Outcome of pregnancy following previous spontaneous abortion

Abstract

The objective of the present study was to study the pregnancy outcome following previous spontaneous abortion.The present study included 140 patients admitted in the department of Obstetrics and Gynaecology Government Medical College Srinagar, LD Hospital Jammu & Kashmir India from September 2018 to February 2019. Patients with history of spontaneous abortion preceding present pregnancy irrespective of gravidity, first visit or booked or unbooked were enrolled. Detailed history regarding previous abortion was taken and examination was done focussing on information about previous abortion. All the routine investigations along with investigation for possible etiologies of previous abortions were done. The patients were observed for complications like PROM, placenta previa, preeclampsia, placental abruption, abortion, IUFD, breech, threatened abortion, still birth during the present pregnancy.Out of 140 patients 100 were booked and 40 un-booked. Majority of the patients (39.2%) were in the age group of 25-30 years. 58.5% patients belonged to urban areas. Majority of patients (67.8%) were uneducated or educated till primary level. 15.7% of the patients had threatened abortion and 11.2% had complete abortion. Further it was found out that patients with pre term delivery and PROM were 14.2% and 9.25 respectively. 50% of patients delivered by caesarean section. It was further observed that foetal outcome was good in 72% of patients with lbw 9.2% and IUGR in 7.1% patients.From the study it was observed that patients with history of previous spontaneous abortion are associated with adverse pregnancy outcome. The pregnancy outcome in terms of maternal and foetal complications can be improved by giving proper antenatal care.

A study on pregnancy outcome following previous spontaneous abortion: a hospital-based prospective observational comparative study

“…It has been observed that incidence of spontaneous abortion is higher in urban than in rural areas. 1 Around 80% of spontaneous pregnancy loss occurs in early gestation. The incidence ranges from 11 to 22% in pregnancies of 5 to 20 weeks.…”