Spotlight: management of recurrent miscarriages

Miscarriages can be immensely distressing for couples. While spontaneous miscarriage occurs in 15-20% of all pregnancies, recurrent miscarriage (RM) affects 1% of couples. RM is a challenging problem due to an unknown aetiology in most cases. Couples with RM are often not managed, according to the most up-to-date clinical evidence. Ineffective management can be due to under and overdiagnosis, resulting in unnecessary tests and costs. In desperation, couples may be willing to try non-evidence-based investigations and treatments. This review is aimed to provide an evidence-based, practical guide to managing recurrent pregnancy loss, focusing on issues useful in patient counselling. What