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Miscarriage Care: Early Support Saves Pregnancies
29 Apr
Summary
- Specialist care after one miscarriage could prevent 10,000 UK pregnancy losses yearly.
- Current NHS policy offers care after three miscarriages in England and Wales.
- A graded model of care in Scotland shows a 4% reduction in future miscarriage risk.

A groundbreaking study suggests that providing specialized care after a woman's first miscarriage, instead of the current NHS threshold of three, could prevent an estimated 10,000 pregnancy losses each year across the UK. This proactive approach, known as the graded model of miscarriage care, is already being implemented in Scotland.
Research involving 406 women indicated a 4% decrease in the risk of future miscarriages among those receiving this early intervention compared to standard care. The graded model includes crucial nurse-led advice on mitigating risk factors such as low vitamin D and folic acid levels, alongside warnings about alcohol and caffeine consumption.
Women who accessed this specialized support were 47% more likely to have a risk factor identified and receive pertinent advice. Notably, among women with two previous miscarriages receiving this care, one in five were found to have conditions like thyroid dysfunction or anaemia, which can impact pregnancy.
Charity Tommy's chief executive emphasized that this early access to services can prevent future losses and alleviate the profound isolation experienced by many. The findings are particularly timely, coinciding with ongoing government investigations into maternity care failures.