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Reproductive and Placental Research Unit
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INFORMATION FOR

Pregnancy Losses

Our goal is to help families and doctors understand why a pregnancy loss occurred. We examine the placenta from the affected pregnancy to determine the most likely cause. Please pick the appropriate tab below to obtain more information on how we can help you.

Pregnancy Loss Patient Information

First, my sincerest condolences on your pregnancy loss. I of course will do whatever I can to try to help you figure out what happened.

Please see the instruction below to start the process of our being able to help you.

On this page you will find links to forms that we will need you to fill out and instructions on how to request the slides be sent to me at Yale. Once I receive the material and look at it I will generate a report for your primary doctor. Since my findings can be challenging to explain to patients, I also have a clinic on Tuesday afternoons where I can meet you to discuss the significance of the findings, as well as options for pursuing future pregnancies, should that be something you wish to pursue.

Please note that it is very helpful if, along with the slides and pathology reports, either you or your doctor, fill out the clinical history form. Any additional clinical records that are easy to obtain would also be appreciated (for example, a clinical summary of your case, any karyotyping, ultrasound reports, etc.).

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Some patients find it difficult and upsetting to contact the pathology department where their loss(es) have occurred. Kristin will take care of all aspects of this process. All we need from you to start this are the forms from the links below, signed and dated by you. You can scan them and email them to us or fax them, as you wish. Once received, Kristin will take care of the rest of the process.
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If you have any specific questions related to the process of getting the slides to us, please call my clinical office number at:

203-785-7642

or email my assistant Kristin Milano at: kristin.milano@yale.edu

She will get back to you as soon as she is able to.


Review of Placenta

Request a Review of the Placenta from your Pregnancy Loss or Complication by Dr. Kliman. To do this you will need to fill out the following documents:

  1. Checklist for Dr. Kliman Pathology Consultations
  2. Request for Review of Pregnancy Loss or Complication Slides
  3. Payment Options for Review of Pregnancy Specimens
  4. Authorization for Release of Materials and Information
  5. Notice of Privacy Practices

Once the review of your pregnancy complication material is done you may, if you wish, request an appointment with Dr. Kliman (see below). It is recommended that you check to make sure your insurance covers some or all of the procedures prior to our examination of the placenta(s). Please see detailed instructions on each form.


Request an Appointment

  1. After your placental material is examined and a report is generated, you may wish to speak with Dr. Kliman to discuss the results. Because of COVID precautions Dr. Kliman now only meets with patients via Zoom video conference on Tuesday afternoons.
  2. When you are emailed the report(s) related to our examination you will be asked if you wish to meet with Dr. Kliman, including instructions on how to start the process.
  3. Since insurance does not normally cover video conference calls, you will be required to pay for this yourself.
  4. You will be supplied with a receipt.
  5. Charges for video consultations are between $117 for up to 29 minutes to $699 for over two hours of time. Each appointment usually lasts between one to two hours, as needed by each family.
  6. A consultative report will be sent to the patient and the patient’s referring physician, as appropriate.

Have you had more than one pregnancy loss?

Yale University, along with several other academic centers, has recently embarked on a comprehensive study to analyze the entire genome (all 6 billion DNA codes) of couples who have had more than one pregnancy loss. We will also sequence the entire genome of any of the losses from these families. We can look at past losses if the tissues were sent to your local pathology department. If you are experiencing a loss as you read this we can arrange to have the loss tissues sent to us at Yale for analysis. There is no charge for the genetic analysis of the parents or the loss tissues. If you are interested in participating, please go to this site:

Genomic Predictors of Recurrent Pregnancy Loss (GPRPL)

We thank you in advance for your help in improving our understanding of the genetic basis of recurrent pregnancy loss.

Read the most up-to-date information on pregnancy loss in this Reproductive Sciences review

Study finds that the placenta holds the answers to many unexplained pregnancy losses

Help eradicate pregnancy loss

Your donation will support research to diagnose and prevent miscarriages and stillbirths.

Yale Medicine Insurance Plan Information

Visit the Yalemedicine.org website to learn about accepted insurance carriers