From ACOG PB 200: Early pregnancy loss (EPL) is defined as a nonviable, intrauterine pregnancy with either an empty gestational sac or a gestational sac containing an embryo or fetus without fetal heart activity within the first 12 6/7 weeks. EPL is common, occurring in 10% of all clinically recognized pregnancies. Approx 50% of all cases of EPL are due to fetal chromosomal abnormalities. Ultrasonography is the preferred modality to verify the presence of a viable intrauterine gestation. In case