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Recurrent miscarriage: is conservative management the best we can offer? 

Recurrent miscarriage: is conservative management the best we can offer?
Chapter:
Recurrent miscarriage: is conservative management the best we can offer?
Author(s):

Ai-Wei Tang

DOI:
10.1093/med/9780199654994.003.0005
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date: 17 August 2019

The management of women with recurrent miscarriage (3 or more consecutive miscarriages) remains challenging, particularly the inability to identify a clear cause in the majority of cases, and lack of proven intervention. All too often, clinicians are tempted to order an indiscriminate battery of tests for these women which guide neither prognosis nor treatment, rather than undertake a thorough clinical assessment and targeted investigation. Moreover, such women are often recommended treatment which lacks clear evidence for benefit. Describing a case of a woman who suffers 5 consecutive miscarriages, this case explores the evidence base behind various laboratory tests, imaging studies, and treatments for recurrent miscarriage, as well as the need for further research in this area.

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