Our Recurrent Pregnancy Loss (RPL) Clinic is a nurse led clinic run every Tuesday and Thursday. We have doctors assigned to see new patients who are not pregnant and to scan pregnant patients weekly for support and monitoring.

In this clinic, we apply an evidence-based approach to treatment. We run tests and try to establish as quickly as possible if there is any underlying reason for a couple experiencing RPL.

Who should be referred?

Women can be seen in the RPL clinic if they are:

  • under 40 years of age;
  • have had three or more consecutive first trimester pregnancy losses or two or more consecutive second trimester losses, including molar, partial molar and ectopic pregnancies;
  • living within the Auckand DHB, Waitemata DHB and Counties Manukau DHB areas.

Pre-referral investigations

Your GP can arrange a number of investigations before you come to the RPL clinic that will allow us to provide answers for you more quickly. These include:

  • Parental karyotypes
  • Activated protein C resistance
  • Anticardiolipin antibodies
  • Lupus anticoagulant
  • Day 2 FSH and estradiol
  • Thyroid function tests
  • Non-pregnant pelvic ultrasound

Our approach to treatment

We offer a clinic review and appropriate investigation for all women referred to us. We can then tailor our management for you, depending on the cause of your pregnancy losses.

In just over half the couples we see, no specific cause is found. This is what we call 'unexplained' RPL. We offer these couples advice on lifestyle factors and early pregnancy support and monitoring through the first trimester of the next pregnancy.

The chance of a successful pregnancy with these measures is around 70%. Where an underlying cause for their RPL is found, couples will be offered specific treatment to help improve their chances of a live birth in the future.