The Diagnostics and Treatment of Recurrent Pregnancy Loss

Author:

Tomkiewicz Julia1ORCID,Darmochwał-Kolarz Dorota2

Affiliation:

1. Fryderyk Chopin University Hospital No 1, 35-055 Rzeszow, Poland

2. Department of Obstetrics & Gynecology, Medical College, University of Rzeszow, 35-959 Rzeszow, Poland

Abstract

Recurrent pregnancy loss is a common problem in the reproductive age population of women. It can be caused by many different conditions. This problem is addressed in international guidelines that take a slightly different approach to its diagnosis and treatment. The guidelines used in this review mainly use the guidelines of the Royal College of Obstetricians and Gynaecologists (RCOG), American Society of Reproductive Medicine (ASRM) and European Society of Human Reproduction and Embryology (ESHRE). This review shows how much the approach to miscarriages has changed and how much more needs to be explored and refined. The review also addresses the topic of unexplained pregnancy loss, which continues to be a challenge for clinicians.

Publisher

MDPI AG

Subject

General Medicine

Reference105 articles.

1. Royal College of Obstetricians and Gynaecologists (RCOG) (2011). The Investigation and Treatment of Couples with Recurrent First-trimester and Second-Trimester Miscarriage, RCOG. Available online: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg17/.

2. Practice Committee of the American Society for Reproductive Medicine (2012). Evaluation and treatment of recurrent pregnancy loss: A committee opinion. Fertil. Steril., 98, 1103–1111.

3. European Society of Human Reproduction and Embryology (ESHRE) (2017). Recurrent Pregnancy Loss, ESHRE. Available online: https://www.eshre.eu/Guidelines-and-Legal/Guidelines/Recurrent-pregnancy-loss.aspx.

4. The ESHRE Guideline Group on RPL, Atik, R.B., Christiansen, O.B., Elson, J., Kolte, A.M., Lewis, S., Middeldorp, S., Mcheik, S., Peramo, B., and Quenby, S. (2023). ESHRE guideline: Recurrent pregnancy loss: An update in 2022. Hum. Reprod. Open, 2023, hoad002.

5. Age-specific risk of fetal loss observed in a second trimester serum screening population;Wyatt;Am. J. Obstet. Gynecol.,2005

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