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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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© 1999 Published by Elsevier Inc.