Recurrent Pregnancy Loss

70% of the women who miscarry one or two times can expect to go on to carry a child to full term. But for those who experience three or more miscarriages, diagnostic testing and possible treatment are needed to determine the cause.

Miscarriages can have multiple causes. Most common causes of repetitive miscarriages include

• autoimmune problems
• genetic problems
• anatomic problems
• hormonal problems

A number of tests are used to determine the reasons for multiple miscarriages. These include

• chromosomal analysis of both partners
• examinations of the uterine cavity via ultrasound
• immunologic testing
• hormonal testing

The Recurrent Pregnancy Loss Program at Yale Fertility Center has a multidisciplinary team approach, which allows the patient to be treated more completely. A comprehensive assessment and treatment plan designed by the input of a multidisciplinary team including perinatologists, pathologists and psychologists together with reproductive specialists allows a broad assessment of each patient.

Each patient admitted to the Recurrent Pregnancy Loss Program at Yale, for 1st, 2nd, or 3rd trimester loss, will be evaluated to establish a care plan specific to the individual's needs. Second and third trimester treatment is offered in coordination with Yale Maternal-Fetal Medicine. The initial evaluation will include a visit with a perinatologist and a reproductive immunologist, with other consultants available as needed.