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. 2023 Jun 15;12(12):4074. doi: 10.3390/jcm12124074

Table 1.

Comparison of international guidelines’ definitions/diagnostic criteria for recurrent pregnancy loss.

Criteria Guidelines (Year of Publication)
WHO
(1977)
RCOG
(2011)
ASRM
(2012/2013)
ESHRE
(2017/2022)
DGGG/ÖGGG/SGGG (2018)
Number of RPLs (n) 3 3 2 2 3
Sequence of loss Not specified Consecutive Consecutive Consecutive and non-consecutive Consecutive and non-consecutive
Type of pregnancy All pregnancy losses, types are not specified All pregnancy losses, types are not specified Clinical pregnancies Non-visualized pregnancy losses (biochemical pregnancy losses and/or resolved and treated pregnancies of
unknown location), clinical pregnancies
All pregnancy losses, types are not specified
Evidence of loss Not specified Not specified US or
histopathologic
examination
Serum or urine β–hCG;
US
Not specified
Gestational age at pregnancy loss (weeks) 20 (22) 24 The first trimester of pregnancy,
gestational weeks not specified
24 24
Fetal weight (grams) <500 Not specified Not specified Not specified <500

ASRM—American Society of Reproductive Medicine; DGGG/ÖGGG/SGGG—German Society of Gynecology and Obstetrics/Austrian Society of Gynecology and Obstetrics/Swiss Society of Gynecology and Obstetrics; ESHRE—European Society of Human Reproduction and Embryology; RCOG—Royal College of Obstetricians and Gynecologists; RPL—recurrent pregnancy loss; US—ultrasonography; WHO—World Health Organization; β-hCG—β human chorionic gonadotropin.