A patient presents to your surgery with a history of three first trimester miscarriages.
   

1.  What is the diagnosis?  

2.  What information would you accept as confirmation of the diagnosis?

3. List four causes of recurrent miscarriage.

4.  List four tests that you would arrange.  

5.  If all the investigations are normal, what is the chance of the next pregnancy being successful?

      < 30%;    30 - 50 %;   >50%.

6.     What advice would you give the patient if all of the tests are normal?