Perhaps Sasuke starts to notice Ino's unique skills and how they complement his own. Ino has her mind - related jutsus which could be useful in certain missions or battles. This practical aspect, combined with a growing personal bond, might lead him to leave Sakura for Ino.
One possible reason could be his long - standing feelings for Sakura. Despite his journey and time with Karin, his original connection with Sakura might have resurfaced. Sasuke has known Sakura since they were young, and those early memories and emotions could have influenced his decision.
One possible reason could be his strong bond with Naruto. Their relationship has been through so much, and Sasuke might realize that Naruto understands him on a deeper level than Sakura. Maybe he feels that his journey and growth are more intertwined with Naruto's, and he values that connection more in this fanfiction.
One possible reason could be Sasuke's pursuit of power. In many fanfictions, his thirst for greater strength might lead him to leave Sakura behind as he embarks on a solo journey to train in more dangerous and secluded places. He may feel that his goals are too dangerous for her to be involved with.
It could also be related to Sakura's strength. Sasuke is constantly striving to become stronger. If Sakura somehow shows a weakness or makes a mistake during a fight that he thinks could have been avoided, and it has negative consequences for their situation, he might get angry at her for not being more capable.
One possible reason could be his sense of duty. Sasuke has always been driven by his goals for the village or his personal vendettas. Maybe he feels that his mission is more important than staying with Sakura and their unborn child, believing that his actions are for a greater good that will ultimately protect them as well.
She may initially be angry. Sakura is a proud and strong character. She could confront Sasuke and Ino, demanding an explanation. After that, she might decide to become even stronger, both in her ninja skills and her emotional resilience, to show Sasuke what he's missing.
In fanfiction, Sasuke might snap at Sakura due to miscommunication. Sakura could be expressing her concern for him in a way that he misinterprets. For instance, if she tells him not to go on a dangerous mission and he thinks she is trying to control him instead of just caring about his safety. Another factor could be the influence of external forces. Maybe there are other characters or events that put him in a bad mood, and Sakura just happens to be there at the wrong time, so he snaps at her.
One possible reason could be that Sakura has finally grown tired of Sasuke's aloof and cold behavior towards her. She might have realized that she has been constantly chasing after him while getting little in return, so she decides to ignore him as a form of self - preservation.
There are fanfics like that. Sasuke might leave Sakura for Karin because of Karin's loyalty. Karin has shown unwavering loyalty to Sasuke throughout the series. She was willing to risk her life for him on multiple occasions. In contrast, Sasuke might think that Sakura's love is more of a childhood crush that she hasn't fully grown out of, and he may be drawn to Karin's more mature and selfless loyalty.
One possible reason could be Sasuke's continued obsession with his revenge - even after they got married, his focus on past grudges might have driven a wedge between them. Another could be differences in their life goals. Sakura might have wanted a more settled family life, while Sasuke was still drawn to his wandering ways in the name of protecting the village from afar.