Recurrent miscarriage

Despite countless breakthroughs in medical science, we still do not understand why some pregnancies will end in tragedy. For most of us, having a child of our own is the most fulfilling experience of our lives and all of us can imagine the desperation and sadness of parents who lose a baby. Miscarriage is the commonest complication of pregnancy, only 50% of pregnancies reach the stage of a recognised pregnancy with an embryo being lost even before you miss your period.

* There is a close link between infertility, unsuccessful IVF cycles, miscarriage and pregnancy complications such as premature labour and pre-eclampsia.
Whilst traditionally in the UK recurrent miscarriage is taken to be the loss of three or more consecutive pregnancies, this definition is of limited value.
* The miscarriage rate in a pregnancy that has reached at least 8 weeks is less than 2% and it is therefore unusual to miscarry after this time point.
* Consideration should be given to investigate couples who have experienced even only 1 miscarriage after 10 weeks gestation.
 
Whilst the most common cause for any single miscarriage or unsuccessful IVF cycle is a random genetic abnormality in the embryo, the incidence of which increases with advancing maternal age, the rationale for investigation is either to confirm or to exclude the presence of an underlying treatable cause for pregnancy loss. This is particularly important as couples who lose 3 or more pregnancies, at any gestation, tend to lose genetically normal pregnancies. Miscarriage is therefore not always due to ‘bad luck’ alone.
 
At 92 Harley Street we offer a comprehensive investigative service of both partners for:
* Those who have experienced pregnancy loss (early or late).
* Unsuccessful IVF cycles.
* After investigation a plan of management for the next pregnancy is made

Many of our Consultants work closely with the Genesis Research Trust which raises money for the largest UK-based collection of scientists and clinicians who are researching the causes and cures for conditions that affect the health of women and babies. The Trust is uniquely based in the building where the scientists carry out their research at the Wolfson and Weston Research Institute for Family Health, on the Hammersmith Campus of Imperial College London. 

Early pregnancy clinic

Close supervision and appropriate reassurance has been reported in several studies to be associated with an increased live birth rate amongst women with miscarriage. We ask all patients to contact us as soon as they become pregnant. All are offered early pregnancy scans on a fortnightly basis during the first 12 weeks of pregnancy.