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The Duchess of Sussex lost her second child last summer, but didn't go public with her ordeal until she wrote about her experience in a New York Times op-ed.
The new claims have come to light in the biography Finding Freedom, written by royal correspondents Omid Scobie and Carolyn Durand.
The paparazzi images mentioned in the biography were taken in July last year and appear to show the Sussexes leaving a medical centre in Beverly Hills, California.
In the deeply heart-wrenching piece, Meghan explained she had started her day like any other. But after experiencing a "sharp cramp" she knew something was wrong.
"I dropped to the floor with him in my arms, humming a lullaby to keep us both calm, the cheerful tune a stark contrast to my sense that something was not right. I knew, as I clutched my firstborn child, that I was losing my second.
"Hours later, I lay in a hospital bed, holding my husband's hand. I felt the clamminess of his palm and kissed his knuckles, wet from both our tears. Staring at the cold white walls, my eyes glazed over. I tried to imagine how we'd heal."
The 40-year-old Duchess and the 36-year-old Duke announced they were expecting once again in February 2021. They welcomed their daughter, on 4th June 2021.
The Sussexes named their daughter Lilibet “Lili” Diana Mountbatten-Windsor in honour of Harry’s mother, Princess Diana, and to the Queen, whose family nickname is Lilibet.
In a statement released on the Archewell website announcing Lili’s arrival, Harry and Meghan said: "On June 4th, we were blessed with the arrival of our daughter, Lili. She is more than we could have ever imagined, and we remain grateful for the love and prayers we've felt from across the globe.
"Thank you for your continued kindness and support during this very special time for our family."
Tyla has contacted reps for Harry and Meghan for comment.
For support and advice on miscarriage, visit Tommy's here.