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Strategies for Addressing Recurrent Pregnancy Loss
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Availability
On-Demand
9 Courses
Expires on Dec 31, 2027
Cost
Member: $149.00
Non-Member: $349.00
Student/Resident/Fellow: $0.00
Life Member: $99.00
Company: Not Eligible
Exhibitor: Not Eligible
Credit Offered
7 1A AOA; 1 AMA available
7 Non-Physician available
RPL Symposium Header
50% of RPL cases remain unexplained

Recurrent pregnancy loss (RPL), defined as two or more pregnancy losses before 20 weeks' gestation, affects 1–5% of couples and presents complex clinical and emotional challenges. Up to half of RPL cases remain unexplained, heightening patient distress and diagnostic uncertainty. Patients and families often lack comprehensive support, while obstetricians face difficulties in diagnosis, communication, and resource limitations. Medical education insufficiently prepares providers for these challenges.

This virtual symposium provides targeted sessions focused on improving clinical knowledge, enhancing empathetic communication, promoting provider well-being, and advancing integrated, interprofessional care models to better support patients, families, and clinicians managing RPL.

Why This Activity Matters

Targeted, evidence-based approaches to strengthen clinical care and communication.

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Advanced Diagnostics

Apply placental pathology and genetic testing to accelerate accurate answers.

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Mental Health Integration

Use evidence-based screening, referral, and follow-up pathways.

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Rainbow Clinic Model

Deliver coordinated, compassionate care after loss and in subsequent pregnancy.

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Thrombosis Management

Evaluate clotting risk and optimize treatment decisions.

Meet Your Expert Faculty

Clinical expertise paired with compassionate care.

Brad Irving, DO
Program Chair
American College of Osteopathic Obstetricians and Gynecologists
Setting the Foundation
Anthony Sciscione, DO
Maternal–Fetal Medicine
Managing Partner, Delaware Center for Maternal-Fetal Medicine, Christiana Care Health System, Newark, DE
Real-World RPL Challenges
Joanne Stone, MD
Director, Rainbow Clinic
Professor & System Chair of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY
Rainbow Clinic Approach
Drucilla Roberts,MD
Placental Pathology
Pathologist, Massachusetts General Hospital; Subspecialty Head, Obstetric and Perinatal Pathology; Associate Professor of Pathology, Harvard Medical School, Boston, MA
Modern Placental Pathology
Gregory Piazza, MD
Thrombosis Medicine
Associate Professor of Medicine, Harvard Medical School; Faculty, Division of Cardiovascular Medicine at Brigham and Women's Hospital, Boston, MA
Thrombosis in Pregnancy Loss
Charles Lockwood, MD
Maternal–Fetal Medicine
Executive Vice President, USF Health Dean, USF Health Morsani College of Medicine, University of South Florida, Tampa, FL
Anticardiolipin Syndrome
Mili Thakur, MD
Mili Thakur, MD
Reproductive Genetics
Founder, Genome Alley; Clinical Adjunct Assistant Professor in the Department of Ob/Gyn and Reproductive Biology, College of Human Medicine, Michigan State University, Grand Rapids, MI
Chromosome Testing Revolution
Winifred Mak, MD, PhD
Reproductive Medicine
Associate Professor of Obstetrics & Gynecology, Reproductive Endocrinology and Infertility University of Texas Health Science San Antonio; Associate Professor at Dell Medical School, Austin, TX
Future Directions
Loree Johnson, PhD, LFMT
Family & Marriage Therapy
Reproductive Mental Health Specialist in Private Practice.
Mental Health in Reproductive Care
Megan Hanson
Patient & Advocate
Co-Founder and Executive Director, Recurrent Pregnancy Loss Association (RPLA)
Patient Perspective
Avital Kedem, MSW, LCSW
Bereavement & Support
Bereavement Social Worker, Rainbow Clinic, Mount Sinai, New York, NY
Mental Health in Reproductive Care

Special Thanks

With gratitude for partnership and guidance.

Ronald Librizzi, DO, FACOOG

Distinguished Fellow

Thank you to Dr. Ronald Librizzi for expertise and leadership that helped shape this program and ensure clinical rigor.

Recurrent Pregnancy Loss Association

Patient Advocacy Partner

We appreciate the Association's advocacy and patient-centered resources that keep this work anchored in real needs.

