Melissa lost the baby after a miscarriage, and later it’s revealed that she pretended to still be pregnant for a while. In the show, she tells Spencer she started faking it after Ian died because she was overwhelmed and didn’t want to deal with losing both him and the pregnancy at once.

Quick Scoop

The main twist is that Melissa’s pregnancy did not continue normally. Spencer discovers there were no hospital records matching Melissa’s claim about when she lost the baby, and later Melissa explains that she had already miscarried and then kept up the pregnancy lie for a time.

What the show implies

  • Melissa initially claimed she lost the baby in June, but Spencer finds that story doesn’t line up with the records.
  • Later, Melissa admits she was pretending to be pregnant after the miscarriage.
  • Fan discussions and recap coverage consistently describe it as a miscarriage followed by a secret fake pregnancy.

In plain terms

So the answer is: Melissa’s baby was lost through miscarriage, and Melissa hid that fact by pretending she was still pregnant for a while.

TL;DR: Melissa miscarried, then faked the pregnancy until the truth came out.