Obstetric Outcome in Pregnant Women with Previous Spontaneous Abortion

Abstract

Methods: All pregnant women with a history of previous one or more spontaneous abortion booked or referred to Dr. SMCSI Medical College as per the criteria were included in the study. A detailed history was obtained. Risk factors for abortion in the present pregnancy in both the study groups were noted. Complications during present pregnancy were analysed. Analysis of the mode of termination of the present pregnancy and the neo-natal outcome were analysed. Primigravidae in the same age group were taken as a control group and the outcome in the two groups was compared. The data obtained were analysed using SPSS for Windows version 17.0, frequencies and percentages were calculated for cases and controls.

Results: The incidence of abortion and ectopic pregnancy was higher in the case group. The incidence of antenatal complications placenta previa and PROM were higher in the case group. The incidence of live birth was less in the present pregnancy in the case group with a higher rate of pre-term delivery as compared to the control group ..  Analysis of neo-natal outcome showed the number of babies requiring neo-natal ICU care was higher in the case group, with IUGR being the most common cause for admission.

Conclusion: Prior spontaneous abortion is always a risk for the next pregnancy. Patients with early pregnancy loss and recurrent early pregnancy loss need education and support from their practitioner. Many controversies exist as to whether any intervention should be performed based on a suspected cause because of lacking scientific proof of therapeutic efficacy in many areas.