How is the situation regarding the death of a pregnant baby?

Patient's question:

I would like to ask the doctor. My wife is 5 months pregnant and has been undergoing various examinations. The hospital said the baby is healthy. Yesterday, when I went for a check-up, the baby's heartbeat was still normal. Today, when I went back to the hospital, they said the baby had no heartbeat and had died. The reason they gave us was a heart defect and fluid accumulation leading to death. I would like to ask the doctor, could such a situation occur?

Doctor's answer:

The most common causes of miscarriage include:
1. Maternal diseases: Diabetes; Hypertension (whether pre-existing or leading to preeclampsia); Septicemia or shock caused by other reasons.
2. Issues with the baby itself: Chromosomal abnormalities and congenital malformations; Infections: viral or bacterial infections; Immune hemolytic diseases; Cord accidents: cord prolapse, cord knotting, expectant embolism; Metabolic disorders.
3. Problems during the delivery process: Distress or asphyxia, etc.
4. Factors: Early placental abruption; Insufficiency; Postterm pregnancy; Placenta previa; Hemolytic disease of the newborn; Maternal-fetal blood type incompatibility.
5. Environmental issues: Environmental toxins; Medications, etc.

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