Pregnancy losses include early pregnancy losses or miscarriages during the first 20 weeks of gestation. First trimester pregnancy losses are the most common forms of pregnancy losses and most occur before 8 weeks of gestation. The two main factors influencing clinical pregnancy loss rates are maternal age and prior pregnancy loss. At least 50% of clinically recognized early pregnancy losses are associated a chromosomal abnormality.
A couple experiencing even one loss should be counselled and provided recurrence risk rates. However, not every couple needs formal assessment and a battery of tests. After three consecutive losses, couples have traditionally been directed to formal evaluation, however, the new RCOG guideline, based on the 2021 Lancet series “Miscarriage matters”, states that the miscarriages do not have to be consecutive and that initial investigations should be started after two miscarriages (www.rcog.org/news/new-draft-guideline).
At ObGyn Matters we can offer you a comprehensive supportive approach based on the latest medical evidence with top expertise couple who have suffered one or more miscarriage(s). The outcome of your investigations will be discussed with you and an individual treatment plan will be made to give you the best possible outcome.