Presentations

  • Beyond the Statistics: Real-World RPL Challenges

    Anthony Sciscione, DO & Megan Hanson

  • After the Storm: The Rainbow Clinic Approach

    Joanne Stone, MD

  • Decoding the Placenta: Modern Pathology

    Drucilla Roberts,MD

  • When Blood Betrays: Thrombosis in Pregnancy Loss

    Gregory Piazza, MD

  • When Antibodies Attack: Antiphospholipid Syndrome 

    Charles Lockwood, MD

  • Genetic Testing for Recurrent Pregnancy Loss

    Mili Thakur, MD

  • Patient Perspectives & Future Directions

    Winifred Mak, MD, PhD

  • Mental Health in Reproductive Care

    Winifred Mak, MD, PhD; Loree Johnson, PhD, LFMT; Avital Kedem, MSW, LCSW; and Megan Hanson

Disclosures of Relevant Financial Relationships

Transparency in partnership and potential conflicts of interest.

ACOOG requires each planner and presenter to identify all conflicts of interest and mitigates risk of bias using a series of strategies for relevant conflicts. Unless otherwise noted below, the ACOOG, ACOOG staff and planners for this activity have no relevant financial relationships to disclose.

The following presenters reported no relevant financial relationships.

  • Megan Hanson
  • Charles Lockwood, MD
  • Loree A. Johnson, PhD, LMFT
  • Drucilla J. Roberts, MD
  • Anthony Sciscione, DO
  • Joanne Stone, MD
  • Winifred Mak, MD, PhD
  • Avital Kedem, MSW, LCSW
  • Brad Irving, DO

The following presenters reported relevant financial relationships. All relationships have been mitigated.

Mili Thakur, MD, FACOG, FACMG

Dr. Thakur is a non-CME speaker for Natera, Juniper Genomics, and PGT Labs. These relationships have been mitigated.

Gregory Piazza, MD

Dr. Piazza has disclosed he has received research funding from BMS/Pfizer, Janssen, Alexion, Bayer, Amgen, BSC, Esperion, and Regeneron; He serves in an advisory role for Amgen, Thrombolex, BMS/Pfizer, BMS, and Janssen. These relationships have been mitigated.

CME & Accreditation Information

This activity offers 7 CME credits and meets high standards for continuing medical education.

Learning Objectives

Upon completion of this activity, participants will be able to:

  • Define recurrent pregnancy loss and identify appropriate diagnostic evaluation protocols
  • Implement evidence-based mental health support strategies for patients experiencing RPL
  • Interpret placental pathology reports to guide clinical decision-making
  • Apply current genetic testing methodologies in the evaluation of pregnancy loss
  • Recognize and manage thrombophilias and antiphospholipid syndrome in pregnancy
  • Integrate current research findings into clinical practice for RPL management

CME Accreditation

The American College of Osteopathic Obstetricians and Gynecologists is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians.

The American College of Osteopathic Obstetricians and Gynecologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

CME Credit Designation

This program qualifies for 7 AOA Category 1-A credit under an exemption approved by the Bureau of Osteopathic Education of the American Osteopathic Association.

ACOOG designates this activity for a maximum of 7 AMA PRA Category 1 Credits™.

ACOG Cognate Credit(s)

ACOOG designates this activity for Category 1 College Cognate Credits. A reciprocity agreement with the American Medical Association (AMA) allows AMA PRA Category 1 Credits™ to be equivalent to ACOG Cognate Credits.

Commercial Support

This activity is not commercially supported.

Disclaimer

This material reflects the views of the presenters and is for educational purposes. Physician judgment remains central to patient care decisions.

Use of Artificial Intelligence

Closed captions and transcripts are AI-generated and may contain errors.

Technical & Completion Requirements 

Everything you need for a smooth virtual learning experience.

System Requirements

Use a high-speed internet connection and a modern browser with JavaScript and cookies enabled. Update your browser and clear cache if you encounter issues.

Requirements for Successful Completion

  • Register and participate activity, viewing each session
  • Complete the post test
  • Complete the evaluation
  • Claim credit

Certificates are available in the ACOOG learning center (Transcripts) after completion.

Privacy Policy

This activity complies with ACOOG privacy policies.

Data Use

Data collected may be analyzed for educational research and future needs assessment.

Refunds

Refunds are not available for this product.

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