First Trimester Miscarriage Evaluation

Ruth B. Lathi, M.D.; Florette K. Gray Hazard, M.D.; Amy Heerema-McKenney, M.D.; Joanne Taylor, M.S., C.G.C.; Jane Tsung Chueh, M.D.


Semin Reprod Med. 2011;29(6):463-469. 

In This Article


A combination of genetic, pathological, and ultrasound examination of miscarriage can help describe the timing of loss and identify the cause of the miscarriage. With a comprehensive multidisciplinary approach to miscarriage, the patient and her partner can often be given an explanation of the cause of their miscarriage and individualized prognostic information. Regardless of the cause of miscarriage or the prognosis, women need emotional support during and after a miscarriage. Postpartum depression can occur in up to 20% of women experiencing a miscarriage and is more common in women with multiple miscarriages.[56] Recognizing both the medical and emotional needs of patients experiencing miscarriage is critical to her long-term health and willingness to embark on another pregnancy. As providers, we need to offer answers, support, and realistic optimism for our patients experiencing miscarriage because most patients will eventually achieve a successful pregnancy.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.