A study on pregnancy outcome following previous one spontaneous abortion
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20151278Keywords:
Spontaneous abortion, Pregnancy complicationsAbstract
Background: Pregnancy plays a unique role in the transformation of women towards completeness. Pregnancy should be considered a unique normal physiological episode in a woman’s life. However in some cases many twists and turns occur which alter the good outcome of pregnancy into a disaster. For those women who have had a previous unsuccessful outcome, pregnancy may bring a lot of inevitable negative emotions. The main objective of our study was to determine pregnancy outcome following previous one spontaneous abortion
Methods: A prospective study was done on 756 patients. There were 252 patients in the case group consisting of pregnant females with the history of previous one spontaneous abortion (group A). There were two control groups - primigravida women (group B) & second gravida with history of previous successful pregnancy outcome (group C) who delivered subsequent to our study group. All the antenatal, post natal complications and modes of delivery were noted and compared between the three groups.
Results: Pregnancy complications included: threatened miscarriage, premature rupture of membranes (PROM), preterm delivery, intra uterine growth restriction (IUGR), diabetes mellitus, abruption, placenta praevia, preeclampsia, eclampsia and postpartum hemorrhage (PPH). Statistical analysis was carried out using Statistical Package for Social Scientists (SPSS) version 20. Statistical analysis showed that all the complications except preeclampsia, eclampsia, placenta praevia and diabetes were more in the study group than both the control groups (p<0.05). Risk of preeclampsia was more in primigravidae. Rate of caesarean section and instrumental delivery was also significantly increased in women with previous one spontaneous abortion.
Conclusions: Women with a history of previous one spontaneous abortion are at an increased risk of complications in the next pregnancy. So careful surveillance should be provided to such women and not to be restricted only to females with history of recurrent pregnancy loss.References
Chalana H, Sachdeva JK. A study of psychiatric morbidity during second trimester of pregnancy subsequent to abortion in the previous pregnancy. Asian Journal of Psychiatry. 2012;5:215-19.
Bhattacharya S, Bhattacharya S. Women’s Health. 2009;5:5-8.
Goldstein RRP, Croughan MS, Robertson PA. Neonatal outcomes in immediate versus delayed conceptions after spontaneous abortion. Am J Obstet Gynecol. 2002;186:1230-6.
Weintraub AY, Sergienko R, Harlev A, Holcberg G, Mazor M, Wiznitzer A, et al. Previous miscarriage and stillbirth as risk factors for other unfavourable outcomes in the next pregnancy. Am J Obstet Gynecol. 2011;205:286.e1-5.
Kashanian M, Akbarian AR, Baradaran H, Shabandoust SH. Pregnancy outcome following a previous spontaneous abortion (miscarriage). Gynecol Obstet Invest. 2006;61:167-70.
Strickland DM, Guzick DS, Cox K, Gant NF, Rosenfeld RC. The relationship between abortion in first pregnancy and development of Pregnancy induced hypertension in the subsequent pregnancy. Am J Obstet Gynecol. 1986;154:146-8.
Saftlas AF, Levine RJ, Klebanoff MA, Martz KL, Ewell MG, Morris CD, et al. Abortion, Changed Paternity, and Risk of Preeclampsia in Nulliparous Women. Am J Epidemiol. 2003;157:1108-14.
