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Related Experiment Video

Updated: Jul 10, 2026

Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes
04:08

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Published on: June 27, 2025

Second trimester pregnancy loss.

Thomas C Michels1, Alvin Y Tiu

  • 1Madigan Army Medical Center, Tacoma, WA 98433, USA. thomas.c.michels@us.army.mil

American Family Physician
|November 21, 2007
PubMed
Summary
This summary is machine-generated.

Second trimester pregnancy loss, though uncommon, requires thorough investigation into fetal and maternal factors. Early identification and management of potential causes, alongside emotional support, are crucial for affected women.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Second trimester pregnancy loss is an infrequent yet significant obstetric event.
  • Identifying the etiology can be challenging due to multifactorial influences.

Purpose of the Study:

  • To outline the key considerations and diagnostic approaches for second trimester pregnancy loss.
  • To emphasize the importance of a comprehensive evaluation and management strategy.

Main Methods:

  • Review of potential etiologies including fetal abnormalities (chromosomal), maternal anatomic, immunologic, infectious, and thrombophilic factors.
  • Emphasis on detailed patient history, physical examination, and relevant laboratory testing.
  • Discussion of management strategies, including addressing maternal risk factors and preventive measures.

Main Results:

  • A definitive cause-and-effect relationship is often difficult to establish.
  • Laboratory tests can identify some treatable causes.
  • Limited evidence exists for specific interventions, but managing maternal factors is essential.

Conclusions:

  • A systematic approach involving history, examination, and testing is vital for second trimester pregnancy loss.
  • Preventive measures and management of maternal factors are recommended.
  • Genetic counseling and emotional support are important components of care.