Miscarriage always means that the baby dies, yes. The fetus dying or ceasing to develop inside the womb is what triggers the miscarriage, also known as spontaneous abortion. The causes are usually medical – bad genes (bad luck), incompatible genes, something wrong with the uterus, poisoning or disease etc. The mother normally lives provided that there is adequate medical care. In fact, there is evidence that a lot of pregnancies spontaneously terminate before the woman even becomes aware that she is pregnant without her realizing it. From her point of view she gets an unusually heavy (and late) period.
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