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Recurrent miscarriage — DRCOG MCQ

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ModerateEarly PregnancyRecurrent miscarriageDRCOG

A 33-year-old woman has had three first-trimester miscarriages with the same partner. She is not currently pregnant and asks whether investigations are appropriate. She has no living children. When should this patient be referred?

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Correct answer: C — Refer to a recurrent miscarriage clinic

Three miscarriages meet the traditional threshold for recurrent miscarriage assessment, and referral is appropriate. Waiting for further losses delays evaluation and support. Methotrexate treats ectopic pregnancy and is inappropriate. Cervical screening does not investigate recurrent pregnancy loss.

Reference: RCOG Green-top Guideline No. 17; NICE NG126