Recurrent miscarriage clinics

Obstet Gynecol Clin North Am. 2014 Mar;41(1):145-55. doi: 10.1016/j.ogc.2013.10.010. Epub 2013 Dec 15.

Abstract

A recurrent miscarriage clinic offers specialist investigation and treatment of women with recurrent first- and second-trimester miscarriages. Consultant-led clinics provide a dedicated and focused service to couples who have experienced at least two prior miscarriages. The best treatment strategy for couples with recurrent miscarriage is to discuss a treatment plan for a future pregnancy. Evidence-based up-to-date guidelines are required to reduce ineffective management of recurrent miscarriage couples, including overdiagnostics and underdiagnostics. Scientific research is necessary to study the effectiveness of new interventions, to study patient preferences, and to evaluate health care and costs or other outcomes.

Keywords: Guideline adherence; Patient preferences; Quality of care; Recurrent miscarriage; Recurrent miscarriage clinic.

Publication types

  • Review

MeSH terms

  • Abortion, Habitual / psychology
  • Abortion, Habitual / therapy*
  • Adult
  • Counseling*
  • Female
  • Guideline Adherence
  • Humans
  • Male
  • Parents* / psychology
  • Patient Preference / psychology*
  • Physician-Patient Relations
  • Practice Guidelines as Topic
  • Pregnancy
  • Quality of Health Care
  • Reproductive Medicine*