What are the causes of missed miscarriage?

Patient's question:

My friend didn't come to visit her aunt last month on the 4th, and then on the 15th of this month, she discovered she was pregnant. However, a few days later, she started bleeding and wasn't able to complete the D&C procedure. Initially, it was said to be a sign of early pregnancy bleeding, but later it was determined to be a missed miscarriage. I want to know what could have caused this?

Doctor's answer:

Incomplete abortion is also known as missed miscarriage or fetal demise. If the embryo is (dying) and remains in the uterine cavity, the products of early pregnancy are usually expelled within 1-2 months after symptoms reappear. According to the definition, incomplete abortion is diagnosed when the products of conception have not naturally expelled 2 months after fetal demise. Incomplete abortion is generally caused by hormonal imbalances, immune system issues, viral infections, excessive stress, and environmental factors. Generally speaking, at least one year is needed to fully recover after an incomplete abortion. It is important to pay close attention, enhance nutrition, avoid spicy and extremely cold foods, and maintain good health. It is best to undergo a comprehensive physical examination with your partner three months before planning to conceive again at a hospital.

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