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I'm so sorry that you have to go through this! I think what could be happening or have happened is that you became pregnant and 2 sacs formed as though twins were developing except only in 1 sac did a baby start to grow, hence the heartbeat detected. The other would not have developed but the sac may have continued to grow for a short time until eventually it would be expelled by the body. If they have been unable to find the other baby's heartbeat (that they saw last time) at the next u/s then I guess the baby has since died (sorry) and it too will eventually be m/c'd. I don't think the other sac without a baby would have caused the death of your other baby as I have heard of plenty of twin pregnancies where one is lost and the other carried to term. Unfortunately it just sounds like a twin pregnancy that did not work out. Perhaps there was a problem with the baby's growth and development. I'm really sorry if this is the case ...I hope the next u/s provides you with some better answers and maybe even some better news. But if it doesn't then I wish you well in your recovery. There are many of us on here that have m/c and you will find a lot of support until you are ready to try again and through your next pregnancy.
Thank you for your comments. I go in tomorrow for another u/s. If the worst case is they died. What is the better route a d&c or medications to expell them? Thanks