Background &Method: The present study was conducted with an aim to study incidence of patients with recurrent pregnancy loss with respect to antenatal patient &to identify the various etiological factorsin the Department of Obstetrics and Gynecology, M.G.M Medical College and M.Y Hospital, Indore. In this period 14564 antenatal patients were admitted both in routine and emergency hours of which 5660 were high risk pregnancies. 89 patients had recurrent pregnancy loss. Of these 62 patients selected. These patients were randomly selected including all age groups, parity, socioeconomic and educational status. Result: Distribution of cases according to booked and emergency cases. Patients with bad obstetric history are often apprehensive about their present pregnancy and seek regular medical care, as seen by 70% of cases being booked. Patients in the fourth decade, even with one pregnancy loss, form a high risk pregnancy group. Though less in number, but these are one of the most important patients. In majority of our patients (58%) no cause could be detected, this was because many of these cases were idiopathic, and also because in many cases the patients could not afford the investigations. 8(12.9%) of patients had a underlying endocrine factor responsible for their recurrent pregnancy loss, whereas in 8(12.9%) patients it was anatomic factor. Infections were the main culprit in 4(6.4%) cases whereas in 4(6.4%) of cases other causes like heart disease, Rh isoimmunization were responsible Conclusion:Traditionally recurrent pregnancy loss has been a term used for any couple who had three or more fetal losses. Today, couples with even a single pregnancy loss should be counseled regarding further pregnancy. Those with two fetal losses and those in the fourth decade should be thoroughly evaluated. Any women with three fetal losses needs strict evaluation, standard tests and should be offered available options of treatment.Recurrent miscarriage is a distressing problem that affects 1% of all women. This incidence is greater than that expected by chance alone, since 10-15% of all clinically recognized pregnancies end in a miscarriage and theoretical risk of three consecutive pregnancy losses is 0.34%.Hence only a proportion of women presenting with recurrent miscarriage will have a persistent underlying cause of their pregnancy losses.The purpose f my work was to review the literature and provide guidance on the investigation and treatment of couples with recurrent pregnancy loss.