Early pregnancy loss - management

When you have completed this course, you will be able to:

• be more familiar with the appropriate terminology used in this area
• understand the different types of miscarriage
• be more familiar with the common presentation of miscarriage
• be able to recognise stable and unstable patients
• be able to initiate management of early pregnancy loss
• be aware of the pros and cons of the different management options
• be more familiar with the types of questions that women will have who have experienced early pregnancy loss.

Dr Rosinder Kaur (2023)

Natalie Woodhead (2023)

This course is intended to help clinicians gain core knowledge for O&G training and the MRCOG examinations. It can also be used by O&G consultants to refresh their knowledge of the area or for teaching.

The content of this course relates to the following Capabilities in Practice (CiPs) and key skills:

CiP 1: Clinical skills and patient care
Relevant to all key skills,

CiP 2: Working in health organisations
Relevant to all key skills

CiP 3: Leadership
Influences and negotiates
Demonstrates insight
Manages stress and fatigue
Effective use of resources

CiP 4: Quality Improvement
Relevant to all key skills

CiP 5: Human factors
Relevant to all key skills

CiP 6: Developing self & others
Relevant to all key skills

CiP 7: Innovation and research
Relevant to all key skills

CiP 8: Educator
Relevant to all key skills

CiP 9: Emergency gynaecology and early pregnancy
Manages complications of treatment
Manages bleeding in early pregnancy
Manages other early pregnancy complications
Manages acute gynaecological workload

CiP 10: Emergency obstetrics
Manages pain and bleeding in pregnancy

CiP 11: Non-emergency gynaecology and early pregnancy
Manages abnormal vaginal bleeding

CiP 13: Non-discrimination and inclusion
Relevant to all key skills

CiP 14: Health promotion
Relevant to all key skills

Further details about each CiP can be found within the O&G Core Curriculum 2024 Definitive Document, available here. 

Royal College of Obstetricians and Gynaecologists. The Management of Early Pregnancy Loss. GTG 17. London: RCOG; 2023.

National Institute for Health and Care Excellence. Ectopic Pregnancy and Miscarriage: Diagnosis and Initial Management of Ectopic Pregnancy and Early Miscarriage. NG126, 2023