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Recurrent Miscarriage clinic

Our miscarriage clinics provide all the services concerned with the investigation and treatment of recurrent pregnancy loss. It also supports women throughout the early stages of their pregnancies. We accept referrals for patients who have experienced three or more early pregnancy losses (less than 12 weeks) and patients who have experienced two pregnancy losses that are over 35 years or one is a second trimester loss over 14 weeks.

What will happen?

During a first visit to the clinic, which takes on average 40 minutes, a wide variety of diagnostic investigations are needed to screen for the possible causes of recurrent miscarriage. All patients referred to the clinic have blood tests for a range of screens including blood count, thyroid function and levels of antibodies.

The specialist miscarriage nurse you meet at your first appointment will take your history and explain the blood tests. Vaginal swabs are also taken for patients whose history warrants them. Patients who suffer a pregnancy loss during the second trimester are arranged a 3D ultrasound scan and vaginal swabs for bacterial vaginosis and cervical chlamydia. For more information about the tests and treatments that take place in the miscarriage clinic, please visit our patient information section.

At a second appointment, six to eight weeks later, one of our consultants will discuss the results with you and a future plan.

Care in pregnancy

We offer access to pregnancy surveillance for two years after the most recent review appointment. These appointments are to allow reviews and ultrasound in early pregnancy with a member of the team tailored to the client’s history. If you are pregnant more than 2 years from your last appointment please contact your GP to arrange an urgent referral.

Our pregnancy support midwife sees patients over 12 week’s gestation on a Wednesday and liaises closely with Consultant-led antenatal care located at Liverpool Women’s and Aintree Centre for Women’s Health. For patients who have experienced late pregnancy loss or have required a cervical cerclage we arrange ongoing pregnancy care with the Harris Preterm Labour clinic here at Liverpool Women’s where appropriate.

Location & clinic times

The nurse-led history and screening outpatient clinic is held on Thursday between 9am and 12:30pm.
The consultant-led outpatient clinics are held at Liverpool Women’s on alternate Mondays, between 9am and 1pm, every Thursday between 1:30pm and 5pm. Consultant and Nurse Led Pregnancy surveillance clinics offer support in early pregnancy on a Monday and Tuesday morning.

Pregnancy support booking appointments are usually on a Wednesday morning and follow up antenatal care is arranged after this. 

Contact us

If you need to rearrange or cancel your appointment, please contact outpatients on 0151 702 4352 or 0151 702 4328, between 8:30am and 4:30pm, Monday to Friday. An answer machine is available out of hours. If you require any clinical information about your outpatients’ appointment please ring 0151 708 9988 ext: 4617.

Meet the team

Annmaria Ellard is our specialist nurse, with over 20 years’ experience in recurrent miscarriage and early pregnancy care. Annmaria was recently nominated for and won a Tommy’s award for patient care.

Dr Linda Watkins is the Lead Clinician. She has been a Consultant in Obstetrics at Liverpool Women’s for nine years and has an interest in early pregnancy care, preterm birth and recurrent miscarriage.

Mr Andrew Drakeley is a consultant Gynaecologist and subspecialist in Reproductive Medicine. He holds an MD in recurrent miscarriage and is the Clinical Director of The Hewitt Fertility Centre at Liverpool Women’s.

Mr George Botros is a Consultant Gynaecologist who specialises in complex laparoscopic surgery. He provides Liverpool Women’s laparoscopic transabdominal cerclage service.

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