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Recurrent miscarriage — DRCOG MCQ

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ModerateEarly PregnancyRecurrent miscarriageDRCOG

A 36-year-old woman has had three first-trimester miscarriages with the same partner. She is not currently pregnant and has regular cycles. She asks what should happen next. When should this patient be referred?

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Correct answer: C — Refer to a recurrent miscarriage clinic

Three first-trimester miscarriages meet the usual threshold for recurrent miscarriage assessment, although earlier referral may be considered depending on circumstances. Empirical aspirin is not appropriate without identifying an indication such as antiphospholipid syndrome. Cervical screening is not a recurrent miscarriage investigation. The pearl is that recurrent miscarriage care should include medical and psychological assessment.

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