Clinical and Morphologic Aspects of the Vanishing Twin Phenomenon

-

Jauniaux, M.D., E., Elkazen, M.D., N., Leroy, M.D., PhD., F., Wilkin, M.D., PhD., P., Rodesch, M.D., PhD, F., Hustin, M.D., PhD., J.
The pathologic findings in placentas from ten multiple gestation complicated by the so-called vanishing twin phenomenon were studied to confirm the ultrasonographic evidence. Five pregnancies resulted from in vitro fertilization and embryo transfer, and five conceptions were spontaneous. The pregnancies were studied by repeat ultrasound examinations between five and 12 weeks’ gestation. First-trimester bleeding was the only clinical sign of this phenomenon was found in five cases. Morphologically, the lesions were characterized by well-delineated plaques of perivillous fibrin deposition, associated in one case with embryonic remnants. This focal degenerative change of the placental mass, which also exists in about 25% of placentas from uncomplicated term pregnancies, may be the only clue to the disappearance of one conceptus. (Obstet Gynecol 72:577, 1988) October,1988

The vanishing twin phenomenon has spurred the curiosity of many investigators since the advent of ultrasound in the last decade. There is no doubt that some twins or fetuses of higher multiple pregnancies die in utero before delivery. Ultrasound studies have demonstrated that the vanishing phenomenon occurs during the second half of the first trimester or early in the second trimester. However, morphologic evidence of tissue remaining from the disappearing twin has rarely been reported.

The chance of carrying a multiple pregnancy to term, when complicated by early embryonic disappearance, is good, and that the prognosis for the surviving twin is better in early cases than in cases of second- and third-trimester fetal death.

Popular posts from this blog

Am I a Survivor of a Vanished Twin?

-
Questions to Discover if You May be a Vanishing twin Survivor Vanishing Twin is a word that’s been used since 2003 to describe the fetus or embryo that was a twin, triplet or other multiple but died early in the pregnancy, leaving no detectable trace at birth or before. The remaining child born is called a Vanishing Twin survivor. This is also known as the vanishing twin phenomenon. There are millions Vanishing Twin survivors in the world today that share some common characteristics. Instructions Step1 See if you feel different from other people. Maybe you have a strange sensation that somehow you don’t really exist, you’re not really here or shouldn’t be here. Step2 Look back to see if you have suffered from depression most of your life, you’ve had long-term problems with food and eating and perhaps you’ve always feared abandonment and rejection. These are common, similar feelings of Vanishing Twin survivors. Step3 Understand that feelings of wanting...
Read more

Taking a Deeper Look at the Vanishing Twin Syndrome

-
By Teshna Beaulieu, DC |  Certified NET Practitioner 7 Maple Ave. Philmont, NY 12565 | 518-672-4019 |  teshnab@taconic.net Subject Covered by the Article: So many people have been affected by the loss of a Vanishing Twin. I have identified several categories describing the modus operandi of VTS survivors which can help someone clear all the ramifications caused by the trauma of losing a loved one so early in the human experience. Many times I have found that people have had the VTS come up in NET sessions relating to one or more of the aspects described below. However, I found that many aspects have3 not come up yet even though they may be affecting the person’s life. This is a way of exploring these aspects on purpose and clearing them independently of any other topic. Summary of the NET Procedure: This is a procedure containing many steps found useful to help a person feel better about themselves, freer to be who they are and have their needs met without fear of terrible consequences...
Read more