Overview
This quality standard covers the diagnosis and initial management of ectopic pregnancy and miscarriage in women, trans men and non-binary people in their first trimester (up to 13 completed weeks of pregnancy). It includes assessment and diagnosis for people with suspected early pregnancy loss. It describes high-quality care in priority areas for improvement.
Last reviewed: 17 June 2026
Changes have been made to align this quality standard with the updated NICE guideline on ectopic pregnancy and miscarriage. Statement 4 has been added to highlight that this is a key area for quality improvement. See update information for further details.
How to use NICE quality standards and how we develop them
Quality standards help you improve the quality of care you provide or commission. They apply in England and Wales (see the UK government website and Welsh government website). Decisions on how they apply in Scotland and Northern Ireland are made by ministers in the Scottish government and Northern Ireland Executive.
Find out how to use quality standards and how we develop them.
Endorsing bodies
This quality standard is endorsed by NHS England as required by the Health and Social Care Act (2012).
Supporting organisations
A number of organisations recognise the benefit of this quality standard in improving care. They work with us to promote it to commissioners and service providers: