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Recurrent Pregnancy Loss Clinic referral

Referrals form

Referrals process

Refer a patient

Referral is required for this clinic. Referring health care provider, please fax referral and all supporting documentation to 604-875-3136.  Please note our updated eligibility guidelines as of October 1, 2019.  

Who is eligible for the RPL clinic?

  • > 2 consecutive unexplained pregnancy losses at  < 10 weeks gestation.
  • > 1 unexplained pregnancy loss > 10 weeks and < 20 weeks gestation by ultrasound.
  • Patients with > 1 documented unexplained pregnancy loss at any gestational age with:
    • chronic histiocytic intervillositis, OR;
    • known anti-phospholipid syndrome, OR:
    • suspected major uterine anomaly (includes fibroids and adenomysosis, excudes arcuate uterus), OR;
    • know parental translocation.
A large number of losses are due to random aneuploidy (abnormal number of chomosomes) in the embryo.  We recommend cytogenetic testing at the time of 2nd consecutive pregnancy loss > 10 weeks (by CRL).

All requests for examination of products of conception <20 wk gestation must include the C&W Embryopathology Requisition Form

Samples, accompanied by completed and signed requisitions, may be delivered to the C&W laboratory,located on the second floor of BC Children's Hospital through Entrance 11. 

SOURCE: Recurrent Pregnancy Loss Clinic referral ( )
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