Why do we need this research?
We need to find ways to prevent pregnant women experiencing miscarriage. Clinical trials can be used to test new treatments and interventions. However, they can be expensive to run, and may need thousands of women to take part, which can be difficult to achieve.
New methods to test treatments and interventions are needed, so that we can find the best ways to prevent miscarriages.
What’s happening in this project?
Building on the success of the Tommy’s Net project, our researchers are developing a new way to test interventions to prevent miscarriage.
In normal clinical trials, a group of people are selected to test a treatment, where some people get the treatment and the rest get standard treatment. Normally, each new treatment needs its own clinical trial.
Our researchers will use a system called ‘cohort multiple randomised clinical trials’, or cmRCT. Instead of settings up separate trials for different treatment, the team hope to recruit one large group of women, called a cohort, and test multiple treatments on different people within the same group. This will mean that the researchers don’t have to recruit new people for each trial, saving time and money.
The team’s first step to making this happen is to get permission from NHS Digital to access health care information from the women in the cohort. This will mean that information about the women’s health and pregnancy will be automatically sent to the researchers, and can be linked with any new interventions they may be receiving.
What difference will this project make?
Our researchers hope that this new way of conducting clinical trials will help to make miscarriage research much easier and faster. This could mean that treatments and tests could reach women across the UK sooner, and help to reduce the number of miscarriages in the future.
Thanks for your interest in our research
Tommy's funds research across the UK investigating the reasons for miscarriage, stillbirth and premature birth. We can keep you updated on ways you can support our work. If you would like to join our fight against baby loss and premature birth, click here.
Miscarriage and ectopic pregnancy may trigger long-term post-traumatic stress, anxiety and depression
The largest ever study into the psychological impact of miscarriage and ectopic pregnancy has shown that early-stage pregnancy loss can have a serious impact on mental health. The research was led by Professor Tom Bourne at the Tommy’s National Centre for Miscarriage Research at Imperial College London.
A pilot trial led by Tommy’s National Centre for Miscarriage Research suggests diabetes drug could be repurposed to target the lining of the womb in women with recurrent miscarriage.
More than a third of maternity doctors admitted they suffer from burnout and exhaustion. This means that they may avoid difficult cases, over-prescribe medications and care less about their patients, increasing the risk of mistakes.
Abdominal stitch is more effective than vaginal stitch for women who experience recurrent preterm births
A clinical trial has shown that an abdominal stitch can save babies’ lives by reducing preterm birth for high-risk women who have had a previous failed vaginal stitch. The trial was led and co-authored by Professor Andrew Shennan, Clinical Director of Tommy’s Preterm Surveillance Clinic.