Miscarriage care: patient charter

Care after every miscarriage

Graphic text below:

1 First miscarriage

• Information on bereavement and mental health support
• Personalised advice to support the health of future pregnancies
• Optional entry in Scottish Government/National Records Memorial Book of Pregnancy and Baby Loss Prior to 24 weeks
• Progesterone offered up to 16 weeks if bleeding in future pregnancy

2 Second miscarriage

• Information on bereavement and mental health support
• Personalised advice to support the health of future pregnancies
• Optional entry in Scottish Government/National Records Memorial Book of Pregnancy and Baby Loss Prior to 24 weeks
• Progesterone offered up to 16 weeks if bleeding in future pregnancy

3 Third miscarriage

• Information on bereavement and mental health support
• Personalised advice to support the health of future pregnancies
• Optional entry in Scottish Government/National Records Memorial Book of Pregnancy and Baby Loss Prior to 24 weeks
• Progesterone offered up to 16 weeks if bleeding in future pregnancy
• Offer of ultrasound scan
• Offer of referral to specialist recurrent miscarriage clinic

4 Fourth miscarriage

• Information on bereavement and mental health support
• Personalised advice to support the health of future pregnancies
• Optional entry in Scottish Government/National Records Memorial Book of Pregnancy and Baby Loss Prior to 24 weeks
• Progesterone offered up to 16 weeks if bleeding in future pregnancy
• Offer of ultrasound scan
• Progesterone from confirmed pregnancy test until 12 weeks
• Offer of ultrasound scan at 6 weeks in new pregnancy
• Offer of referral to specialist recurrent miscarriage clinic

After 1 or 2 miscarriages

Your healthcare professional will talk to you about:

• where you can find support after miscarriage
• what you can do to be as healthy as possible in a future pregnancy
• contraception advice if you need it
• the Scottish Government/National Records Memorial Book of Pregnancy and Baby Loss Prior to 24 Weeks

In a future pregnancy you will be offered progesterone pessaries until you are 16 weeks pregnant if you are spotting or bleeding from your vagina and an ultrasound scan has confirmed a new pregnancy is in your womb.Treatment should follow this guidance.

You will be given printed information or links to websites so you can look again later.

After 3 miscarriages

You will also be offered:

• referral to a specialist recurrent miscarriage clinic
• a 3D ultrasound scan to check if there are any problems with your womb (uterus)
• a 2D ultrasound scan if 3D is not available and an MRI scan if doctors think it is needed

After 4 or more miscarriages

If you get pregnant again you will be offered progesterone pessaries:

• after a confirmed pregnancy test
• until you are 12 weeks pregnant
• whether or not you have any bleeding

You will be given an ultrasound scan at 6 weeks to make sure your pregnancy is in the womb. Treatment should follow this guidance.