This is a complete audit of the management of early pregnancy within Glasgow hospitals using the Royal College of Obstetricians & Gynaecologists (RCOG) Clinical Green Top Guideline 25 as the set standard. The Effective Gynaecology in Glasgow Group (EGGG) developed a document to record the current practice of the management of early pregnancy loss within Glasgow hospitals over a 4-week prospective period. Results were centrally collated and distributed to individual units. All units were formally instructed in the current RCOG guideline and a repeat audit cycle was undertaken to determine any difference in management. There was improvement in all categories analysed, as outlined in Table I. We have demonstrated that a dedicated group can improve clinical management through the audit process.