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Introduction Recurrent spontaneous abortion is defi ned as the loss of three or more consecutive pregnancies. It affects 1% of all the women. Aim The aim of our study was to assess the management in pregnancy and the pregnancy outcomes in patients with history of recurrent spontaneous abortion. Methods This is a retrospective study of 37 patients with history of recurrent spontaneous abortion. Results The number of spontaneous abortions prior to the index pregnancy ranged from 3 to 8. Only 54% of the patients had some or all the investigations as recommended by RCOG guidelines to fi nd the cause for recurrent spontaneous abortions. Of the patients investigated only one had positive test for antiphospholipid antibody. 11% of the patients were referred to a tertiary centre that is Liverpool for investigation and management. 59% of the patients were treated with low dose aspirin. 30% of the patients were given hCG, 5% received heparin and 8% received progesterone. 42% of the patients had induction of labour. 33% of the patients were delivered by Caesarean section. 11% of the babies delivered were admitted to NICU primarily for