Society guideline links: Pregnancy loss (spontaneous abortion)

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: Recurrent pregnancy loss".)

International

●World Health Organization (WHO): Abortion care guideline (2022)

●WHO: Recommendations on antenatal care for a positive pregnancy experience (2017)

●WHO: Managing complications in pregnancy and childbirth – A guide for midwives and doctors, 2nd edition (2017)

●International Federation of Gynecology and Obstetrics (FIGO): Consensus statement on uterine evacuation (2011)

Canada

●Choosing Wisely Canada: Don't order thrombophilia testing in women with early pregnancy loss (updated 2023)

●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)

●CCMG-Society of Obstetricians and Gynaecologists of Canada (SOGC): Practice guideline – Joint recommendations for the use of chromosomal microarray analysis for prenatal diagnosis and assessment of fetal loss in Canada (2018)

●SOGC: Clinical practice guideline on ultrasound evaluation of first trimester complications of pregnancy (2016)

●SOGC: Clinical practice guideline for the management of a pregnant trauma patient (2015)

United States

●American Society for Reproductive Medicine (ASRM) and Society for Reproductive Endocrinology and Infertility (SREI): Optimizing natural fertility – A committee opinion (2022)

●American College of Obstetricians and Gynecologists (ACOG): Practice bulletin on early pregnancy loss (2018, reaffirmed 2021)

●American College of Radiology (ACR): ACR Appropriateness Criteria on second and third trimester vaginal bleeding (revised 2020)

●American Institute of Ultrasound in Medicine (AIUM)-ACR-ACOG-Society for Maternal-Fetal Medicine (SMFM)-Society of Radiologists in Ultrasound (SRU): Practice parameter for the performance of standard diagnostic obstetric ultrasound examinations (2018)

●American College of Emergency Physicians (ACEP): Clinical policy – Critical issues in the initial evaluation and management of patients presenting to the emergency department in early pregnancy (2017)

●ACR: ACR Appropriateness Criteria on first trimester vaginal bleeding (revised 2017)

●SRU: Diagnostic criteria for nonviable pregnancy early in the first trimester (2014)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Guideline on ectopic pregnancy and miscarriage – Diagnosis and initial management (2019, updated 2023)

●Royal College of Obstetricians and Gynaecologists (RCOG) with the Association of Early Pregnancy Units (AEPU): Consent advice for the surgical management of miscarriage and removal of persistent placental or fetal remains (2018)

●NICE: Quality standard on ectopic pregnancy and miscarriage (2014)

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 (2022, updated 2024)

●Department for Health and Wellbeing, Government of South Australia (SA Health): South Australian perinatal practice guideline on bleeding & pain in early pregnancy – Ectopic pregnancy, miscarriage & PUL (2019)

●Queensland Health: Clinical guideline on early pregnancy loss (2017, amended 2018)

●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 edition (2023)

●[In Japanese] Choosing Wisely Japan: Blood tests to check for miscarriage risk – When they may or may not help (2015)