Can a miscarriage occur at four months of pregnancy?

Patient's question:

Since I became pregnant, I have been undergoing detailed examinations. It has been four months now, and during the recent examination, it was indicated that the fetus is not doing well, and an abortion is recommended. Can an abortion occur at four months of pregnancy?

Doctor's answer:

At four months of pregnancy, it is not possible to have an abortion; it must be resolved through induced labor. After three months of pregnancy, the fetus has developed and formed, the placenta has been established, and the fetus is inside the amniotic sac with sufficient amniotic fluid. At this stage, it is not possible to directly have an abortion; it must be resolved through induced labor. Induced labor can be achieved through oral medication for medication-induced abortion or through amniotic cavity anesthesia for drug-induced abortion. After medication, uterine contractions are initiated, the cervix dilates fully, and the fetus and placenta are expelled.

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