Obstetrics & Gynecology>>>>>Preconception Counseling, Genetics, and Prenatal Diagnosis
Question 1#

After an initial pregnancy resulted in a spontaneous loss in the first trimester, your patient is concerned about the possibility of this recurring.

Which of the following is the most appropriate answer regarding the risk of recurrence after one miscarriage? 

a. It depends on the genetic makeup of the prior abortus
b. It is no different than it was prior to the miscarriage
c. It has increased to approximately 50%
d. It does not increase regardless of number of prior miscarriages
e. It depends on the gender of the prior abortus

Correct Answer is B


An initial spontaneous abortion, regardless of the karyotype or gender of the child, does not change the risk of recurrence in a future pregnancy. The rate is commonly quoted as 15% of all known pregnancies.