic fetus, but it was “attributed” to the frozen fetus, saying that it was alive, although it was clear from the condition of the pregnant woman, as well as the size of her uterus, that the fetus had died?

At 6 weeks I was diagnosed with identical twins. One is 5.7 mm, the other is 6.2 mm. The first has a heartbeat of 154 beats/min, the second - 156 beats/min. I'm 11 weeks now. Could one of them have “disappeared” by this point?

In some cases, in the early stages, one fetus from twins may stop developing, which can lead to its “disappearance.”

By my count, I'm three weeks and three days pregnant. Menstruation was from September 21 to 26. I know that I became pregnant on October 9th. Everything was planned. I started taking vitamins with folic acid in early September. On October 31, I took an hCG test - 19795. On the same day I did an ultrasound, which showed 5 weeks and six days. Can an ultrasound doctor make a mistake and not see a multiple pregnancy, but set a longer term?

The ultrasound report indicates the obstetric gestational age, from the first day of the last menstruation. You count from conception, the true term. It will be of no use to anyone but you. All dates (maternity, childbirth, etc.) are counted in obstetric weeks. More details about calculating the timing of pregnancy are written in the articles on our website.

My grandmother on my father's side had twins, and my grandmother's husband on my mother's side had twins twice, I have two sons and I am currently 4 weeks pregnant, can I have twins?

Taking into account your pedigree, your probability of being born is doubled compared to the population frequency. Everything will be visible on the ultrasound.

I went for an ultrasound at 16 weeks of pregnancy, everything was fine. But when I went for an ultrasound at 24 weeks, they told me that I had uterine fibroids, although I didn’t have one. Could uterine fibroids form in 2 months?

Most likely, there was uterine fibroid, but it was small in size. During pregnancy, fibroid nodes quickly increase in size.