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Recurrent Miscarriage

 

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

 

Definition:

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


Reference:

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.

 

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