MISCARRIAGE

also called Spontaneous Abortion, spontaneous expulsion of the embryo or fetus from the uterus before it has developed sufficiently to live without maternal support. The most common cause, accounting for more than 60 percent of miscarriages, is an inherited defect in the fetus, which might result in a deformed or otherwise abnormal child. An acute infectious disease may play a role in causing some miscarriages, particularly if it reduces the oxygen supply to the fetus. Certain uterine tumours or other uterine abnormalities also may induce a miscarriage. Death of the fetus stemming from external trauma or from knotting of the umbilical cord is another cause of miscarriage. Physical traumas (such as blows to or falls of the mother) and psychic traumas are rarely implicated in miscarriage. Endocrine disorders such as the deficient secretion of the hormone progesterone may cause poor development of the decidua (the mucal lining of the uterus) or an abnormally irritable uterus and may thus sometimes result in miscarriage. The principal sign of an impending or threatened miscarriage is vaginal bleeding.