Patient's question:
Performing cerclage, at five months, there was an increase in secretions, and a vaginal discharge test showed normal results. At six months, there was spotting, rupture of membranes, and miscarriage, which was very rapid, lasting only two days.Mental state: good, appetite: normal, sleep: normal, bowel movements: normal, urination: normal when lying sideways, slower and finer when lying flat. Weight: gradually increasing. Cause or etiology: cervical incompetence (relaxation of the internal cervical os, short cervix), time: recent.
Doctor's answer:
Hello: Habitual late miscarriage is often caused by cervical incompetence. It is usually due to cervical damage resulting from procedures such as curettage or cervical dilation, though it may occasionally be due to congenital developmental abnormalities. Such patients, after the mid-pregnancy stage, may experience a protrusion of the fetal sac from the cervical os as amniotic fluid increases and the fetus grows, leading to elevated intrauterine pressure. When this pressure reaches a certain level, it can cause membrane rupture and miscarriage, often without any noticeable symptoms beforehand. It is recommended that you seek early examination at a reputable specialized hospital to identify the underlying cause and receive targeted treatment, to avoid affecting future fertility. Wishing you good health!