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Recurrent Miscarriage

Definition:

Miscarriage is defined as the spontaneous loss of a pregnancy before the fetus reaches viability (usually 24 weeks).  Investigation and treatment is offered to couples with three or more first-trimester miscarriages (not necessarily consecutive) or one second-trimester miscarriage

Ensure pregnancy was confirmed with positive pregnancy tests and not delayed menses from anovular cycles. 

Information to include when referring to Recurrent Miscarriage Clinic

  • Details of full obstetric history (include miscarriages/ TOPs/ ectopics)
  • Whether any previous treatment to cervix (if so please include date of last smear & result)
  • Relevent past medical / surgical history
  • Current regular medication

Investigations prior to referral

  • Pelvic USS
  • Day 2-5 FSH

Reference:

The investigation and treatment of couples with recurrent first trimester and second trimester miscarriages. RCOG Greentop guideline No 17. April 2011

Download Recurrent Miscarriage PDF