Recurrent miscarriage: principles of management

Human Reproduction
T C Li

Abstract

Recurrent miscarriage is a heterogeneous condition which has many possible underlying causes. Ideally, couples with the problem should be managed in a dedicated miscarriage clinic, with thorough investigations according to a protocol, with structured history and investigation sheets. Counselling is an important feature and may be provided by a specially trained counsellor, or specialized nurse appropriately trained in counselling. Counselling should include an explanation of the possible underlying causes of the condition, and of the prognosis of each of the conditions. There is no definite cause of miscarriage in approximately half of the patients. No treatment is needed in this group, apart from reassurance and tender loving care. Treatment of unproven value, for example progesterone support in early pregnancy, should not be offered. Treatment offered empirically or as part of a research project should have a sound scientific and statistical basis, and should include careful counselling with informed consent of the patient. There are many controversial issues in the management of recurrent miscarriage; consequently, there is a need for locally agreed guidelines for management. Women who conceive again should be offered regula...Continue Reading

Citations

Sep 29, 2005·Archives of Gynecology and Obstetrics·Salim SehiraliSivekar Tinar
May 12, 2004·Fertility and Sterility·Howard CarpEyal Schiff
Nov 5, 2002·Fertility and Sterility·Tin Chiu LiSusan Laird
Aug 9, 2003·Obstetrics and Gynecology·Mikiya NakatsukaTakafumi Kudo
Nov 5, 1999·Human Reproduction·S A BrighamR G Farquharson
Oct 20, 1998·The Journal of Reproductive Medicine·A H Ansari, B Kirkpatrick
Jun 25, 2005·Current Opinion in Obstetrics & Gynecology·Neelam Potdar, Justin C Konje
Nov 5, 1999·British Journal of Obstetrics and Gynaecology·A E NicollU Acharya
Feb 24, 2001·BJOG : an International Journal of Obstetrics and Gynaecology·T C LiS Laird
Mar 24, 2011·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Dragana Radović JanosevićJelena Milosević
Dec 3, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Carol CoughlanT C Li
Apr 5, 2013·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·W LiT C Li
Aug 14, 2012·Journal of Reproductive Immunology·N G MarieeT C Li
Jun 13, 2012·Reproductive Biomedicine Online·W LiT C Li
Apr 17, 2012·Reproductive Biomedicine Online·Junhao YanTin-Chiu Li
Jun 2, 2007·Journal de gynécologie, obstétrique et biologie de la reproduction·A Torre, H Fernandez
Nov 17, 2009·Reproductive Biomedicine Online·K A CocksedgeT C Li
Jun 26, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A M FerreiraR Mattar
Sep 24, 2004·Best Practice & Research. Clinical Obstetrics & Gynaecology·Zephne M van der Spuy, Silke J Dyer
Feb 15, 2005·Placenta·E Jauniaux, G J Burton
Nov 1, 2005·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Francesco MercorioCarmine Nappi
Nov 20, 2004·Obstetrics and Gynecology Clinics of North America·Orhan Bukulmez, Aydin Arici
May 28, 2008·Molecular & Cellular Proteomics : MCP·Tammy F Wu, Diana S Chu
Jun 1, 2005·The Journal of Family Planning and Reproductive Health Care·Andrew W Horne, Claire I Alexander
Nov 20, 2002·Journal of Psychosomatic Obstetrics and Gynaecology·M CraigL Regan
Sep 1, 2001·Stress : the International Journal on the Biology of Stress·M Craig
Oct 20, 1999·Current Opinion in Obstetrics & Gynecology·W H Kutteh
May 26, 2018·Human Fertility : Journal of the British Fertility Society·Mauro CozzolinoMaria Coccia Elisabetta

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