Chances of Miscarriage

Your chances of miscarriage drop as your pregnancy progresses. About 80 percent of miscarriages occur within the first 13 weeks, usually because of genetic issues.

No two women are exactly the same, but there are general rules about the risk of miscarriage. Your chances of miscarriage go down after week five, to about 20 percent. Once you’re out of the first trimester — the first 13 weeks — the risk drops to one percent.

The numbers you’ll see are based on averages. Most of the time, pregnancies go wrong for reasons women can’t control. Often during those early days, you don’t know you’re pregnant. The usual cause is a genetic flaw that meant the baby could not have survived after birth.

Exposure to alcohol could hurt your fetus — one reason you might go easy on alcohol if you are trying to conceive. Once an ultrasound catches a healthy heartbeat, the risk of miscarriage drops dramatically.

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It’s common to have some spotting during a pregnancy, so don’t assume bleeding indicates a miscarriage. Talk to your doctor. If the bleeding is heavy or you have intense cramps, go to an emergency room.

Age, smoking, cocaine, lots of coffee, uncontrolled diabetes or high blood pressure, and hormonal disorders increase your risk.

Here are guidelines for the chances of miscarriage by week.

Week three and four

About a week after ovulation and three weeks after your last period, implantation occurs. A week later, you might get a positive result on a pregnancy test. More than half of all pregnancies end before that point, and you’ll never be sure that you were even pregnant.

Week five and six

The risk of miscarriage drops to around 20 percent or less.

Week six and seven

In this period, the chances of miscarriage drop to less than 10 percent. During week six, a heartbeat might show up on an ultrasound.

Weeks eight to 13

At this point, the miscarriage rate drops to between two and four percent.

Weeks 14 to 20

Now the chances of miscarriage are less than one percent.

The term stillbirth is used only if the pregnancy ends after 20 weeks. By then, you may go into labor.

Weeks 20 to 26

The chances of a baby born during this stretch staying alive are slight.

Weeks 26 to 30

Most premature babies born in this period in wealthy countries can survive. Nearly all live if they are born afterwards.

Overall, in weeks five through 20, the chances of miscarriage are somewhere between 11 and 22 percent. Your own risk depends on personal factors like your health.

Age affects your risk of miscarriage. If you are under age 35, you run a 15 percent chance of miscarriage. That figure increases to between 20 and 35 percent during the next decade. After 45, you run a 50 percent chance. But some women carry healthy babies to term even in their late 40s and early 50s.

A miscarriage doesn’t mean you can’t have a baby, or that you’ll have trouble getting pregnant again. Some evidence suggests that your chances of getting pregnant may be better immediately after a miscarriage. Only about one percent of women have two or more miscarriages.

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