INTRODUCTIONAbortion is a much-debated issue regarding its physiology, pathology, elements and association with related factors. Every year, 22 million unsafe abortions are take place all over world and almost 98% unsafe abortion occur in developing countries. According to World Health Organization (WHO) report, total number of unsafe abortions has increased from about 20 million in 2003 to 22 million in 2008.1,2 Almost 10-15% of pregnancies affected by Miscarriage before 24 completed weeks of gestation.3 When clinical pregnancy is established, the risk of spontaneous pregnancy loss is ~12-14%, and therefore the incidence of Recurrent Pregnancy Loss (RPL) by chance alone would be in the order of 0.35%4,5. It occurs in 0.5-3% of women. Whilst the risk of miscarriage in a subsequent pregnancy has now been well documented, the obstetric and neonatal outcomes of pregnancy which progressed beyond 24 weeks in this group of women are still far from clear.
6-10Spontaneous miscarriage occurs in ~15% of all pregnancies, as recorded by hospital episode statistics. The actual figure, from community-based assessment, Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT Background:When clinical pregnancy is established, the risk of spontaneous pregnancy loss is ~12-14%, and therefore the incidence of Recurrent Pregnancy Loss (RPL) by chance alone would be in the order of 0.35%. It occurs in 0.5-3% of women. The objective of this study was to evaluate the obstetric outcome in pregnancies with history of one or more abortions. Methods: It is a retrospective cross-sectional study done at Obstetrics and Gynecology Department, Dr. B. R. Ambedkar Medical College and Hospital, Bangalore. Record review of cases was done from January 2005 to December 2009. Inclusion criteria were pregnancies with history of previous abortions. Results: There were 400 cases with previous history of abortions. There were 266 (66.4%) booked cases while 134 (33.5%) were unbooked cases. 272 (68.0%) patients crossed viable period of pregnancy (more than 28 weeks). Around 56 (14.0%) cases had repeat abortions, 276 (69.0%) cases underwent vaginal delivery and 124 (31.0%) underwent cesarean section. Almost 91 (22.8%) of Babies were low birth weight while others were above 2.5 kg. There were 52 (13.0%) preterm babies and 28 (7.0%) Intrauterine demise of fetuses. Conclusions: Patients with previous history of abortions are at increased risk of adverse maternal and perinatal outcome.