Cleveland Kidnap Victims Could Have Died During Birth, Miscarriages

May 9, 2013— -- Two of the women allegedly abducted by Ariel Castro 10 years ago in Cleveland are lucky to be alive after one of them suffered five miscarriages because Castro allegedly punched her in the gut and the other was forced to give birth in a basement with no medical help, obstetricians said today.

Michelle Knight, 32, was impregnated five times by Castro, but he aborted the fetuses by punching her repeatedly in the abdomen, according to a police report obtained by ABC News affiliate WEWS-TV.

"To be quite honest, I've been doing obstetrics 17 years and spent 10 as a midwife, and I've never actually heard of somebody being beaten so severely that it would cause a miscarriage," said certified nurse and midwife Pam Hetrick, who works at University Hospitals Case Medical Center in Cleveland. She did not treat Knight.

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Knight probably miscarried when she was at least 12 weeks pregnant because it's unlikely that blunt trauma would cause a miscarriage before that, said Dr. Taraneh Shirazian, an OB/GYN at Mount Sinai Medical Center who directs its global health program. This is because the uterus is small enough to be protected by the pelvis during the first trimester, but by the second trimester, Knight's belly would have been exposed. Then, when Castro allegedly punched her, she would have had a placental abruption, cutting off the baby's blood supply.

"It's still pretty unusual," Shirazian said. "In order for that to happen, I would assume it was pretty brutal blunt trauma."

Complications Knight could have faced included hemorrhaging and infection, Hetrick said.

The fetuses also could have died inside Knight without causing her to go into labor, putting her at risk for even more complications, such as a fatal blood clotting disorder, Hetrick said. If Knight's cervix was repeatedly forced open to remove the fetuses, she could face problems in future pregnancies.