Recurrent pregnancy loss (RPL) is defined by ESHRE 2023 guidelines as how many consecutive or non-consecutive pregnancy losses before 24 weeks?
- A 3 or more consecutive losses only
- B 3 or more consecutive losses with confirmed intrauterine location
- C 2 consecutive losses only (non-consecutive losses excluded)
- D 2 or more losses (lowered from 3 in earlier criteria) ✓
Explanation
ESHRE 2023 revised RPL guidelines define RPL as two or more pregnancy losses (whether consecutive or non-consecutive) before 24 weeks of gestation, a threshold lowered from the previous 3-loss requirement. This change allows earlier investigation and may include biochemical pregnancies if documented. The previous ASRM definition of ≥ 3 consecutive losses remains in use by some guidelines. Options B, C, and D incorrectly require 3 consecutive losses or exclude non-consecutive events.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
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