Improving Miscarriage Care

7th February 2025

Women can expect improved miscarriage care Public Health and Women's Health Minister Jenni Minto has pledged, after unveiling a new framework, backed by £1.5 million funding.

The framework sets out a range of actions for Scotland’s NHS boards to implement, including ensuring that women going through miscarriage have a separate, private space.

It will introduce a graded model of miscarriage care across the country. This means all women can receive tailored support and services, and won’t have to wait until a third miscarriage. This will include access to progesterone prescriptions - where clinically appropriate – both for threatened and recurrent miscarriage.

These changes will be supported by £1.5 million Scottish Government funding and aim to ensure that early pregnancy care is equitable so that no women are disadvantaged, regardless of where they access and receive care.

The Minister for Public Health and Women’s Health said:

"The loss of a baby, no matter at what stage of pregnancy, has a profound and lasting impact on women and their families. To all who have experienced such a tragedy, I offer my deepest sympathy. The Scottish Government recognises this impact and is clear that women and families who have experienced pregnancy or baby loss must be provided with the right information, care and support, tailored to their individual circumstances.

“I am very grateful to everyone in Scotland’s NHS who works to provide miscarriage care and support.

“I know there is already a lot of good work underway within NHS Boards to improve miscarriage care services. The 2025-26 Budget, if approved by Parliament, will provide £1.5 million to support NHS Boards to improve delivery of sensitive and compassionate miscarriage care."

Kath Abrahams, Chief Executive of pregnancy charity Tommy’s commented:

"We are delighted to see the Delivery Framework for Miscarriage Care in Scotland launching today. The Framework is a real milestone on the path to excellent care for women and families in Scotland and Tommy’s has been pleased to work closely with our colleagues in Scottish Government as they have developed the Framework, which aims to ensure the right support and care for parents after every tragic loss. With compassionate care at its heart, we are looking forward to continuing to support our Scottish colleagues as they oversee the rollout."

The Miscarriage Association’s Chief Executive Vicki Robinson said:

“We are extremely pleased to see the publication of this important Framework for Miscarriage Care in Scotland, which represents a significant step forward in ensuring that those experiencing miscarriage receive the compassionate, high-quality care they deserve during such a heart-breaking time.

“This framework is a vital step in providing evidence-based care and offering women additional support in early pregnancy. We are proud to have contributed to its development and look forward to seeing it bring positive change. This is a crucial milestone in ensuring that miscarriage care is accessible, equitable, and compassionate across Scotland.”

The Delivery Framework for Miscarriage Care in Scotland, and Progesterone Pathway, will help and support NHS Boards to implement the Programme for Government commitments and support improvements in delivery of miscarriage care.

Progesterone is a hormone that plays an important role in the menstrual cycle and in maintaining a pregnancy in the early stages. If a woman has miscarried before and is bleeding in early pregnancy, they may benefit from taking progesterone. It may also be suitable for women who have had four or more miscarriages with no bleeding.

Always get medical help if:

you’re bleeding from your vagina
you’ve got strong, cramping pain
your waters break
your baby’s movements have changed, or you haven’t felt them move for a while.

If you’re registered, contact your midwife or local maternity unit. If you’re not registered, contact your GP or the NHS 24 111 service. Find out more Miscarriage | NHS inform

Additional quotes:

Held In Our Hearts Chief Executive Nicola Welsh said:

“We are very pleased to have been part of the Delivery Framework for Miscarriage Care ensuring the lived experience voices were represented in the key actions of the Framework. Over the last few years, much progress has been made to better understand the impact a miscarriage has on families, and we have come a long way in listening to women’s needs and being able to deliver timely and trauma informed care. Held In Our Hearts offer Hospital to Home care which provides six home visits to those who experience loss from 12 weeks of pregnancy and offer support to anyone who has experienced a miscarriage. Working collaboratively, we must make sure no one is alone in their grief and people have the support they need at a difficult time. We hope the new Delivery Framework for Miscarriage Care ensures families across Scotland receive the care they need, and deserve, following loss.”

Sands Chief Executive Dr Clea Harmer said:

“We welcome the announcement of a Delivery Framework for Miscarriage Care and Progesterone Pathway in Scotland, to ensure that everyone affected by pregnancy loss before 24 weeks gets the high-quality care and support, they need.

“The loss of a baby, no matter what stage of pregnancy, is a traumatic event that can have a profound impact on parents and families. Sands will continue to work with the Scottish Government, and all NHS Boards in Scotland, to improve the quality and consistency of care for everyone affected by pregnancy loss.”