Regarding the death of a pregnant baby

Patient's question:

I would like to ask the doctor. My wife is five months pregnant and has been undergoing regular check-ups. The hospital said the baby is healthy. Yesterday, when I went for a check-up, the fetal heartbeat was still normal. Today, however, the hospital insists that the baby has no heartbeat and has died, giving the reason that it was due to a heart defect and fluid accumulation. 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: Fetal distress or asphyxia, etc.
4. Factors: Early placental separation; 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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