Tender Loving Care for Recurrent Pregnancy Loss

Inclusion Criteria:

• Pregnant individuals receiving their prenatal care at WRNMMC

• Able to speak and understand English

• Less than or equal to 10+0 weeks gestation by last menstrual period (LMP) or datingultrasound at the time of enrollment

• At least two prior pregnancy losses. Pregnancy losses must be confirmed withlaboratory criteria confirming a positive pregnancy test in the military electronicmedical record with subsequent resolution (resolution may be reported by patient),or with ultrasound criteria demonstrating an intrauterine gestational sac withsubsequent resolution (resolution may be reported by patient).

Exclusion Criteria:

• Age less than 18 years and older than 44 at time of enrollment

• Unable to speak or understand English

• Current smoker or tobacco use within 30 days

• History of uterine anomaly, coagulopathy, balanced translocation, endometrialpolyps, submucosal fibroids, pathology confirmed acute or chronic endometritis,hydrosalpinx, history of Asherman syndrome, poorly controlled endocrinopathies, HIVinfection

• History of gonadotoxic therapy or cancerous condition of the female reproductivetract

• Suspicion for or confirmation of an ectopic pregnancy