Definitions

ACOG – The American College of Obstetricians and Gynecologists establishes medical standards for obstetric care in the U.S. and influences care standards worldwide.

ACOG Guidelines – ACOG Practice Bulletin #24 establishes testing guidelines for early recurrent pregnancy loss, defined as multiple consecutive losses that occurred before fifteen weeks gestation.

Anxiety During Subsequent Pregnancies – Studies have found that pregnant women with a history of loss endure more anxiety during subsequent pregnancies than women without prior miscarriages.9 10 11

Cervical Incompetence – When the cervix weakens prematurely as pregnancy progresses.

Chromosome Abnormalities – Chromosomes are said to be “abnormal” when there are more or less than 46, or the structure of at least one chromosome is broken or rearranged.

Early Recurrent Pregnancy Loss – Two or more consecutive losses that each occurred before fifteen weeks gestation.

Legislation – The legislation mandates some coverages for the diagnosis and treatment of infertility and/or recurrent pregnancy loss. The definitions of infertility and recurrent pregnancy loss vary from state to state, as do the covered treatments.

Level II Ultrasound – A specialized scan that most women get between sixteen and twenty weeks gestation, to examine the baby’s vital organs.

Preterm – Before 37 weeks gestation.

Time of Demise – The time of demise is when the pregnancy actually stopped developing, and can be several weeks before the bleeding and cramping of miscarriage actually occur.  Some women’s bodies take weeks to realize that the pregnancy has stopped growing, thus their bodies make no attempt to miscarry.  Time of demise can be estimated with ultrasound.

Twelve States – Arkansas, Connecticut, Hawaii, Illinois, Maryland, Massachusetts, Montana, New Jersey, New York, Ohio, Rhode Island, and West Virginia.

Unexplained – a cause of pregnancy loss was not established.