Abstract
Recurrent miscarriage is suffered by 1% of couples. It is extremely distressing causing stress to the woman and her family. A careful history and investigation can elicit a cause in around 50% of cases. Early pregnancy support and targeted treatments can increase the likelihood of success to approximately 80% in the subsequent pregnancy. Possible treatments include psychological support, aspirin, hCG injections and cervical cerclage, but these need to be considered carefully and explained fully to the couple before being tried. Extravagant claims and inappropriate, potentially dangerous therapies must be avoided. Management is best performed in specialized units with experience in this area.
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