The causes of miscarriage include, gentic abnormalities, infection, trauma, progesterone deficiency, uterine anomalies, fetal anomalies fever, radiation exposure, drug exposure., thrombophilias etc. Management of miscarriage or abortions depends on type of miscarriage and cause. First trimester miscarriages are very common to such an extent that First miscarriage in First trimester where there is no cardiac activity or anembryonnic pregnancy usually do not need any further evaluation. Supplementation of foilic acid tab in preconception period is advisable