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Understanding Later Pregnancy Loss: Causes, Care, and Recovery

Losing a baby in the second or third trimester, sometimes called a later pregnancy or stillbirth, is a rare but deeply distressing experience. These losses often have different medical causes and recovery needs compared with early miscarriage.

What Causes Later Pregnancy Loss

  • Placental problems such as placental abruption or insufficiency.

  • Infections that reach the uterus or affect the baby (e.g., listeria, parvovirus and cytomegalovirus (CMV)) 

  • Cervical insufficiency (when the cervix opens too early)

  • Fetal genetic or structural abnormalities.

  • Maternal conditions such as pre-eclampsia, diabetes, or autoimmune diseases. 

What to Expect Medically

In most cases, labour is medically induced to deliver the baby.

  • You’ll likely stay in the hospital and receive pain relief options.

  • Doctors may recommend testing of the baby or placenta to understand the cause of loss, though this is always your choice.

  • After delivery, you may experience light to moderate bleeding for 2–6 weeks.

Recovery and Next Steps

Physical recovery follows a similar course to postpartum healing, but emotional recovery can take much longer.

Ask about:

  • Autopsy or pathology results (optional)

  • Genetic testing and counselling.

  • Emotional or bereavement midwives, or community support groups. 

Emotional Side

It's normal to experience waves to grief, anger, and disbelief. 

Many parents describe physical reminders- milk production, postpartum bleeding- as particularly painful. 

You don't have to face this alone: specialised organisations such as SANDS, Tommy's, and The Miscarriage Support offer counselling and community support after baby loss.

“I went home with nothing in my hands but a hospital bracelet.”

Key Takeaways

  • Later pregnancy losses are usually caused by medical or placental complications- not by anything you did.

  • Labour induction and postpartum recovery are a part of physical healing.

  • Bereavement support and specialized counseling can help healing.

Have you suffered a late stage loss and are looking for support? Sign up to test an early version of Sibyl here: https://www.sibyl.care/signup

Sources

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