Patient discussions
Postevent patient information should include mention about the need for embryonic, fetal, and maternal monitoring and surveillance in patients with a miscarriage, even if the patient recovers well. This should be stated carefully and empathetically but not to alarm, as in many pregnancies outcome is favorable. In patients with a first spontaneous miscarriage, the low chance of repeat miscarriage should be mentioned if any worry is expressed about the future.
The patient should be advised that although current recommendations on an acceptable inter-pregnancy interval are unclear, studies show no greater risk of another miscarriage in pregnancies occurring within 3 months of a miscarriage.[146] A good outcome of pregnancy occurring as early as 3 weeks after uterine evacuation (following a miscarriage) has also been reported.[147]
Although 1 in 5 women with a history of recurrent miscarriage may have further pregnancy loss, the other proportion do well, even without any intervention.
A woman who has experienced multiple miscarriages and a doctor examine the importance of mirroring patient language when discussing miscarriage with affected women.
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