Miscarriage, recurrent mmiscarriage and ectopic pregnancy. Clinical guideline – 2025

Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG)

Abstract

This guideline has been developed by the Miscarriage, Recurrent Miscarriage and Ectopic Pregnancy Guideline Development Group of the Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and approved by the Women’s Health Committee and Council in March 2025.
Objectives: to provide clinical guidance and advice to registered health professionals providing care to women with suspected or confirmed early pregnancy loss, including miscarriage, recurrent miscarriage and tubal
or non-tubal ectopic pregnancy.
Scope: Early pregnancy losses including miscarriage (and threatened miscarriageii), recurrent miscarriage and all ectopic pregnancies both tubal and non-tubal. The gestational age limit for this guideline is up to 14 weeks, except for investigation of recurrent miscarriage where the gestational age limit is up to 20 weeks.
The information is intended to provide general advice to practitioners. This information should not be relied on as a substitute for proper assessment with respect to the circumstances of each case and the needs of any woman. This document reflects emerging clinical and scientific advances as of the date issued and is subject to change.