Our thoughts are with Vienna Girardi during this difficult time. Vienna opened up about her devastating miscarriage during a Thursday, Nov. 2, appearance on The Doctors. "I got an ultrasound and there were no longer any heartbeats,” she said, adding that she underwent immediate surgery to save her life. "For the most part I try my hardest not to think about it.”

“I was going into my 5th month and we thought we were in the clear. I started getting my nursery together and I had a gender reveal party and I picked out their names. Then a week later I was sitting on my couch and my water broke,” she continued. “I immediately called 911 and I remembered just crying saying, ‘I know my babies can’t survive at 18 weeks.’” Though doctors suggested inducing labor, Vienna declined because she “wanted to try and save them,” but “after a few days I went into septic shock [and] I couldn’t feel them anymore.”

Vienna, who was told by doctors it might be harder to conceive after her surgery, also shared that she is fearful she may never fulfill her dream of becoming a mom. “The scariest part is after you have a miscarriage, you start thinking, ‘Am I never gonna be able to have kids again?’” she said.

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@Supra_boats photo shoot time

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As previously reported, the Bachelor Nation alum took to Facebook on Sunday, Aug. 13 to share the heartbreaking news that she suffered a miscarriage at 18 weeks due to twin to twin transfusion syndrome — just two months after she first announced that she was pregnant and expecting twin girls.

"This is the hardest thing I have ever had to write," the 31-year-old wrote before bravely sharing her story in a statement on Facebook. She explained that she went in for an ultrasound on Aug. 3 because her perinatologist noticed that one of her twins had more fluids than the other one — which is one of the first signs of twin to twin transfusion syndrome, or TTTS. It is a rare condition that occurs when identical twins share the same placenta, according to the Cincinnati Children's Hospital. The disease develops in the placenta with the growth of abnormal blood vessels, which causes an uneven blood flow between the babies. One twin — known as the "donor twin" will grow weaker, while the "recipient twin" develops high blood pressure when the amniotic sac overfills with fluid and urine.

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Home with my baby girl #furbaby

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After her ultrasound, doctors told her that the twins' condition seemed to improve over the last week, but her water broke later that evening and she was forced to make the hard decision: she could hold off labor and risk getting a serious infection or deliver her twins prematurely with a less than five percent chance of survival. But ultimately, the decision was made for her — her daughters' hearts stopped beating the next day while she also went into a septic shock with a 104-degree fever.

"My little angels went to Heaven on Aug. 5," she continued. "I don't know why this happened and I pray the Lord gives me the strength to understand why he needed my little girls. RIP, my sweet angels. Your mommy will never forget you and I loved you both with my entire heart."

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