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Initial sway, total sway, and sway velocity (see figure for description of variables) are significantly less during the third trimester than during the second trimester and when compared to non-pregnant women. These biomechanical characteristics are possible reasons why falls are more prevalent during the second trimester during pregnancy.
Cervical weakness may cause miscarriage or preterm birth during the second and third trimesters. It has been estimated that cervical insufficiency complicates about 1% of pregnancies, and that it is a cause in about 8% of women with second trimester recurrent miscarriages. [2]
The second trimester is defined as starting, between the beginning of week 13 (12 weeks +0 days of GA) [4] and beginning of week 15 (14 weeks + 0 days of GA). [37] It ends at the end of week 27 (26 weeks + 6 days of GA) [ 37 ] or end of week 28 (27 weeks + 6 days of GA).
The parts of the fetal brain that control movement will not fully form until late in the second trimester, and the first part of the third trimester. [7] Control of movement is limited at birth, and purposeful voluntary movements develop during the long period up until puberty. [ 8 ]
The first trimester is from the last menstrual period through the 13th week, the second trimester is 14th–28/29th week, and the third trimester is 29/30th–42nd week. [6] Birth normally occurs at a gestational age of about 40 weeks, though it is common for births to occur from 37 to 42 weeks. [ 6 ]
Dilation and evacuation can be offered for the management of second trimester miscarriage if skilled providers are available. [6] Some women choose D&E over labor induction for a second trimester loss because it can be a scheduled surgical procedure, offering predictability over labor induction, or because they find it emotionally easier than undergoing labor and delivery.
[46] [45] It does not cause first-trimester miscarriages. In the second trimester, it is associated with an increased risk of miscarriage. It is identified after a premature birth has occurred at about 16–18 weeks into the pregnancy. [99] During the second trimester, major trauma can result in a miscarriage. [44]
Download as PDF; Printable version ... It is a frequent cause of spontaneous abortion during the first trimester of pregnancy. Progression to the second trimester and ...