An Obstetric Outcome After Previous Spontaneous Abortions
Journal Title: IJAR-Indian Journal of Applied Research - Year 2015, Vol 5, Issue 5
Abstract
Aim : The aim of the study is to estimate the risk of the Preterm delivery, low birth weight, intrauterine growth restriction, still birth, intrauterine death, premature rupture of membranes, recurrence of abortion or any other adverse outcome in women with previous spontaneous abortions. Objectives : i. To test the hypothesis that previous unfavourable pregnancy outcome increases the risk of adverse- out come in the present pregnancy. ii. To look for association between previous spontaneous abortion and preterm delivery, intrauterine growth restriction, low birth weight, intrauterine death, premature rupture of membranes, recurrence of abortion, stillbirth, in subsequent pregnancies. Study design: A prospective study was conductedtaking200 Pregnant Women with history of spontaneous abortions and 200 pregnant women with history of previous full term normal deliveries (with no abortion), was undertaken from Government Maternity Hospital Tirupati, to compare the obstetric outcomes between two groups. Observation and Results : There were 200 subjects in study cohort with history of spontaneous abortions and 200 -sub jects in control cohort without history of spontaneous abortions in this study. The outcome has been analysed with respect to the following factors 1. Age distribution of the patient 2. Normal full term deliveries 3.Preterm deliveries 4.Intrauterine growth restriction 5.Premature rupture of membranes 6.Low birth weight 7.Recurrent abortions.The mean age of patients in study cohort and control cohort were distributed predominantly in the 18-25 age group. 38 % of patients had 1 previous abortion, 47 % of patients had previous 2 abortions, 15 % of patients had 3 previous abortions.38% had normal deliveries, 32 5 had LSCS, 5.5% had spontaneous abortions, 1% Ectopic pregnancy. 87.5% reached fullterm, 6% preterm, 19% PROM, 1.5% PPROM, 3%IUD. Incidence of LBW – 23.6% with 1 abortion, 23.9% with 2abortions and 69% with 3abortions. CONCLUSION: Previous abortions have a definite impact on the successful outcome of future pregnancies. Hence for such pregnancies, careful antenatal care is mandatory.Careful surveillance is required in pregnancies preceded by spo- n taneous abortions, for early detection of possible complications
Authors and Affiliations
Dr. CH. Rama, Dr. Annapurna Kande
Keywords
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