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Everyone must stay at home to help stop the spread of coronavirus. Advice for clinicians on COVID-19 (coronavirus) is here. If you are a member of the public looking for health advice, visit the NHS website or North Yorkshire Public Health. And if you are looking for the latest travel information, and advice about the government response to the outbreak, go to the website.

Last updated: 30 March, 2020 15:59pm

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Recurrent miscarriage – Information for GPs


  • Miscarriage is defined as loss of a pregnancy before viability – usually 24 weeks
  • Requires confirmation of pregnancy with either urinary pregnancy test or USS; not simply delayed menses
  • The recurrent miscarriage clinic will review couples with >3 first trimester miscarriages or one second trimester miscarriage


  • A baseline USS (outside pregnancy) to exclude uterine pathology
  • Day 1-5 FSH, LH (PCOS increases risk of miscarriage)
  • Product of conception should be sent to Histology (usually instigated by secondary care) – please offer histology pot if patient has had home miscarriages
  • Pre-conceptual advice – smoking cessation advice and folic acid

Information to include in referral letter

  • 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

NB – secondary care will organise chromosomal analysis for the couple and thrombophilia screen for the woman

Patient information

RCOG Recurrent miscarriage patient information leaflet:

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