Recurrent Miscarriage


Refer to Wheal Unity (Infertility Clinic) with pelvic USS attached



Spontaneous loss of a pregnancy before the foetus reaches viability. 

Investigation is offered for three or more first-trimester miscarriages (positive test) or one second-trimester miscarriage.

Information to include when referring:

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

Investigations prior to referral

  • Pelvic USS (non pregnant)
  • Day 2-5 FSH


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


Date reviewed              December 2020

Review due                  December 2021

Author:                      Dr S Burns

Contributors:                        Ms Lisa Verity, Consultant Gynaecologist, RCHT.


Version 2.1