Managing couples with recurrent miscarriage: A narrative review and practice recommendations

Amanda Ali, Abdullatif Elfituri, Stergios K. Doumouchtsis, Mudiaga Eseajeberuo Zini, Haider Jan, Ramesh Ganapathy, Hema Divakar, Moshe Hod, Hassan Shehata*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review


There is significant variation in practice when managing couples with recurrent miscarriage (RM), with guidelines differing on the definition of RM, recommended investigations, and treatment options. In the absence of evidence-based guidance, and following on from a paper by the authors—FIGO Good Practice Recommendations on the use of progesterone in the management of recurrent first-trimester miscarriage—this narrative review aims to propose a global holistic approach. We present graded recommendations based on best available evidence.

Original languageEnglish
Pages (from-to)499-503
Number of pages5
JournalInternational Journal of Gynecology and Obstetrics
Issue number2
StatePublished - Feb 2024
Externally publishedYes


  • history
  • hormonal profile
  • immunology
  • investigations
  • psychological support
  • recommendations
  • recurrent miscarriage


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