The risk of preterm labor, pre‐eclampsia, lower segment cesarean section, thromboembolic complications, and ICU admissions are increased for pregnant women with COVID‐19.
Results: 504 aborted women were studied, 35% were missed abortion. According to risk factors there was a history of PID among 21%, HB<10mg/dl in 18%, and 17% had no history of prior disease. Previous Caesarean section presents in 14%. 14% of missed abortions were among the nulliparous women. TB has an incidence of 3% and 5% had history of toxoplasmosis. G2 was (17%), G5 (16%), G11(1%) and G12 (2%). 8 weeks fetus was (26%) and G19 and G20(1%). In our research 59% patients had no bleeding and 30% had spotting. In this research 35% patients had family marriage. According to treatment we used medical treatment for 58%, 29% surgical teatment and 13% had both medical and surgical treatment. Conclusions: In this study we have found that risk factors are the most critical causes of missed abortions, especially in third world countries like Afghanistan. Infections like PID, TB, and TORCH has still high rates in Afghanistan. Anemia, history of smoking and first pregnancies have high risks of abortions. Although the medical treatment is the preferred method in our research, some patients still use surgical treatment. To reduce the rate of missed abortion, it is necessary to conduct programs of education among women and treat the infections accordingly. VP59.03 Conservative treatment in non-tubal ectopic pregnancies and predictive factors of treatment failure
Studies on the acceptance of prenatal diagnosis and termination of pregnancy for single gene disorders within Islamic societies in the Middle East are limited. A few have examined the attitudes toward pregnancy termination for fetal indications, but a dearth of published data exists on actual behavior and uptake. This study reports on all prenatal diagnosis requests for single gene disorders, from the Sultanate of Oman, over 9 years. A retrospective study was conducted during which the medical records of all women who performed prenatal diagnoses for single gene disorders were reviewed. A total of 148 invasive procedures were performed for 114 families. The total number of yearly requests for prenatal diagnosis increased exponentially from three in 2012 to 21 in 2020. Sixty-four different diagnoses were tested for with the majority being autosomal recessive in nature. Seventy-one percent (28/39) of cases where an affected pregnancy was identified were terminated. Fifty-two of the 114 women (45.6%) repeated prenatal diagnosis in a future pregnancy. Seventy-two couples (63%) were consanguineous parents related as second cousins or closer. The majority of tests performed were for couples from Muscat (27%), Albatinah (27%), and Alsharqiya (20.3%) governorates in Oman. The findings of this study provide evidence that prenatal diagnosis is an acceptable reproductive option to prevent the occurrence of genetic disorders that meet termination eligibility criteria as outlined by the Islamic Jurisprudence (Fiqh) Council Fatwa, among Omani Muslim couples.
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