Ali S, Majid S, Ali MN, Taing S, El-Serehy H, Misned F. Evaluation of etiology and pregnancy outcome in recurrent miscarriage patients. Saudi J Biol Sci. 2020; 27:(10)2809-2817

Bailey SL, Boivin J, Cheong YC, Kitson-Reynolds E, Bailey C, Macklon N. Hope for the best…but expect the worst: a qualitative study to explore how women with recurrent miscarriage experience the early waiting period of a new pregnancy. BMJ Open. 2019; 9:(5)

Brigham S, Conlon C, Farquharson R. A longitudinal study of pregnancy outcome following idiopathic recurrent miscarriage. Hum Reprod. 1999; 14:2868-2871

Coomarasamy A, Dhillon-Smith RK, Papadoulou A Recurrent miscarriage: evidence to accelerate action. Lancet. 2021; 9397:1675-1682

European Society of Human Reproduction and Embryology. Recurrent pregnancy loss. 2017. (accessed 20 January 2023)

Gavrizi S, Pike J, Mak W. Understanding the needs of individuals who have experienced pregnancy loss: a retrospective community-based survey. J Womens Health. 2022; 31:(12)1805-1811

Homer HA. Modern management of recurrent miscarriage. Aust N Z J Obstet Gynaecol. 2019; 59:(1)36-44

Linehan LA, San Lazaro Campillo I, Hennessey M, Flannery C, O'Donoghue K. Reproductive outcomes following recurrent first-trimester miscarriage: a retrospective cohort study. Human Reproductive Open. 2022; 4:1-15

National clinical practice guideline: recurrent miscarriage. 2023. (accessed 29 March 2023)

Roepke ER, Hellgen M, Hjertberg R Treatment efficacy for idiopathic recurrent pregnancy loss - a systematic review and meta-analyses. Acta Obstet Gynecol Scand. 2018; 97:(8)921-941

The investigation and treatment of couples with recurrent first-trimester and second-trimester miscarriage.London: Royal College of Obstetricians and Gynaecologists; 2011

Tender loving care following recurrent miscarriages: a review of a dedicated antenatal clinic

02 May 2023
Volume 31 · Issue 5



Recurrent miscarriage is defined as three recurrent first trimester pregnancy losses. The Tender Loving Care Clinic is a specialist clinic for women during the first trimester of a pregnancy following recurrent miscarriages. This study's aim was to review cases of those who attended the tender loving care clinic for antenatal care.


A retrospective chart review was conducted using anonymous data, collected from the electronic records of women who attended the clinic over a 1-year period.


A total of 103 women attended the clinic during the study period. The majority (90.3%) were prescribed medication while attending. Pregnancy outcomes for women attending the clinic were good; 69.2% of women went on to have a live birth.


Pregnancy outcomes following recurrent miscarriages are reassuring with supportive antenatal care. This review highlights the importance of psychological care and reassurance in a pregnancy following recurrent miscarriages.

Recurrent miscarriage is defined as three recurrent first trimester pregnancy losses and affects 1–2% of the population (European Society of Human Reproduction and Embryology, 2017). The benefits of psychological support and weekly ultrasound scanning in pregnancy following recurrent miscarriage are widely reported to improve pregnancy outcomes (Homer, 2019). A specialist clinic for women with recurrent miscarriages is advised by both the Royal College of Obstetricians and Gynaecologists (RCOG, 2011) and European Society of Human Reproduction and Embryology (2017) guidelines.

The Tender Loving Care Clinic is a specialist clinic for women during the first trimester of a pregnancy following recurrent pregnancy losses. The clinic is run by a senior midwife and overseen by a consultant obstetrician, who also is the lead consultant for the recurrent miscarriage clinic. It offers women weekly visits from 8–12 weeks' gestation. Each visit includes an ultrasound scan and the opportunity for psychological support from an experienced midwife. Women who attend the recurrent miscarriage clinic in the hospital are offered antenatal care in any subsequent pregnancies at the Tender Loving Care Clinic.

Register now to continue reading

Thank you for visiting British Journal of Midwifery and reading some of our peer-reviewed resources for midwives. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to our clinical or professional articles

  • New content and clinical newsletter updates each month