Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.
The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.
Links to related guidelines are provided separately. (See "Society guideline links: Pregnancy loss (spontaneous abortion)".)
Canada
●Canadian College of Medical Geneticists (CCMG): Practice guidelines for cytogenetic analysis – Recommendations for the indications, analysis and reporting of constitutional specimens (peripheral blood, solid tissues) (2021)
●Choosing Wisely Canada: Don't prescribe corticosteroids, IVIG, leukemia inhibitory factor or lymphocyte immunization therapy for patients undergoing IVF, those with a history of recurrent implantation failure or patients with recurrent pregnancy loss (updated 2020)
●Society of Obstetricians and Gynaecologists of Canada (SOGC): Clinical practice guideline on cervical insufficiency and cervical cerclage (2019)
●SOGC: Clinical practice guideline on the use of first trimester ultrasound (2019)
●SOGC: Clinical practice guideline on advanced reproductive age and fertility (2017)
●SOGC: Clinical practice guideline on the management of uterine fibroids in women with otherwise unexplained infertility (2015)
United States
●American College of Obstetricians and Gynecologists (ACOG): Technology assessment on sonohysterography (2016, reaffirmed 2020)
●American Society for Reproductive Medicine (ASRM): Definitions of infertility and recurrent pregnancy loss – A committee opinion (2020)
●American College of Radiology (ACR): ACR Appropriateness Criteria on female infertility (revised 2019)
●ACOG: Practice bulletin on early pregnancy loss (2018)
●ASRM: Subclinical hypothyroidism in the infertile female population – A guideline (2015)
●Choosing Wisely: Don't do an inherited thrombophilia evaluation for women with histories of pregnancy loss, intrauterine growth restriction (IUGR), preeclampsia and abruption (2014)
●ASRM: Evaluation and treatment of recurrent pregnancy loss – A committee opinion (2012)
Europe
●European Society of Human Reproduction and Embryology (ESHRE): Clinical practice guideline on recurrent pregnancy loss (2017)
United Kingdom
●National Institute for Health and Care Excellence (NICE): Guideline on ectopic pregnancy and miscarriage – Diagnosis and initial management (2019, updated 2021)
●NICE: Interventional procedures guidance on laparoscopic cerclage for cervical incompetence to prevent late miscarriage or preterm birth (2019)
●Choosing Wisely UK: Royal College of Obstetricians and Gynaecologists (RCOG): Parental karyotyping is not routinely indicated in recurrent miscarriage. Information should be given to the patient, any questions answered, and their individual circumstance and preferences discussed (2018)
●NICE: Interventional procedures guidance on hysteroscopic metroplasty of a uterine septum for recurrent miscarriage (2015)
●NICE: Quality standard on ectopic pregnancy and miscarriage (2014)
●RCOG: Green-top guideline for the investigation and treatment of couples with recurrent first-trimester and second-trimester miscarriage, 3rd edition (2011)
●RCOG: Green-top guideline on late intrauterine fetal death and stillbirth (2010)
Australia-New Zealand
●Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG): Best practice statement for the use of misoprostol in obstetrics and gynaecology (2021)
●RANZCOG: Progesterone support of the luteal phase and in the first trimester (2018)
●New South Wales Ministry of Health (NSW Health): Maternity – Management of early pregnancy complications (2012)
Japan
●[In Japanese] Japan Society of Obstetrics and Gynecology (JSOG) and Japan Association of Obstetricians and Gynecologists (JAOG): Obstetrics and gynecology clinical practice guidelines – Obstetrics (2020)
●[In Japanese] Choosing Wisely Japan: Blood tests to check for the risk of miscarriage – When the test helps and when it doesn't (2015)
