title: [Recurrent pregnancy losses: Etiological considerations and investigations, the point of view of the obstetrician-gynecologist].
abstract: Pregnancy loss is a general term including distinct well-defined entities: early miscarriage, late miscarriage, and stillbirth. It is important to clarify fetal loss circumstances to guide the diagnostic assessment of this issue. Etiological considerations in the presence of a fetal loss are very important to find the causes where a treatment exists and is efficient. The aim is also to explain to the couple, very affected by the event, the reason of the fetal loss and the potential risk of recurrence in a future pregnancy. In recent years, international guidelines changed and assessment of familial thrombophilia seems to be useless in this context. Feedback of the investigations will be better in a preconception consultation and multidisciplinary management of these couples is important for both therapeutic and psychological cares.
authors.affiliation: DHU risques et grossesse, fondation PremUP, maternité de Port-Royal, groupe hospitalier Cochin-Broca-Hôtel Dieu, université Paris Descartes, Assistance publique-Hôpitaux de Paris, 53, avenue de l'Observatoire, 75014 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Toupet
authors.affiliation: DHU risques et grossesse, fondation PremUP, maternité de Port-Royal, groupe hospitalier Cochin-Broca-Hôtel Dieu, université Paris Descartes, Assistance publique-Hôpitaux de Paris, 53, avenue de l'Observatoire, 75014 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Théau
authors.affiliation: DHU risques et grossesse, fondation PremUP, maternité de Port-Royal, groupe hospitalier Cochin-Broca-Hôtel Dieu, université Paris Descartes, Assistance publique-Hôpitaux de Paris, 53, avenue de l'Observatoire, 75014 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Goffinet
authors.affiliation: DHU risques et grossesse, fondation PremUP, maternité de Port-Royal, groupe hospitalier Cochin-Broca-Hôtel Dieu, université Paris Descartes, Assistance publique-Hôpitaux de Paris, 53, avenue de l'Observatoire, 75014 Paris, France. Electronic address: vassilis.tsatsaris@cch.aphp.fr.
authors.forename: V
authors.initials: V
authors.lastname: Tsatsaris
mesh_terms: D000026:Abortion, Habitual / Q000209:etiology* / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010820:Physicians; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D012307:Risk Factors
keywords: Bilan étiologique; Early miscarriage; Etiological considerations; Fausse couche précoce; Fausse couche tardive; Fetal loss; Late miscarriage; Mort fœtale in utero; Perte fœtale; Stillbirth