What to expect
If you have been referred to this clinic, please visit the recurrent pregnancy loss health information page and watch the video
Recurrent Pregnancy Loss - Causes and Testing before your first appointment.
To help you navigate the road ahead until your first visit, we have outlined the following steps so you know what to expect:
1Email confirmation
You will first receive an email welcoming you to the RPL clinic. Attached to that email will be an "Email Communication Consent Form". Your consent is needed in order for us to communicate over email with you, and to send you our RPL Patient Intake Questionnaire.
2Questionnaire
When you receive the Patient Intake Questionnaire, please fill it out and send it back within 3 weeks. If we do not receive a completed form within 3 weeks, we will assume that you are no longer interested in pursuing care in our program and you will be discharged.
3Phone interview
Once we have received your completed RPL Patient Intake Questionnaire, we will call you to arrange a phone interview with the RPL nurse to review your history.
4Preliminary testing
At the time of your phone interview, you may be asked to complete some preliminary testing prior to your first visit so that we have all the information in hand. If this is necessary, it will be reviewed by one of the RPL nurses.
5Booking your first appointment
At this time, you will also receive a phone call to book your first clinic appointment. Appointments are being booked approximately 2-6 months in advance. If you wish to be placed on our cancellation list, please contact us via email at RPL@cw.bc.ca or phone at 604-875-3706.
Please note if you become pregnant prior to your initial appointment, we will not be able to see you in our clinic. If you become pregnant, please contact us at your earliest convenience to cancel your appointment. You will be prioritized for an initial visit should you miscarry.
6Your first clinic visit
At your first visit, you will meet with one of our RPL physicians who will review your history and outline a care plan with you. You may have a pelvic ultrasound done at that first visit.
While you are enrolled in this program, you will be asked if you would like to
participate in research. This research aims to gather information to guide future treatment options for people experiencing recurrent pregnancy loss. Your participation is optional and your decision does not impact your care.
Pre-screening blood tests should be done as soon as possible after your phone history with the nurse. The tests should be done when you are
not pregnant.
Evaluating the shape of your uterus is part of the work-up we recommend for RPL. A list of facilities providing HSGs in the lower mainland will be emailed to you by the RPL Clinic. Please note that you must call on cycle day 1 of your period to one of these clinics to arrange the HSG on day 9-10 of your cycle.. Once you are booked, contact our RPL booking clerk at 604 -875-3706 to let us know your appointment date. You will be given a requisition to do a serum pregnancy test 2 days before your procedure. If you are finding it challenging to arrange this, please contact the RPL clinic team.
Once you get a positive urine pregnancy test, call the RPL registered nurse (RN) at (604)875-3628. The RN will send you for a serum pregnancy test (b-hCG) and will arrange for your first ultrasound.
If you have miscarried while a patient of the clinic, please call the clinic and we will help you with next steps: 604-875-3706.
A large number of losses are due to random aneuploidy. We recommend cytogenetic testing* at the time of the 2nd consecutive pregnancy loss over 10 weeks (by ultrasound size).
If you would like the miscarriage examined, this is called an "examination of products of conception". You will need to fill out a
C&W Embryopathology Requisition Form, then deliver the sample and the signed requisition form to the C&W laboratory, located on the second floor of BC Children's Hospital through Entrance 11.
*Cytogenetics involves testing samples of tissue or blood to look for changes in chromosomes, including broken, missing, rearranged, or extra chromosomes.