Recurrent Miscarriage Clinic - referrals

This clinic, run by the University of Oxford Nuffield Department of Obstetrics and Gynaecology, offers advice on the investigation and management of women who have had three consecutive miscarriages, with proven positive pregnancy tests.

About 20 percent of all recognised pregnancies end in miscarriage. In most cases of miscarriage no cause is known. For couples with recurrent miscarriage around 20 percent will have some kind of abnormality detected. This might be a blood clotting disorder, a small chromosomal abnormality or hormonal imbalance.

Testing should include:

• blood tests for hormone profile, including thyroid stimulating hormone and testosterone
• thrombophilia screen
• full blood count
• non-pregnant pelvic ultrasound to check pelvic anatomy.

It is very helpful if these tests can be arranged by the referring GP, as the results can then be discussed in clinic. Karyotyping may also be offered after being seen in clinic.

The recurrent miscarriage clinic runs on Thursday mornings on Level 1 of the Women's Centre at the John Radcliffe Hospital.

Links

• Gynaecology patient leaflets
  
• Summary for doctors - www.patient.co.uk
• Information leaflet for patients from the miscarriage association (pdf)