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oh the first part of that post should read..."for those of you that have miscarried one twin what does the ultrasound look like?"

I just had a miscarriage of a twin the weekend of Memorial Day this year and at the time I thought I was miscarrying all together. When they did the u/s at the er, they told me I had an empty sac (blighted ovum), they kept me overnight as I was bleeding heavily, clots and tons of bright red blood. The next morning they did another scan to see how much tissue was left, and there was a perfectly healthy little bean! There was no evidence at all of the vanished twin that they saw the night before. My hormone levels were extremely high and that is how they knew for sure I had miscarried a twin. I am now almost 15 weeks along and everything is going great. Did your docs ever check your hcg levels? If they were high at the time of the loss it could have been a vanishing twin? I am sorry to hear that you lost one of your babies, but glad to hear you have a wonderful daughter.

I have a family history of hyper ovulation. I have had 4 pregnancies, and thousands of ultrasounds.

Pregnancy 1:

Low fetal HR 97, 8 weeks, and a subchorionic  hematoma, with a subchorionic hemorrhage.
Ended in Missed Abortion, D&C at 14 weeks

Pregnancy 2:

Low fetal HR 103, 8 weeks, and a subchorionic  hematoma, with a subchorionic hemorrhage
Ended in Missed Abortion, D&C at 12 weeks

Pregnancy 3:

Fetal HR 130, 8 weeks, and a subchorionic  hematoma, with a subchorionic hemorrhage
Bed-rest through 28 weeks, Pre-term delivery at 35 weeks.  (had a anterior placenta)

Pregnancy 4:

Fetal HR 145, 7 weeks, and a vanishing twin (something small inside with no FHR), with a subchorionic hemorrhage
Miscarriage  at 18 weeks, no FHR at routine ultrasound, fetus measure 15 weeks. Ended in Missed Abortion, D&C at 19 weeks.

After this I was told I had a small septate on the back of my uterus. I have examined many ultrasound images. Mine all looked the same as the vanishing twin pregnancy, except for the fact that they found something inside that one. Take everything with a grain of salt. There may be a vanishing twin, there may be a subchorionic hematoma, you may carry the second twin to term, you may not. But trust your instinct, and when in doubt – go to bed. I believe that they were all vanishing twins, and that bed rest saved my son. I would do it all over again for every minute that I get to spend with him. He is healthy, perfect, so smart… and worth waiting for. Best to you all.