is spotting a sign of multiples?
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Miscarriages are more common with multiple pregnancies, so a little bit of spotting can be cause for concern. But spotting is also more common with a multiple pregnancy. In the absence of cramping or large clots, spotting doesn't mean the end of your pregnancy. Talk to your doctor if you're having bleeding or spotting.
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It is impossible to definitively know whether you are carrying twins (or multiple babies) by simply gauging how you feel or going off of what a home pregnancy test shows. In fact, only an ultrasound can confirm a twin or multiple pregnancy.
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Elevated Beta-hCG Levels You cannot conclusively distinguish a single pregnancy from twins on a urine pregnancy test. That said, you may have a very early positive pregnancy test if you are carrying twins.
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The first signs of miscarriage are spotting and cramps. Anytime you experience spotting, especially if you're spotting before your first ob-gyn appointment, it's important to call your doctor. “I would never tell a patient bleeding or spotting in pregnancy is normal.
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Midcycle spotting can occur secondary to the decrease in estrogen that precedes ovulation. This type of bleeding is a result of the amount of estrogen that is stimulating the endometrium. Low levels of estrogen result in intermittent spotting that may be prolonged but is usually light in the amount of flow.
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Nine (9%) multiple pregnancies occurred in the PCOS group: seven sets of twins and two sets of triplets. In the control group, there were eight multiple pregnancies: seven sets of twins and one set of triplets. The odds ratio for multiple pregnancy in women with PCOS was 9.0 (95% CI 3.5–23).
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Spotting may occur as capillaries near the mucous glands are stretched and bleed. Dilation occurs anywhere from a few days before the onset of labor to after the onset of labor. The main symptom is an abnormal increase in vaginal discharge, which is often associated with blood-tinged fluid or spotting.
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Another good indicator the bleeding may be due to spotting, is if you don't have any other menstrual symptoms, like breast tenderness or cramping. If you normally have these symptoms right before your period, but they aren't present during the time you notice some irregular bleeding, then it's probably spotting.
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In fact, most women carrying twins, triplets or more will go on to have uneventful pregnancies and healthy babies. However, there are conditions that can arise in any pregnancy, such as anaemia, preeclampsia or gestational diabetes, which are more common in multiple pregnancies and are therefore worth watching out for.
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Although spotting is usually not a sign of something serious, it isn't normal. Any time you notice bleeding outside of your period, you should mention it to your primary care doctor or OB-GYN. It's especially important to call your doctor if you're pregnant and notice spotting.
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If you're expecting twins or higher-order multiples, you could also possibly start to show before the end of your first trimester. Your uterus must grow larger to accommodate more than one baby. So whereas someone expecting a singleton may not show until after 3 or 4 months, you might show as early as 6 weeks.
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Multiples Can Be Tricky to Detect However, most women who spontaneously conceive twins, triplets, or more won't begin to suspect anything out of the ordinary until their pregnancy progresses. But there are some hints that show themselves as early as the first trimester.
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Early pregnancy spotting However, spotting could also be a sign of a miscarriage. Miscarriages occur in roughly 10 to 20 percent of known pregnancies. If this is the case, the spotting may get heavier and you may also pass fluid and tissue from the vagina. The bleeding may last just a few hours, or up to two weeks.
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If you are using a regular pregnancy test (not the super-sensitive variety) and get an immediate positive (especially a very dark positive indicator) a few days before your period is due, there may be an increased chance that you are carrying twins.
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The only definite way to find out whether you're having twins or other multiples is to have an ultrasound scan. The best time to have this ultrasound is at 10-12 weeks of pregnancy. This is usually when your health professional can say for sure how many fetuses, placentas and amniotic sacs there are.
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On an ultrasound image (inset), a polycystic ovary shows many follicles. Each dark circle on the ultrasound image represents a fluid-filled follicle in the ovary. Your doctor may suspect PCOS if you have 20 or more follicles in each ovary. There's no test to definitively diagnose PCOS.
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Diagnosis. Although spotting is usually not a sign of something serious, it isn't normal. Any time you notice bleeding outside of your period, you should mention it to your primary care doctor or OB-GYN. It's especially important to call your doctor if you're pregnant and notice spotting.