Reasons and Symptoms for Miscarriage after 5 Months.

The fifth month of pregnancy covers the 17th to the 20th week. Contrary to what many people believe, it is possible to have a miscarriage at 5 months pregnant, even though the chances are very low. Most miscarriages occur within the first three months, or the first 12 weeks of pregnancy. As you cross the 13th week, you enter the second trimester, which is considered the safest part of pregnancy. Studies indicate that the risks of experiencing the signs of miscarriage at 5 months are as low as 1%.

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Nevertheless, since it is possible to have a miscarriage right till the 19th week of pregnancy, any symptoms you experience should be taken very seriously. For any reason, in case you go through the loss of pregnancy after the 20th week, it is regarded as a stillbirth and not a miscarriage.

What are the Causes of Miscarriage at 5 Months?

Health care providers are not always able to discern the reasons for miscarriage at 5 months. There are several factors that could lead to a miscarriage at 5 months, some of which include:

  • Incompetent cervix: This is a condition in which your cervix becomes weaker and softer than normal. As the fetus grows, the cervix dilates and shortens, due to the added pressure applied by the baby. This condition can lead to severe complications such as rupture of the fetal membranes, pre-term delivery or miscarriage. If detected in the earlier stages, doctors can prevent serious complications, but putting a few stiches around the cervix.
  • Placental abruption: As your body prepares for delivery, your placenta gets separated from the uterus. However, for some reason, if the placenta and the uterus separate before the due date, it leads to a miscarriage. The exact causes of placental abruption are not clear, but it is believed that this problem is more common in women who drink alcohol and smoke during pregnancy.
  • Prenatal tests: During the course of pregnancy, there are several prenatal tests that you need to go through, just to make sure that the growth and development of your baby are normal. There are two tests that are conducted between the 15th and 18th week, known as chorionic villus sampling and the amniocentesis tests. In some instances, these two tests can lead to miscarriage.
  • Poor nutrition: During pregnancy, you are usually asked to follow a healthy and nutritious diet, so that your baby can grow and develop properly. In case your diet lacks important vitamins, minerals, proteins, carbs and other essential nutrients, your baby may not be able to grow, which can lead to a miscarriage.
  • Age or medical problems: Women who are past the age of 35 are at a much higher risk of miscarriage, as compared to other pregnant women. Medical conditions like diabetes, hypertension, thyroid disorders as well as infections, sexually transmitted diseases and thrombophilia disorders can also lead to miscarriage.

Women who have had a miscarriage in the past are usually asked to exercise caution in the following pregnancies, as the risks of a repeat miscarriage are relatively higher. However, as soon as your recover physically and emotionally from a miscarriage, there is no reason why you cannot try again. To reduce the chances of a repeat miscarriage, go through a detailed checkup, just to make sure that everything is normal, even before you get pregnant.

Pregnancy Miscarriage Second Trimester

Miscarriage at 5 months or miscarriage after 5 months means that the miscarriage is in the second trimester of pregnancy. Generally, women miscarry in the first trimester of their pregnancies. And once they step into their second trimester, their chances of miscarrying decreases sharply. However, this does not mean that some women do not have a miscarriage at 5 months of pregnancy. Some women do have a miscarriage in their second trimester.

The second trimester of pregnancy begins in the 12th week of pregnancy and lasts till the 20th week. If a woman miscarries between the 12th and the 20th weeks of pregnancy, then it is a second trimester miscarriage. However, if someone has a miscarriage after the 20th week, then it is termed as stillbirth.

Pregnancy Miscarriage Reasons

Here are some reasons as to why and how women can miscarry in their second trimester or have a 5 month miscarriage.

Chromosome problems in the unborn baby are one of the most common reasons for a miscarriage. This problem can happen in the first trimester but can go undetected till the miscarriage happens in the second trimester. Sometimes the fetus could have self aborted during the first trimester but wasn't detected during doctor's appointments or screening.

Miscarriage can happen in the second trimester because of severe trauma to the tummy, infections of the pelvis, and infections in other parts of the body or because of an incompetent cervix. Miscarriages can also happen because of placenta previa, placental abruption, thrombophilia disorders, and heart defects in the fetus.

What are the Signs of Miscarriage at 5 Months?

There signs and symptoms of miscarriage at 5 months are not very different from the symptoms seen in the first trimester. However, the later the miscarriage occurs, the more severe the symptoms are likely to be. Given below are some of the most common signs of miscarriage at 5 months:

  • Vaginal bleeding
  • Severe cramps in the abdomen
  • Passing of blood clots and tissue from the vagina
  • Tightness and bloating in the tummy
  • Diarrhea
  • Discharge that ranges from pink to brown in color

In case you experience severe shoulder pain in pregnancy second trimester, you need to consult your doctor immediately. Not a lot of people are aware that this is one of the signs of miscarriage and internal bleeding in the second trimester of pregnancy. At times, women also experience contractions when they have a miscarriage at 5 months.

It is not necessary that you will experience all the above miscarriage symptoms in the second trimester. There are several women who do not come to know that they have had a miscarriage till they visit their doctor for a checkup. It is only then that they realize that the baby has no heartbeat. In such cases, the normal pregnancy symptoms like breast tenderness, frequent urination and morning sickness usually disappear. The absence of pregnancy symptoms is also one of the signs of miscarriage at 5 months.

There are many women who experience some amount of light bleeding at 5 months pregnant, without actually going through a miscarriage. In this case, bleeding could be an indication that something is wrong and if it is not checked in time, it may lead to a miscarriage. In a few cases, it may be possible to prevent a miscarriage, by seeking emergency medical attention. Therefore, keep your doctor informed at the first sign of trouble.

Pregnancy Miscarriage Symptoms

Some of the signs to look out for that can signal a second trimester miscarriage include -

Some of the symptoms of miscarriage are the same in the first and second trimester. Abdominal cramping, vaginal bleeding and blood clots are generally associated with a miscarriage. Some women experience internal bleeding that can cause shoulder pain and bloating of the stomach.

Pregnancy Miscarriage Second Trimester Reasons

Incompetent Cervix: This kind of cervix is weaker and softer than normal, and can dilate and shorten as the fetus grows and puts pressure in it. This can cause miscarriage in the second trimester, pre-term delivery, or rupture of the fetal membranes. Doctors often rely on the clinical history of the patient to diagnose if a person has an incompetent cervix.

Placenta Abruption: In this the placenta can separate from the uterus much before the expected date of delivery. It is believed that placenta abruption is more common in pregnant women who have drug abuse problems, smoke, had an accident, or in women who are older. Sometimes hypertension or taking an aspirin late during the pregnancy can cause placenta abruption too.

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