Tender Loving Care for Recurrent Pregnancy Loss

Participants will be asked to interact with weekly messages providing prenatal counseling and support. Additionally, patients will be asked to complete the fertility quality of life survey several times over the course of the pregnancy.

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 dating ultrasound at the time of enrollment
• At least two prior pregnancy losses. Pregnancy losses must be confirmed with laboratory criteria confirming a positive pregnancy test in the military electronic medical record with subsequent resolution (resolution may be reported by patient), or with ultrasound criteria demonstrating an intrauterine gestational sac with subsequent 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, endometrial polyps, submucosal fibroids, pathology confirmed acute or chronic endometritis, hydrosalpinx, history of Asherman syndrome, poorly controlled endocrinopathies, HIV infection
• History of gonadotoxic therapy or cancerous condition of the female reproductive tract
• Suspicion for or confirmation of an ectopic pregnancy