What are the causes of miscarriage at five months?
In recent years, miscarriage has become a health issue of concern to many expectant mothers, especially miscarriage in the second trimester (such as the fifth month), which often brings a huge psychological impact to the family. This article will analyze the common causes of five-month miscarriage based on the hot topics and hot content on the Internet in the past 10 days, and provide structured data for readers' reference.
1. Common causes of miscarriage at five months

Miscarriage at five months is a late-term miscarriage (13-28 weeks of pregnancy) and may be caused by the following reasons:
| Cause classification | Specific performance | Proportion (reference data) |
|---|---|---|
| Structural abnormalities of the uterus | Uterine malformation, cervical insufficiency | About 25%-30% |
| Infectious factors | Bacterial vaginosis, TORCH infection | About 15%-20% |
| Endocrine disorders | Luteal corpus deficiency, thyroid disease | About 10%-15% |
| fetal chromosomal abnormalities | Genetic problems such as Down syndrome | About 20%-25% |
| external factors | Trauma, overwork, drug effects | About 10%-15% |
2. Analysis of hot topic correlations
Based on the recent discussion hot spots on social platforms, the following topics are highly relevant to five-month miscarriage:
| Topic keywords | Discuss the popularity index | Relevance statement |
|---|---|---|
| cervical insufficiency | 8.5/10 | The main causes of painless miscarriage in the second trimester |
| Screening for infections during pregnancy | 7.2/10 | Pay attention to testing for group B streptococci and other |
| Risks for older pregnant women | 9.1/10 | The rate of fetal abnormalities increases over the age of 35 |
| Psychological stress effects | 6.8/10 | Chronic anxiety may trigger uterine contractions |
3. Prevention and response measures
Based on recent interviews with obstetricians and gynecologists:
1.Pre-pregnancy check-up: Special attention is paid to uterine structure and thyroid function.
2.cervical cerclage: Those diagnosed with cervical insufficiency can undergo preventive surgery at 12-14 weeks of pregnancy.
3.Infection prevention and control: Avoid raw and cold food, and conduct routine check-ups for leucorrhea regularly.
4.Emotional management: Stress-reducing methods such as yoga and meditation have been proven to be beneficial.
| Precautions | efficient | implementation stage |
|---|---|---|
| Cervical length monitoring | Reduce risk by 60% | 16-24 weeks pregnant |
| progesterone supplement | Effectiveness reaches 45% | First to second trimester |
| Nutritional supplements | Reduce risk by 30% | From 3 months before pregnancy |
4. Important reminder
1. A five-month miscarriage requires timely medical attention for embryo chromosome testing to guide subsequent pregnancies.
2. A history of two or more miscarriages should beComprehensive recurrent miscarriage screening.
3. It takes 3-6 months to repair the endometrium after miscarriage. It is recommended to wait half a year before getting pregnant again.
Note: The data in this article are synthesized from Dr. Dingxiang, Zhihu Medical Topics and the 2023 clinical statistical report of a top-level hospital. Please follow the doctor's advice for specific cases.
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