A new report from Tommy’s National Centre for Miscarriage Research reveals that the NHS requires most women to experience three or more miscarriages before offering support, testing, and treatment. A pilot study at Birmingham Women’s Hospital tested a new 'Graded Model of Miscarriage Care', which provides proactive care from the first loss. Researchers found this model could prevent over 10,000 pregnancy losses annually in the UK.
After a first miscarriage, women receive advice on reducing risk factors, mental health resources, and information on progesterone supplements. After a second loss, blood tests and reassurance scans are added. Following a third miscarriage, patients receive further blood tests, pelvic scans, and consultant-led care.
Professor Arri Coomarasamy led the study, describing the model as restoring dignity to miscarriage care. 93% of healthcare workers found it easy to deliver, and 99% of 203 women in the graded model reported satisfaction. The model identified modifiable risk factors in 86% of women, versus 58% in standard care, including anaemia and thyroid issues.
Scotland has already adopted the model. Tommy’s is now calling for a national UK rollout. The government has pledged to review the results under its Women’s Health Strategy, with a decision on implementation pending.